Senior Medicare Patrol

Our Purpose

In 2010, we partnered with the Utah Department of Aging Senior Medicare Patrol (SMP) program in Salt Lake City. Our purpose is to focus on prevention, with a mission of empowering Medicare beneficiaries, their families, and caregivers to prevent, detect, and report health care fraud and identity theft, errors, and abuse through outreach and education.  We are uniquely positioned to give and be the contact source of educating and training on Medicare scams, fraud and discuss/answer the 10-Most Common Medicare Questions an individual/client may have. 

The SMP is a national program for people with Medicare of all ages. SMP is administered by the Administration for Community Living. To learn more, volunteer or to locate your local Senior Medicare Patrol please call 1-877-808-2468 or visit https://www.smpresource.org.

Do you think you are a victim of Medicare fraud or abuse?

 If you need help contacting your local SMP, fill out the form here: https://smpresource.news/Contact

With the Northern Utah Coalition, Inc. (NUC) and the Utah Senior Medicare Patrol (SMP) collaboration for over 14 years, we offer a one hour or less FREE Protecting Medicare and You from Identity Theft and discuss Medicare's 10-Most Common Questions presentation to your business or organization. For more information or to schedule a presentation, call Monday-Thursday, 9:00 am-5:00 pm at (801) 393.4153.

Reference: www.smpresource.org 

Medicare that Fits Your Life: A Guide to Open Enrollment


It’s almost here: Medicare Open Enrollment runs from October 15 through December 7, 2024. No matter when you first enrolled, use this opportunity to review your coverage and choose options that work best for you based on your current lifestyle, health needs and finances.

During this free webinar from AARP, on Thursday, October 3, 2024, 5:00 p.m. (MST), we’ll discuss common Medicare considerations and upcoming changes, so you can weigh your options and confidently select your best plan.


Speakers:

• Guest: Xavier Vaughn - AARP Program Manager, Medicare

• Guest: Meena Seshamani, M.D., PhD - Deputy Administrator and Director, Center for Medicare at Centers for Medicare & Medicaid Services

• Guest: Emily Whicheloe - Director of Education, Medicare Rights Center

Click “Going” and see how you can make timely decisions about vaccines. Use the Add to Calendar feature to get reminders before the event!


Join this Facebook live event by following these simple steps:

“Follow” AARP Programs to be notified of the Live video.


Click the link here on the day of our event to attend:   https://www.facebook.com/AARPPrograms 

September is Healthy Aging Month! As a Medicare beneficiary, you get an Annual Wellness Visit as a benefit. Note that an Annual Wellness Visit is different from a physical. If you haven't scheduled your wellness check yet, now would be a great time to do so! #HealthyAgingMonth 

Senior Hunger Awareness

Reference: www.smpresource.org 

By 2050, more than 9 million seniors may be food insecure if current trends continue.

Food insecurity among seniors affects their health and well-being, making it harder for them to live a healthy and active life. In 2022, 1 in 11 seniors ages 60 or older was food insecure, an increase compared to 2021. Follow Feeding America to learn more about food insecurity during Hunger Action Month.

Join us in the movement to end hunger in America and ensure that no senior goes hungry. Learn more about senior hunger and how you can help: bit.ly/36CvliJ

September is National Healthcare Fraud Prevention and Awareness Month. Senior Medicare Patrols (SMPs) empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report healthcare fraud, errors, and abuse.

Each week, we will share how you can help prevent, detect, and report Medicare fraud, errors, and abuse. #HealthCareFraudPreventionMonth 

Medicare Savings Programs (MSPs) help pay your Medicare costs if you have limited income and savings. There are three main programs, each with different benefits and eligibility requirements. If your income is up to around $1,700 per month as an individual or around $2,300 per month as a couple, you may qualify for an MSP.


However, your exact eligibility requirements depend on the state in which you live. Some states have higher income limits, and others don’t have any limits on your assets.

Read the blog to learn more: https://www.shiphelp.org/about.../blog/cost-saving-programs. 

Reference: www.smpresource.org

If you or someone you know are a qualified spouse, widow(er), or child of a Veteran disabled due to a service-connected disability, you may be eligible for CHAMPVA from VeteransHealth. CHAMPVA acts as a secondary payer to Medicare. Learn more: https://go.medicare.gov/4cedPn5.

Reference: www.smpresource.org

With Medicare Open Enrollment coming in October 2024, it’s no secret that Medicare can be confusing. Your healthcare needs can also change over time, and you may wonder, "Who can help me choose the right Medicare plan?" A government-funded program, the State Health Insurance Assistance Program (SHIP) is a free counseling service for all your Medicare questions. SHIP provides you with access to one-on-one, unbiased advice from a highly-trained volunteer well-versed in Medicare.

