Greg's Corner

AI finds its way into Medicare scams

By Greg Collier

We are currently nearing the end of Medicare’s Open Enrollment period. This is the time of year when Medicare recipients can change their plan from the traditional Medicare coverage to a Medicare Advantage plan, or change back if they so desire. This is also the time of year when scammers specifically target Medicare eligible seniors with their scams.

When it comes to scams, identity theft poses a significant risk to seniors, especially during Open Enrollment. Scammers often employ tactics such as impersonating government officials, adopting titles like ‘health care benefits advocate,’ to deceive victims. These fraudsters make enticing promises, assuring the victim of enrollment in equivalent or superior coverage at a reduced cost. To accomplish their scheme, the fraudulent agent requests the victim’s personal information, including their Medicare number.

The stolen Medicare number becomes a tool for these scammers to commit Medicare fraud, involving unauthorized charges for procedures or items. This fraudulent activity has the potential to impact the victim’s benefits in the future. Additionally, scammers resort to high-pressure tactics, such as claiming that the victim’s benefits may expire if immediate information is not provided. In some cases, these deceptive calls may even display Medicare’s official phone number, adding an extra layer of trickery. It is crucial for seniors to be vigilant and cautious to protect themselves from falling victim to such identity theft scams during the Open Enrollment period.

Though not strictly a scam, certain unscrupulous insurance brokers may exert undue pressure on seniors to switch to their company’s Medicare Advantage plan. While Medicare Advantage plans can offer advantages for some individuals, they may also have limitations that may not suit everyone’s needs. The decision to switch should be based on the individual’s personal healthcare requirements, yet some insurance agents may prioritize making a sale over the well-being of the patient.

If contemplating a transition from Medicare to a Medicare Advantage Plan, it is essential to conduct thorough research on the potential benefits and drawbacks. Avoid succumbing to the tactics of salespersons, who may push for a decision that could lead to regret in the following year. Taking the time to make an informed decision ensures that the chosen healthcare plan aligns with individual needs and preferences.

There is also another potential threat with this year’s Open Enrollment, and not surprisingly, it’s related to AI. Experts are warning that scammers could be using AI-generated voice programs to make scam phone calls sound more authentic. These calls could even be used to try to record a victim’s voice, which could then be used in other voice spoofing scams.

It’s important to be cautious when receiving calls related to your Medicare plan. Legitimate Medicare plans typically contact their members if necessary, but if you ever feel uneasy during such calls, consider calling your insurance company’s official customer service number to verify the legitimacy of the communication.

As a general rule, exercise caution about sharing your Medicare or Social Security number over the phone. Medicare and your insurance company already have your information on file and typically don’t need you to provide it again during unsolicited calls. This precaution helps protect you from potential scams or identity theft. Always prioritize your security and verify the authenticity of any calls before sharing sensitive information.