What to report
- Services, equipment or tests on your Medicare Summary Notice or Explanation of Benefits that you never got.
- Calls offering a brace, a genetic 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 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.
North Carolina contacts
| What happened | Who to contact |
|---|---|
| Fraud by an NC Medicaid provider, or abuse of a patient in a Medicaid-funded facility | NC Department of Justice, Medicaid Investigations Division, (919) 881-2320 or online |
| Fraud by someone receiving NC Medicaid | NCDHHS Medicaid fraud tip line, 1-877-362-8471, or your county DSS |
| Insurance fraud by an agent or company | NCDOI Criminal Investigations Division, 919-807-6840 or 888-680-7684 (in North Carolina) |
| Scam calls and robocalls | NC Department of Justice, Consumer Protection, 1-877-5-NO-SCAM (1-877-566-7226) |
| An older adult being financially exploited | Adult Protective Services at the county Department of Social Services |
This fall: Open Enrollment runs through December 7, 2026, and at least 30,654 North Carolinians must pick new coverage because their 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 do I complain about an insurance agent in North Carolina?
When an agent crosses the line.
How do I find a licensed agent in North Carolina?
Check a license first.
How can I help a parent with Medicare?
Reviewing statements together.
More in Medicare fraud and scams in North Carolina.
Sources
- Medicare.gov — Reporting Medicare fraud and abuse
- HHS Office of Inspector General — Report fraud
- SMP National Resource Center
- NC Department of Justice — Health fraud
- NCDHHS — Hotlines
- NC Department of Insurance — Report insurance fraud
More questions in this guide
- How can I help a parent with Medicare in North Carolina?
- How do I appeal a hospital discharge in North Carolina if I'm not ready to go home?
- How do I appeal a Medicare denial in North Carolina?
- How do I file a complaint about an insurance agent in North Carolina?
- How do I find a licensed Medicare agent in North Carolina?
- How do I find my area agency on aging in North Carolina?
- Medicare phone numbers in North Carolina
Part of the guide: North Carolina Medicare contacts · All questions
Frequently asked questions
Can I report fraud without giving my name?
The HHS Office of Inspector General accepts complaints through its online form and hotline, and the NC Department of Insurance says insurance fraud reports can be made anonymously. Giving a way to reach you helps investigators if they need more information.
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 North Carolina?
The North Carolina Department of Insurance. Its Criminal Investigations Division takes insurance fraud reports at 919-807-6840, or 888-680-7684 from within North Carolina. For a complaint that isn't a crime, use NCDOI's online complaint form.
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