Office: (276) 964-4915
Toll-Free: (800) 656-2272
Fax: (276) 963-0130
TDD/TTY: (276) 964-5765

Avoid and Report Medicare Fraud

Virginia Senior Medicare Patrol (SMP) is available for individuals who suspect Medicare and Medicaid fraud.. The Virginia SMP uses volunteers to educate Medicare and Medicaid beneficiaries about health care fraud, waste and error.

Appalachian Agency for Senior Citizens (AASC) offers the services of an ombudsman, someone who can advocate on your behalf if you suspect Medicare or Medicaid fraud. Inquiries may be directed to Linda Shortt at 276-964-7127. All discussions and complaints are confidential.

  • Here are some steps you can take to protect yourself from Medicare fraud:
    • Be on the lookout for suspicious activity.
    • Learn how to protect your personal information:
      • Do not let anyone borrow or pay to use your Medicare ID card or your identity. It is illegal.
      • If your Medicare card is lost or stolen, report it right away! Call Social Security at 1-800-772-1213 for a replacement. If you get benefits from the Railroad Retirement Board, call 1-877-772-5772.
    • Always read your Medicare Summary Notice (MSN) or health care billing statement. Your MSN is the piece of mail stamped “This is Not a Bill” that you receive after you get medical care. Look for three things on your billing statement:
      • Charges for something you didn’t get
      • Billing for the same thing twice
      • Services that were not ordered by the doctor

Since 1997, SMP has recovered $4.5 million in Medicare funds and reported more than $3.1 million in savings to beneficiaries. Savings are attributable to the prevention of errors, fraud and abuse by the more than 1.9 million seniors who have participated in group sessions or received one-on-one counseling from their local SMP volunteer.

AASC is one of Virginia’s 25 Area Agencies on Aging designated by the Virginia Department for the Aging to carry out the department’s mission to foster the dignity, independence and security of older Virginians by promoting partnerships with communities at the local level. AASC offers information and services for older adults residing in Buchanan, Dickenson, Russell, and Tazewell counties. Visit the organization’s website at www.aasc.org or call toll-free at 1-800-656-2272.