SHIPs are available to you in all 50 states, Puerto Rico, Guam, DC, and the US Virgin Islands. Depending on your area, they may be known by a different name. Visit the SHIP website www.shiphelp.org to find one near you, or call 877-839-2675.

Question... Did you know you can sign up for Medicare's newsletter?

Sign up for emails from #Medicare to get updates and important reminders sent right to your inbox. Visit www.Medicare.gov and scroll down to “Get important new & updates” to sign up. 

Learn how the Administration for Community Living is putting inclusion into action for people with intellectual and developmental disabilities. https://bit.ly/3PA8oWB #DDawareness2024

Reference: www.smprsource.org

For dual-eligible enrollees—people enrolled in both #Medicare and #Medicaid—access to prescription drugs is particularly important. According to a new data snapshot report, HHS-OIG found that dual-eligible enrollees have access to the majority of commonly used drugs in 2024 via Part D plans. Read more: https://direc.to/fhJN 

Did you accidentally throw away your MSN? That's okay. You can still review your claims online at Medicare.gov! If you have any questions about how to review your Medicare statements, contact the Senior Medicare Patrol (SMP). 

The cost of your medications may change throughout the year, depending on which coverage phase you’re in. You’ll learn about it in this blog—from the deductible phase to the donut hole, as well as some new changes to look out for this year!

Read the blog post: www.shiphelp.org/about-medicare/blog/part-d-coverage-phases

#partD #MedicareHelp #MedicareCoverage

FYI... www.SMPResource.org

If you have Original Medicare, your health care costs depend, in part, on the type of provider you see. There are three types of providers, and each has a different relationship with Medicare. To pay the least for your care, see a participating provider when possible.

If you have Original Medicare, call 1-800-MEDICARE or visit www.Medicare.gov for help finding participating providers near you. For questions about your Medicare, call a SHIP near you (1-877-839-2675) or visit www.shiphelp.org. 


If you’re eligible for Medicare because you turned 65, you may be wondering when to sign up. If you’re over 65 & have employer coverage, in most cases, you don't need to do anything until you (or your spouse) retire or you lose employer coverage. https://go.medicare.gov/47XSfRC 


Turning 65 Soon? Congratulations!!!

Medicare: Where Do You Start?

WELCOME TO MEDICARE ARCHIVED TRAINING

Reference https://www.shiphelp.org/about-medicare/news or https://www.smpresource.org/

Watch short recordings on what you need to know when you are new to Medicare. In June 2021, expert trainers from the State Health Insurance Assistance Program (SHIP) national network present on Medicare eligibility, enrollment, costs, and coverage options. National experts from Social Security, Medicare, the Senior Medicare Patrol, and the National Council on Aging also presented on the federal government's role in Medicare, avoiding Medicare fraud, and Medicare cost assistance programs. Information from this event that is still relevant has been retained on our YouTube channel. Questions? Contact us at info@shiphelp.org.

ENROLLING IN MEDICARE THROUGH SOCIAL SECURITY

This fact sheet helps you understand how to enroll in Medicare through the Social Security Administration and how your State Health Insurance Assistance Program (SHIP) can help.

Social Security Online Access

Did you know you can manage your Social Security online by creating a my Social Security account? 

Reference:  www.smpresource.org

My Social Security is a secure account that puts you in control with access to your information from any device. Encourage a family member to create their personal my Social Security account today: http://ow.ly/AQVz50L1iTX.

SMP Consumer Fraud Alert

September is National Pain Awareness Month. Scammers can be using this to their advantage so be on the lookout for calls or commercials about free back, knee, or wrist braces. If you need these items, talk to your doctor. Never order them over the phone. Learn more at smpresource.news/DME-fraud. 

If you think you have experienced marketing violations, you should report them. Your local SHIP or SMP can explain the government’s marketing rules, help you review the incident, and report it to the correct authorities if needed. 


Starting in October, you might receive mail from different insurance companies about the plans they offer. You can use this information to compare your options. But remember, these companies have to follow specific rules when they market their plans.

If you think you have experienced marketing violations, you should report them. Your local SHIP or SMP can explain the government’s marketing rules, help you review the incident, and report it to the correct authorities if needed. Contact information for your SHIP, SMP, and Medicare are at the bottom of this flyer.

#medicareminute #medicaremonday #medicaremarketing #mediarehelp

While prevention is so important in the fight against Medicare fraud, prevention alone cannot stop all fraud, errors, and abuse. Detect potential problems by taking the following steps:

If you have questions about detecting fraud, errors, or abuse, contact your local #SeniorMedicarePatrol.

