Definition. Senior Medicare Patrol (SMP) programs, funded by the federal Administration for Community Living, help people with Medicare prevent, spot and report health care fraud, errors and abuse. Every state has one. The national SMP Resource Center, 1-877-808-2468, connects you with the SMP in your state.
What it means
SMPs, staffed largely by trained volunteers, help people with Medicare:
- Read their Medicare Summary Notices and plan statements for charges they don't recognize.
- Spot and report suspected fraud, such as billing for services never received, offers of "free" equipment in exchange for a Medicare number, or identity theft.
- Recognize misleading marketing, such as callers who claim to be from Medicare.
If something looks wrong, write down who contacted you and when, keep any paperwork, don't give out your Medicare number, and contact the SMP or 1-800-MEDICARE.
In Oregon
Oregon has an SMP; reach it through the national SMP Resource Center at 1-877-808-2468 (Monday to Friday, 9:00 a.m. to 5:30 p.m. Eastern). For OHP (Medicaid) fraud, the Oregon Health Authority takes provider reports and ODHS takes member reports online at odhsfraudreferral.oregon.gov; the Oregon Department of Justice Medicaid Fraud Control Unit is at 971-673-1880. Complaints about an insurance agent go to the Oregon Division of Financial Regulation at 1-888-877-4894.
Sources
- SMP Resource Center — About the SMP Resource Center
- Administration for Community Living — Senior Medicare Patrol
- Oregon Health Authority — Report fraud
Frequently asked questions
How do I reach Senior Medicare Patrol from Oregon?
Call the national SMP Resource Center at 1-877-808-2468, Monday to Friday, 9:00 a.m. to 5:30 p.m. Eastern. It connects callers with their state's SMP.
Where else can I report suspected Medicare fraud?
Call 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). Report OHP (Medicaid) fraud to the Oregon Health Authority or Oregon Department of Justice, and problems with an insurance agent to the Oregon Division of Financial Regulation at 1-888-877-4894.
Medicare in your Oregon county
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