Medicare fraud happens when someone tricks Medicare to get money they should not receive. This might include billing for services you never got or charging Medicare for expensive care you didn’t need. Anyone can commit fraud, including doctors, suppliers, or even beneficiaries. Abuse happens when someone causes Medicare to spend money it should not, such as overcharging or giving care that isn’t needed.
In Hawaii, many kūpuna rely on Medicare. That’s why it’s important for all of us to protect our community and watch for unusual bills or services. If something doesn’t look right, trust your instincts and ask questions. Fraud and abuse hurt everyone, including local hospitals and clinics that play by the rules.
If you suspect fraud or abuse, call SMP Hawaii at 1‑800‑296‑9422. You can also contact 1‑800‑MEDICARE or the Inspector General’s hotline at 1‑800‑HHS‑TIPS. You may remain anonymous.