Wisconsin Better Business Bureau
Press Release

Beware of health care cons during open enrollment

 

By - Nov 7th, 2023 07:01 am

Milwaukee, Wis. – If you are adding or changing your Medicare or Healthcare.gov coverage during open enrollment, watch out for unsolicited calls claiming to “help” you find the best deal. Unfortunately, scammers see this open enrollment period as a chance to trick people out of money and personal information. Open enrollment runs through December 7 (Medicare) or December 15 (Healthcare.gov).

How the scam works

Open enrollment has just begun, but BBB Scam Tracker has already gotten numerous reports of scam calls pretending to be from Medicare. In one report, the target received “an automated message from Medicare and how they could help me. When I followed the prompts, it led me to a nice-sounding male who claimed they were working for Medicare.” In another report, the person received calls claiming, “I requested information from them about Medicare on the Medicare website, which I NEVER did.”

If you stay on the line, these callers allege they can enroll you in a better plan than what you currently have, according to Scam Tracker reports. 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.

No matter how good the deal sounds and how convincing the caller seems, don’t do it! The call is a scam, and sharing personal information will expose you to identity theft.

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 out of the blueHealthcare.gov and Medicare provide legitimate help determining which plan is right for you. These people — sometimes called Navigators or Assisters — cannot charge for their support. If someone asks you for payment, it’s a scam. You will also need to contact them. They will not call you first.
  • Be wary of free gifts and “health screenings.” Keep a healthy level of skepticism any time a broker offers you free gifts 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 additional personally identifiable information. Other times, brokers offer free “health screenings” to weed out people who are less healthy. This technique is called “cherry picking” and is against 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.
  • Go directly to official websites. If you want to make changes to your health care plan, go directly to Medicare.govHealthcare.gov, or your employer’s health insurance provider. Don’t click on links in suspicious messages.
  • Contact your employer directly. If you receive an unexpected email about benefits policies, ask your employer about it before you click on anything to make sure it’s legitimate.

For more information: 

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.

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

View the online version

For more information or further inquiries, contact the Wisconsin BBB at www.bbb.org/wisconsin, 414-847-6000 or 1-800-273-1002. Consumers also can find more information about how to protect themselves from scams by following the Wisconsin BBB on FacebookTwitterInstagram and YouTube.

ABOUT BBB: For more than 100 years, the Better Business Bureau has been helping people find businesses, brands and charities they can trust. In 2021, people turned to BBB more than 200 million times for BBB Business Profiles on 6.3 million businesses and Charity Reports on 25,000 charities, all available for free at BBB.org. There are local, independent BBBs across the United States, Canada and Mexico, including BBB Serving Wisconsin which was founded in 1939 and serves the state of Wisconsin.

NOTE: This press release was submitted to Urban Milwaukee and was not written by an Urban Milwaukee writer. While it is believed to be reliable, Urban Milwaukee does not guarantee its accuracy or completeness.

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Comments

  1. Duane says:

    How the scam works, it’s called Medicare Advantage. Helpful hint, it’s not Medicare but private insurance draining Medicare much like the voucher system for public schools.

  2. oldbills says:

    I would like to see statistics on how many Medicare clients successfully (in terms of customer satisfaction) manage to change plans during open enrollment in Milwaukee County.

    This year the field of insurers and providers to read “compare” and “choose” from here includes thirty-five (35) plans listed in dense spreadsheets in addition to the plan options in the rest of the state and some border areas.

    I would maintain that any more than 5-7 “choices” = no choice at all.

    Reading through “Medicare & You 2024” one is confronted with something as impenetrable as our gerrymandered maps of
    election districts.

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