Understanding Medical Identity Theft and How to Protect Yourself as a Senior

Understanding Medical Identity Theft and How to Protect Yourself as a Senior



The New York StateWide Senior Action Council (StateWide), a non-profit organization serving New York's senior population, has recently raised alarm about the rising trend of medical identity theft. This type of fraud not only jeopardizes seniors' financial stability but can also significantly impact their health. In April 2025, StateWide launched its "Fraud of the Month" initiative focusing on this critical issue, aiming to educate vulnerable citizens and their caregivers on recognizing and preventing such scams.

What is Medical Identity Theft?


Medical identity theft occurs when someone unlawfully uses an elderly individual's personal health information—like their name or Medicare number—to fraudulently bill for services or supplies that were never rendered. This can include treatments, surgeries, or medical equipment that the victim never received. Maria Alvarez, the Executive Director of the New York StateWide Senior Action Council, elaborates that this type of fraud can lead to dangerous consequences, including denial of necessary healthcare and erroneous medical records.

Common Warning Signs


Awareness is the key to prevention. Seniors should be vigilant for several warning signs indicating potential medical identity theft. These include:
  • - Receiving bills or notices for medical services that were never performed.
  • - Insurance claims being denied due to nonexistent medical conditions.
  • - Collection agencies contacting them about unknown medical expenses.

Failing to recognize these signs can lead to compromised health and unexpected expenses, as wrong information may end up in medical records, causing delays and potentially harmful treatments based on another person's data.

How to Safeguard Against Medical Identity Theft


StateWide provides guidance on what seniors can do to safeguard themselves:
  • - Limit Sharing of Information: Seniors should only provide their Medicare number to trusted healthcare providers. This information should be treated like a credit card, kept safe and private.
  • - Be Skeptical of “Free” Offers: Fraudsters often lure individuals with offers of free medical supplies or tests in exchange for their Medicare details. Seniors should remain wary and cautious against such solicitations.
  • - Secure Medical Supplies: All medical supplies should be purchased from verified sources and not from unsolicited emails, advertisements, or cold calls.
  • - Routine Review of Documents: Regularly check Medicare Summary Notices (MSN) and Explanation of Benefits (EOB) documents for any discrepancies or unauthorized services.

Should seniors suspect fraud, they are encouraged to reach out to the New York StateWide Senior Action Council's helpline at 800-333-4374. The SMP (Senior Medicare Patrol) initiative empowers older adults to report and combat Medicare fraud, helping them understand their rights and the steps to take against abuse or deception.

The Bigger Picture: The Cost of Medicare Fraud


The National Institutes indicate that Medicare fraud costs taxpayers upwards of $60 billion annually. This staggering figure underlines the necessity of educational programs like StateWide's "Fraud of the Month" campaign, launched in 2022, to shine a light on scams targeting the elderly.

In summary, as more seniors are targeted by medical identity thieves, it is paramount for them, along with their caregivers, to remain vigilant and informed about the risks and protective measures available. By understanding the signs of fraud and knowing how to protect personal information, seniors can better safeguard their health and finances in this vulnerable time of life. Together, we can fight against the rising tide of medical identity theft and ensure a safer environment for our elders.

For further resources, training, and assistance regarding any Medicare inquiries—whether it’s about plan comparisons, billing issues, or patient rights—StateWide is committed to providing comprehensive support across New York State.

Topics Health)

【About Using Articles】

You can freely use the title and article content by linking to the page where the article is posted.
※ Images cannot be used.

【About Links】

Links are free to use.