Health Insurance Plans
The National Healthcare Anti-Fraud Association estimates that fraud costs Americans over $50 billion every year. Altered billing of services, forged documents and computer technology are used illegally to collect billions of dollars from you and your health benefits card.Health Benefits Card Fraud And How It Affects You
Health benefits card fraud costs Americans an estimated $63 billion dollars annually.
Health benefits card fraud is committed by a multitude of individuals including medical providers, members as well as drug store pharmacies.
Health benefits card fraud increases the cost of healthcare for everyone
Health benefits card fraud jeopardizes the overall healthcare of consumers
Common Types Of Health Benefits Card Fraud
Health Services Not Rendered
Billing for health services that were not rendered to the member
Misrepresentation of Health Benefit Services
Billing for a covered health service when an uncovered service was actually rendered
Medically Unnecessary Health Benefit Services
Billing for services that are not necessary for the treatment of the member
Up coding Services
Billing for health benefit services that are more complex and at a higher reimbursement than the actual service provided
Unbundling Service
Billing for health benefit services separately instead of billing the code that includes multiple services
Misrepresentation of Identity (member/provider)
Falsely receiving or billing for services under a covered member's identity
Doctor Shopping
Receiving various narcotic medications from a multitude of physicians through deceit
Misrepresentation of Eligible Dependents
Maintaining eligibility for or adding an individual who does not legally qualify for benefits under the Program
What You Can Do To Combat Health Benefits Card Fraud?
Many people have had disastrous experiences in the past with medical discount card schemes. So we welcome you with open arms to real health insurance that will accept you for who you are.
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