Beware of latest fraud scams

It’s important to know how to spot potential scams and protect yourself and your information from being used to commit fraud. Some of the latest scams include:

  • Free genetic testing or DNA swabs as part of a “free” health screening for the insurance company. These individuals often pose as clinical workers on behalf of the insurance company and will ask for your insurance information.
  • TV ads offering a free back brace or knee brace. Beware the tiny disclaimer at the bottom of that commercial which may state that by calling to request the braces, you are allowing them to bill your insurance.
  • Telemarketers claiming they can provide free prescription pain relief cream and that it will be covered by your insurance. You may even see these in TV ads. They tell you all you need to do is provide some information, including your doctor’s name, insurance information and birthdate so they can process your order.

There are ways you can protect yourself from scams. Here are some things to keep in mind:

  • Never give out personal, financial or insurance information over the telephone—especially to someone you don’t know.
  • Disregard TV ads offering free medical products or services. If you need a medical product or service, contact your doctor directly. They are best equipped to properly diagnose and treat your condition.
  • Beware of "free" offers. If it seems too good to be true then it probably is. Offers of free health care services, tests or treatments are often fraudulent schemes designed to bill you and your insurance company illegally for thousands of dollars of treatments you never received.

If you think you may have encountered a scam or have concerns about fraud and abuse, contact us immediately. You do not have to give your name if you prefer to remain anonymous. You can report your concern in any of the following ways:

  • Call Customer Service at the number on the back of your member ID card.
  • Call the 24-hour Compliance Hotline at 800.560.7013.
  • Visit the Member Center to download and complete the Fraud, Waste & Abuse Report form and submit by mail, fax or email.
    • By mail:

Fraud and Abuse Program
Priority Health, MS 3175
1231 East Beltline NE
Grand Rapids, MI 49525-4501

    • Fax to “Fraud & Abuse Program” at 616.942.7916; OR

Office of Inspector General
PO Box 30062
Lansing, MI 48909