As Medicare Fraud Prevention Week concluded on June 8, 2025, officials across the United States emphasized the importance of vigilance against fraudulent activities that cost the healthcare system billions annually. This year’s observance, led by the Senior Medicare Patrol (SMP) and the Administration for Community Living (ACL), introduced new educational campaigns and reporting tools designed to empower beneficiaries, caregivers, and communities to detect and prevent Medicare fraud.
A Nationwide Effort to Protect Medicare Beneficiaries
Medicare Fraud Prevention Week, observed annually during the week containing June 5 (symbolizing the age 65 when most Americans become eligible for Medicare), raises awareness about the prevalence of Medicare fraud and the steps individuals can take to protect themselves. According to experts, Medicare fraud, errors, and abuse cost taxpayers an estimated $60 billion each year, jeopardizing both the integrity of the program and the well-being of its users.
“Medicare fraud has a devastating impact on both beneficiaries and the Medicare program,” said one program director. “Fraud can happen to anyone, and its impact on individuals and families can be dramatic, so it’s vital to make people aware of the latest scams and prevention tips and tools.”
New Tools and Resources
This year, the SMP unveiled a mobile application, the “SMP Medicare Tracker,” designed to help users learn about scams through interactive games and alerts, read news, and report suspected fraud. Another feature, the “SMP My Health Care Tracker,” allows beneficiaries to record healthcare appointments and compare them to Medicare statements for accuracy.
The SMP also provided free counseling, presentations, and resources for Medicare beneficiaries, caregivers, and professionals. Services included assistance with identifying billing discrepancies, navigating fraud resolution, and learning how to use digital tools safely.
Community Engagement and Education
Local SMP offices across all 50 states, Washington, D.C., Puerto Rico, Guam, and the U.S. Virgin Islands hosted virtual workshops, community presentations, and social media campaigns to equip beneficiaries with tools to protect themselves. In many states, SMP programs urged beneficiaries to “Protect, Detect, and Report” Medicare fraud, emphasizing the importance of safeguarding personal information, monitoring Medicare statements for suspicious charges, and reporting potential fraud to authorities.
Tips to Prevent Medicare Fraud
Beneficiaries, caregivers, and community members are encouraged to take the following steps:
- Review Medicare Statements: Regularly check Medicare Summary Notices (MSNs) or Explanation of Benefits (EOBs) for unfamiliar services or charges.
- Protect Personal Information: Never share Medicare numbers or personal information with unverified contacts.
- Be Cautious of Unsolicited Offers: Avoid unsolicited phone calls, emails, or mailings asking for Medicare information.
- Report Suspicious Activity: Contact the local SMP office or call 1-800-MEDICARE.
Role of Caregivers and Families
Caregivers and family members play a critical role in protecting loved ones from Medicare fraud. They can help by monitoring for unusual medical equipment deliveries, creating and managing Medicare.gov accounts, and educating beneficiaries about common scams. Additional steps like registering phone numbers on “do not call” lists and opting out of unsolicited mailings can reduce exposure to potential scams.
Sustaining the Fight Against Fraud
The success of Medicare Fraud Prevention Week underscores the importance of continuous education and vigilance. With new technologies, community engagement, and proactive measures, the SMP and ACL aim to reduce fraud incidence and protect Medicare’s integrity for future generations.
For those interested in learning more or reporting suspected fraud, local SMP offices and Medicare support lines offer guidance year-round.
