Be on the lookout for allergy test add-ons, Medicare fraud experts warn

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Senior Medicare Patrol, a volunteer-based organization that finds and reports health care fraud, is advising Medicare beneficiaries to read their Medicare summary notices and keep an eye out for allergy tests they never requested nor received.

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The less obvious problem — but perhaps more serious — is that add-on allergy tests are often a sign that a patient's medical identity has been stolen. If there is a test you did not receive on your insurance statement, you could end up paying for someone else receiving health care under your name.Documents are shredded at the Roy Hillside Senior Center in Roy on June 2. This type of fraud often occurs through unsolicited phone calls, according to Trussell.

It's rare for patients to fall victim to add-ons when they visit their regular health care provider or a widely known drugstore, like CVS or Walgreens. The problem arises when they get their diagnostic testing done off the beaten path. If they aren't able to explain the tests, report them to your local Senior Medicare Patrol project, which will help determine if there is fraud and refer your case to the appropriate agency for further investigation. In 2021, Senior Medicare Patrol contributed to $2.5 million in Medicare recoveries.What other forms of health insurance fraud should you look out for?

 

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