Medical Identify Theft

We’re all familiar with identity theft: Someone gains access to your Social Security Number and other private information, and uses it to open credit cards, take out loans, and even receive unemployment benefits in your name. But how familiar are we with Medical Identity Theft? Similar to regular identity theft, medical identity theft occurs when someone steals your personal medical information, such as your Medicare number, and uses it to receive medical treatments or products in your name.

Consequences of Medical Identity Theft

• Personal Financial Loss: If your Medicare is being charged for services that aren’t covered, you could be responsible for the costs. You may also pay out of pocket for co-pays of services you never received.
• Negative Health Impact: If the identity thief receives care under your name, your health records may be altered—showing incorrect blood type, allergies, or past procedures. This could result in inappropriate or harmful treatment.

How to Prevent Medical Identity Theft

• Keep your Medicare number stored safely and share it only with trusted medical providers.
• Never share your personal information over the phone, especially with unsolicited callers.
• Be cautious of any offers of “free” tests or treatments in exchange for your Medicare number.
• Review your Medicare Summary Notices (MSN) or Explanation of Benefits (EOB) regularly to catch any suspicious activity.

What to Look For in Your Medicare Statements

• Services you did not receive
• Double-billing for the same service
• Providers you don’t recognize

Report Medicare Fraud: If you suspect fraud or suspicious activity, contact SMP Hawaii at 1-800-296-9422 or visit www.smphawaii.org.

Mahalo to SMP Texas for its contributions during this special awareness week on Medicare Fraud Prevention.

This project was supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $320,449 with 100 percent funding by ACL/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by ACL/HHS or the U.S. Government.