Older adults are often the target of scams. Scammers are savvy and convincing, and their scams are designed to catch people off guard. Don’t be ashamed if you think you or someone you know has been a victim of a scam — it can happen to anyone.  Beware of Scams Targeting Older Adults | National Institute on Aging (nih.gov) 

Recognizing that whistleblowers root out waste, fraud, and abuse and protect public health and safety, federal laws strongly encourage employees to disclose wrongdoing. Federal laws also protect whistleblowers from retaliation.

To file a complaint with the HHS Office of Inspector General alleging waste, fraud, or abuse, please submit the complaint through the OIG Hotline at 1-800-447-8477. 

Did you know that the genetic testing scam was first reported by a Medicare beneficiary to the SMP? The SMP then turned this information in to the HHS OIG to then start building cases to help take down bad actors in this scheme!

You could help find the next scam by simply reading your Medicare statements and reporting suspicious activity!

Report concerns at smpresource.org/reportfraud.

Remote patient monitoring (RPM) is the ability for health care providers to monitor certain parts of a person’s health from their home. Providers collect and analyze different physiologic data (like heart rate, blood glucose, breathing rate, etc.) and then use it to make and oversee a person’s treatment plan. RPM can be good for people with short- and long-term conditions because it can cut down on travel costs and reduce the risk of getting an infection or illness. 

Report potential remote patient monitoring (RPM) fraud, errors, or abuse if:

To learn how to read your Medicare Summary Notice (MSN) or Explanation of Benefits (EOB), click here.

Report Suspected Fraud

To report suspected fraud, click here.

In late June 2024, the Department of Justice announced criminal charges against 193 defendants for their alleged involvement in health care fraud schemes, investigated by federal and state law enforcement partners, including HHS-OIG agents. Learn more: https://direc.to/fhJx y.

Medicare coverage for home health does not include round-the-clock nursing care or some services considered custodial in nature. Home health aides can, however, provide some personal care services, including help with bathing, dressing, hygiene, and feeding, as long as the patient also needs intermittent skilled nursing or therapy.

These personal care services are not automatically covered just because you receive home health care services. A doctor must certify your need for them. Talk to your doctor about what services are necessary and right for you.

For questions about home health care scams, contact your #SeniorMedicarePatrol.

Learn more here: https://smpresource.org/.../fraud.../home-health-care-fraud/.

FYI... www.smpresource.org

One thing you can do to be a fraud fighter is to spread the word about scams! Sharing posts, talking to friends and family, and sharing information with your community about scams can help prevent people from falling victim to them. 

The best defense against #scams is you. A Federal Trade Commission report said that people who avoided scams:

Didn’t engage with the scam offer,

Learned about the scam and scammer's tactics, and

Talked to someone about the scam.

Read more: https://smpresource.news/consumer-ftc-scam-defense.

#learn #sharewithsomeone #avoidscams #dontengage #FTC #avoidscams #SMP #SeniorMedicarePatrol #Medicare #OlderAdults #Aging #MedicareFraud #MedicareScams #PreventDetectReport

There are many types of pharmacy and prescription drug schemes. A few examples are listed here. Check Medicare statements for errors, ensuring medications match prescriptions. Contact Senior Medicare Patrol (SMP) if issues are detected for assistance and reporting potential fraud. To learn more visit www.smpresource.org SMP National Resource Center #MedicareFraud 

Here are 3 tips to prevent #Medicare fraud! Share this information with your friends and family so they can stay alert! #SeniorMedicarePatrol 

 HHS-OIG is dedicated to safeguarding our health care system, combating fraud, protecting taxpayer dollars, and upholding the integrity of Medicare and Medicaid. Have information on potential fraud, waste, abuse, or mismanagement? Report it at 800-HHS-TIPS (800-447-8477), visit either www.smpresource.org or tips.hhs.gov. 

#HealthcareIntegrity #FraudPrevention #Medicare #Medicaid #ProtectTaxpayerDollars #ReportFraud 

Have you ever wondered what the difference is between fraud, errors, or abuse? This scale of intent can help show the difference. #MedicareFraud #SeniorMedicarePatrol #PreventDetectReport 

Are you looking for a way to give back? Volunteer with your local #SeniorMedicarePatrol! Learn more about the benefits here: https://smpresource.org/you-can-help/become-a-volunteer/. #IVD2023 

NEWS: 

Recent proposals in Congress would drastically impact Medicare beneficiaries by linking U.S. health care costs to foreign countries and encouraging government price controls. We ask Sen. Mike Lee, Sen. Mitt Romney, Rep. Rob Bishop, Rep. Chris Stewart, Rep. John Curtis and Rep. Ben McAdams to actively oppose any policies that would be harmful to Utah’s nearly 390,000 Medicare beneficiaries. Utah's representatives should support patient-centered reforms that cap out-of-pocket drug spending in Medicare Part D and ensure pharmaceutical discounts negotiated by insurance companies are shared with patients at the pharmacy counter.


SMP Monthly Newsletters...

July 2024

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