What to report
- Services, equipment or tests on your Medicare Summary Notice or Explanation of Benefits that you never got. In Florida, catheters, braces and other equipment nobody ordered are among the most common schemes federal prosecutors charge.
- Calls offering a brace, a genetic or heart test, supplies or a "new Medicare card" in exchange for your Medicare number.
- Someone who says they're "from Medicare" and pressures you to switch plans, or a plan you were enrolled in without agreeing.
- Offers of money or gifts for medical care.
How to report it
- Gather the details. Your Medicare number, the provider's or caller's name, dates, and the statement or notice.
- Call the provider if it may be a mistake. Medicare.gov suggests calling the provider's office first when a charge looks wrong.
- Report to Medicare. Call 1-800-MEDICARE (TTY 1-877-486-2048) or use Medicare.gov's online fraud report.
- Report to HHS-OIG. Use the online complaint form or call 1-800-HHS-TIPS.
- Protect yourself. Refuse or return deliveries you didn't order, and watch your next statements.
Florida contacts
| What happened | Who to contact |
|---|---|
| Fraud by a Florida Medicaid provider, or abuse or neglect of a patient in a Medicaid-funded facility | Attorney General's Medicaid Fraud Control Unit, 1-866-966-7226 |
| Medicaid billing fraud | AHCA Medicaid Program Integrity, 1-888-419-3456 or online |
| Fraud by someone receiving Medicaid | DFS Division of Public Assistance Fraud, 1-866-762-2237 |
| Insurance fraud by an agent or company | DFS fraud tip line, 1-800-378-0445, or the DFS online fraud portal |
| An older adult being exploited or abused | Florida Abuse Hotline (DCF), 1-800-962-2873 |
This fall: Open Enrollment runs through December 7, 2026, and at least 302,773 Floridians must pick new coverage because their Medicare Advantage plan ends in 2027. Be wary of sales calls you didn't ask for. Medicare never calls to sell you anything; hang up and call 1-800-MEDICARE yourself.
Related questions
How can I tell if a call about Medicare is a scam?
Five signs, in English or Spanish.
Someone used my Medicare number. What do I do?
Check, report, protect.
Why is there so much Medicare fraud in South Florida?
Where the Strike Force began.
How do I complain about a Medicare agent in Florida?
When an agent crosses the line.
More in Medicare fraud in Florida.
Sources
- Medicare.gov — Reporting Medicare fraud and abuse
- HHS Office of Inspector General — Report fraud
- SMP National Resource Center
- Florida Attorney General — Medicaid Fraud Control Unit
- AHCA — Medicaid fraud: protect your tax dollars
- Florida Department of Financial Services — Investigative and Forensic Services
- Florida Department of Financial Services — Consumer Services
More questions in this guide
- How can I tell if a call about Medicare is a scam?
- Someone used my Medicare number in Florida. What do I do?
- Why is there so much Medicare fraud in South Florida?
Part of the guide: Medicare fraud in Florida: how to spot it and where to report it · All questions
Frequently asked questions
Where do I report a Medicare Advantage or Part D plan?
Call 1-800-MEDICARE or the Investigations Medicare Drug Integrity Contractor (I-MEDIC) at 1-877-7SAFERX (1-877-772-3379), which Medicare lists for fraud involving Medicare Advantage and drug plans.
Who handles a dishonest insurance agent in Florida?
The Florida Department of Financial Services. Report suspected insurance fraud to its fraud tip line, 1-800-378-0445, or online. For a complaint about an agent's conduct that isn't a crime, call the DFS Consumer Helpline, 1-877-693-5236.
Should I call the provider first?
If a charge might be an honest mistake, Medicare.gov suggests calling the provider's office first. If the provider can't explain it, or you never got the service at all, report it to 1-800-MEDICARE or HHS-OIG.
Medicare in your Florida county
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