Beware of Medicare and ACA Cons During Open Enrollment

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Young man on the phone at home

Every year during health insurance open enrollment season, scammers try to dupe unsuspecting consumers into sharing their personal information. This year is no exception. According to new BBB.org/ScamTracker reports, Americans are getting scam calls phishing for their Medicare numbers and other personal information. This year, open enrollment runs October 15 – December 7, 2020 for Medicare and November 1- December 15, 2020 for the Affordable Care Act.

How the Scam Works:  

You receive a call (or a recorded message) from someone who claims to be helping you navigate your Medicare options. They may call themselves a “health care benefits advocate” or a similar title.  The caller says they can enroll you in a better Medicare program than what you currently have. This new plan is cheaper, and you can keep all the same services. To get started, all you need to do is provide some personal information, such as your Medicare ID number. Of course, the call is a scam, and sharing personal information will open you up to identity theft.

In another version reported to BBB.org/ScamTracker, the caller is trying to frighten – rather than assist -you. In this case, they claim that your Medicare will be discontinued if you don’t re-enroll. Fortunately, this “Medicare advisor” can fix the situation – if only you share your personal information.

Also, BBB.org/ScamTracker is getting reports about callers pushing “free” back or knee braces. This is Medicare fraud, and you can learn more about these scams here.

Tips to Avoid Open Enrollment Scams

Selecting a health insurance plan can be challenging and complex. Be on the lookout for common red flags.

  • Be wary of anyone who contacts you unsolicited. People representing Medicare or ACA plans don’t contact you by phone, email, or in person unless you are already enrolled. Be especially cautious of threatening calls that require quick action or immediate payment.
  • Decline promotional gifts in exchange for personal information. Keep a healthy level of skepticism any time a broker offers you free gifts, health screenings, or other special deals. Never sign up with a broker who offers you an expensive “sign-up gift” in exchange for providing your Medicare ID number or other personally identifiable information.
  • Beware of dishonest brokers who offer “free health screenings.” Some brokers offer this to weed out people who are less healthy. This is called “cherry picking” and is against the Medicare rules.
  • Guard your government-issued numbers. Never offer your Medicare ID number, Social Security number, health plan info, or banking information to anyone you don’t know.
  • Hang up and go to official websites. You can enroll or re-enroll in Medicare at Medicare.gov or in a marketplace health plan at Healthcare.gov.

For more information:  

Learn more about open enrollment and spotting a Medicare or ACA scam on the Federal Trade Commission website.

If you are unsure whether a call or offer is from Medicare, or you gave your personal information to someone claiming to be with Medicare, call 1-800-MEDICARE to report it. If you suspect fraud when signing up for ACA coverage, go to HealthCare.gov or call the Health Insurance Marketplace call center at 800-318-2596. 

For more tips from BBB on avoiding health care scams, check BBB.org/HealthCareScam. If you’ve been the victim of a scam, please report it to BBB.org/ScamTracker. By sharing your experience, you can help others avoid falling victim to similar scams.

Source: BBB.org

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