Medicare Fraud, Waste and Abuse
Enlarge Text
| Print Page
The second largest white-collar crime in the U.S. is insurance fraud. It affects everyone by making insurance premiums more expensive. Prescription Pathway is helping the fight against health care fraud by increasing awareness among our members and employees.
We fully support the prosecution of health care providers, agents, policy owners, employees, and other groups or individuals who defraud the Medicare system and insurance companies. We aggressively investigate reports of fraud and cooperate with law enforcement officials in their prosecution efforts.
Examples of Medicare Prescription Drug Plan Fraud
| • | Uninvited door-to-door solicitation–This is when an insurance agent comes to your door uninvited and tries to sell you a drug plan or other Medicare product. |
| • | Unfamiliar drugs on your Explanation of Benefits–If you see drugs listed on your Explanation of Benefits that you're not taking, someone could be filling prescriptions using your name and drug coverage. |
| • | Short-fills on prescription drugs–This is when a pharmacist gives you fewer pills than what your doctor may have prescribed. |
Help Fight Fraud
When someone commits fraud against Medicare, it affects everyone. If you suspect someone of committing insurance fraud against Prescription Pathway or think you may be a victim, please report the suspicious activity.
Call the Fraud, Waste and Abuse Hotline at 1-800-853-0186. Or e-mail fraud@uafc.com. All calls and e-mails are confidential and may be anonymous.
For more information about insurance fraud, visit www.insurancefraud.org.
Last updated: 10/01/2007
