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Report Medicare Fraud and Scams

Spotted something wrong on your Medicare notice? Call 1-800-MEDIGAP for free help.

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Quick answer

To report Medicare fraud and scams, call 1-800-MEDICARE (1-800-633-4227), the HHS-OIG hotline at 1-800-HHS-TIPS (1-800-447-8477), or your Senior Medicare Patrol (SMP). Report billing for services you never received, scam calls, and stolen Medicare numbers. Reporting is free and helps protect the Medicare Trust Fund and other beneficiaries.

Reporting Medicare fraud protects your benefits, your money, and the program millions of seniors rely on.

What counts as Medicare fraud or a scam?

Medicare fraud includes billing for services or equipment you never received, billing for a more expensive service than provided, using your Medicare number without permission, and offering 'free' items in exchange for your number. Scams include phone calls demanding your Medicare number, fake 'new card' offers, and high-pressure plan switches. Check your Medicare Summary Notice or Explanation of Benefits for charges you do not recognize, dates you were not seen, or duplicate claims. Even small discrepancies can signal fraud. If something looks off, you have the right to question it and report it at no cost.

Where and how do I report it?

Report Medicare fraud and scams to 1-800-MEDICARE (1-800-633-4227) for billing issues and misused numbers. Contact the HHS Office of Inspector General hotline at 1-800-HHS-TIPS (1-800-447-8477) or TIPS.HHS.gov to report fraud against the program. Your local Senior Medicare Patrol (SMP) offers free help reviewing notices and filing reports. For scam calls and identity theft, also file with the FTC at ReportFraud.ftc.gov. Have your Medicare number, the provider or caller's details, dates, and claim amounts ready. When in doubt about what you are seeing, call 1-800-MEDIGAP first.

How does reporting protect me and others?

Reporting helps stop fraudulent charges against your account, protects your future eligibility, and safeguards the Medicare Trust Fund that funds care for tens of millions of Americans. Investigators use beneficiary reports to detect billing schemes and shut down scam operations. You may help recover improper payments and prevent the same scheme from harming other seniors. Keep copies of your notices and any reference numbers you receive. Guarding and reviewing your Medicare number is one of the most effective fraud defenses, and reporting quickly multiplies its impact. For guidance reading a confusing notice, call 1-800-MEDIGAP.

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Frequently asked questions

What is the difference between Medicare fraud and a Medicare scam?+

Fraud generally means a provider or party billing Medicare improperly, such as charging for services never given. A scam typically targets you directly, like a call demanding your Medicare number. Both should be reported, fraud to 1-800-MEDICARE and HHS-OIG, scams to those numbers plus the FTC.

How do I check my Medicare statements for fraud?+

Review your Medicare Summary Notice or Explanation of Benefits for services you did not receive, wrong dates, duplicate charges, or unfamiliar providers. Compare them to your own records. Your Senior Medicare Patrol can help you read notices for free if anything looks unclear.

What is the Senior Medicare Patrol?+

The Senior Medicare Patrol (SMP) is a federally supported program that helps beneficiaries prevent, detect, and report Medicare fraud, errors, and abuse. SMP volunteers offer free, personalized assistance reviewing statements and filing reports. Find your local SMP through your State Health Insurance Assistance Program.

Will reporting affect my Medicare coverage?+

No. Reporting fraud or a scam will not jeopardize your Medicare coverage. It protects your benefits and the program. Reports can be made confidentially, and you have the right to question charges you do not recognize without any penalty to your eligibility.

Who do I call if I'm unsure whether it's fraud?+

Call 1-800-MEDIGAP (1-800-633-4427) for free help understanding a confusing Medicare notice or suspicious call and where to report it. For official reports, use 1-800-MEDICARE and the HHS-OIG hotline at 1-800-447-8477.

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