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Insurance scams are more common than you think, and they can be devastating to those who fall victim. According to the article, insurance scams cost Americans over $40 billion annually.
Be cautious of unsolicited calls or emails from insurance companies, as they can be a sign of a scam. These scammers often use fake company names and logos to make their messages appear legitimate.
Legitimate insurance companies will never ask you to pay a premium or provide sensitive information over the phone or via email. If you receive such a request, it's best to hang up or delete the message immediately.
Some scams involve fake insurance policies or claims, while others may try to sell you unnecessary add-ons or upgrades.
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Insurance Scam Schemes
Insurance scams can be sneaky and costly, but being aware of common schemes can help you avoid them. One such scheme is staged automobile accident fraud, where individuals intentionally cause accidents to collect insurance payouts.
Staged accidents can be particularly difficult to detect, but knowing what to look out for can help. For example, if someone is involved in a minor fender bender and suddenly becomes aggressive or hostile, it may be a sign of a staged accident.
Some common schemes to look out for include fake accidents, where individuals intentionally cause damage to their own vehicles to collect insurance money. These scams can be costly for insurers and drivers alike.
Being aware of your surroundings and reporting any suspicious activity can help prevent staged accidents and other insurance scams.
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Protecting Yourself
Before signing up for health insurance, it's essential to do your research and be cautious of potential scams. Visit a trusted source like HealthCare.gov to compare plans, coverage, and prices.
Research any company offering health coverage by searching online for the name of the company and the words "complaint", "scam", or "fraud." Read reviews and see what others have to say.
To ensure you're dealing with a legitimate company, check if they're licensed by your state insurance commissioner. If they don't have a license, what they're selling isn't insurance.
Be wary of salespeople who won't give you specific details about the coverage or can't answer your questions clearly. A legitimate plan representative should be able to answer your questions without passing you on to another source.
Here are some red flags to watch out for:
- Vague answers about coverage
- Not clearly answering your questions
- Not providing a statement of benefits or a complete copy of the policy
Beware of unsolicited contact, especially if someone requests personal or financial information immediately. Legitimate insurance companies won't pressure you into making snap decisions.
Types of Scams
Staged Automobile Accident Fraud is a common type of insurance scam to look out for. These scams involve scammers causing an accident on purpose and then filing a false insurance claim.
To avoid being a victim of a staged accident, be aware of common schemes such as the ones mentioned in the "Common Schemes to Look Out For" section. These schemes can result in serious injuries and financial loss.
Health insurance scams are another type of scam to watch out for. Knowing the common techniques of scammers can help you spot these scams early on.
Some common techniques of health insurance scams include the ones listed in the "Common techniques of health insurance scams" section. These techniques are designed to deceive you into paying for unnecessary or fake medical services.
Being aware of these types of scams can help you protect yourself and your finances.
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Auto and Property Scams
Auto and Property Scams are common tactics used to deceive you out of your hard-earned money. Staged auto accidents are a prime example, where someone intentionally causes an accident to file a fraudulent insurance claim.
Always document as much info as you can at the scene of a crash, including pictures and videos, and get other drivers' contact and insurance info. This can help prevent staged auto accident scams.
Towing and auto repair scams also exist, so be wary of tow truck drivers who show up uninvited. Research any repair shop before taking your vehicle there, and use the Better Business Bureau's website to check their company profile.
Contractors may try to scam you by offering to waive your deductible, but this is a crime that requires your insurer's consent. Don't fall for it!
After a disaster, be cautious of contractors who go door-to-door offering services, and do your research before hiring anyone. Never pay the full amount upfront or sign contracts with blank spaces.
Staged Accidents: A Growing Concern
Staged accidents are a growing concern, especially in urban areas where there's a higher volume of vehicles. This is where you're more likely to become an unwitting participant in a fraud scheme.
Automobile accidents are a daily occurrence, costing the U.S. property-casualty insurance industry billions of dollars in paid accident claims each year. Staged accidents occur more frequently in these areas.
Criminals often target new, rental, or commercial vehicles because they tend to be well-insured. This is because they're perceived to have better insurance companies.
Drivers in wealthier communities are also targeted because they're thought to have better insurance companies. This is a key factor in staged accidents.
Women driving alone and senior citizens are also preyed upon because they're thought to be less confrontational at accident schemes.
Residential Property
Residential Property scams are a common threat to homeowners. Beware of unsolicited calls or emails to increase your homeowners or windstorm insurance coverage during the middle of a disaster.
Contractors often go door-to-door in damaged neighborhoods offering cleanup or repair services. Never pay the full amount up front and don’t sign contracts with blank spaces.
Your deductible is part of your insurance agreement, and it's a crime for contractors to offer to waive it without your insurer’s consent. Always do your research before choosing a contractor to make repairs.
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General
General insurance scams can be tricky to spot, but knowing the warning signs can help you avoid them.
Unlicensed insurance is illegal in Texas, except for surplus lines carriers, which must register with the Texas Department of Insurance (TDI) to operate.
Before buying insurance, research the company and agent to ensure they're licensed. Use TDI's License Lookup Tool to verify a company's license.
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Be wary of phone calls and emails from people claiming to be your insurance agent or company, as they often try to get personal info from you.
Some common scams include threatening to cancel your policy if you don't take specific actions or provide personal info over the phone. This is a red flag, as insurers are required by law to deliver written notice of cancellation at least 10 days in advance.
Unlicensed insurers often try to sell you a policy over the phone, so be cautious if someone calls you out of the blue trying to sell you insurance.
Here are some common tactics used by scammers to target seniors:
- High-pressure sales tactics
- Requests for personal and financial info
- Offers to cash in on existing annuity or life insurance policies
If you or a loved one is a senior, be extra cautious when dealing with insurance companies or agents you don't know.
Prevention and Response
If you think you've encountered a health insurance scam, act quickly to protect yourself and others.
Report Medicare fraud to the US Department of Health & Human Services Office of Inspector General or call 800-633-4227 (800-MEDICARE).
You can report general health insurance fraud to the FTC. For scams specific to North Carolina, contact the NC Department of Justice or call their consumer hotline at 877-566-7226 (877-5-NO-SCAM).
Here are the contact numbers to report health insurance fraud:
Targeted Response
If you think you've encountered a health insurance scam, act quickly to protect yourself and others. Report the fraud to the right authorities.
Report Medicare fraud to the US Department of Health & Human Services Office of Inspector General. You can also call 800-633-4227 (800-MEDICARE) for assistance.
To report general health insurance fraud, contact the FTC. They're here to help you take action against scams.
If you're a North Carolina resident, contact the NC Department of Justice or call their consumer hotline at 877-566-7226 (877-5-NO-SCAM) for specific guidance on handling scams in your state.
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How to Avoid
To avoid falling prey to health care scams, it's essential to take your time when looking into a health insurance company or provider. Any real company, provider, or government official won't rush you into making a decision and will give you more information about themselves if you ask.
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Don't give out your personal information, such as your name, address, social security number, or credit card number, to anyone other than your health care provider or insurer. Be cautious about sharing personal information on social media, as scammers can use it to trick you into giving them more information and money.
To stay safe from scams, keep learning about health care and share what you know with others. This will help you and your family avoid falling victim to new and emerging scams.
Here are some key tips to keep in mind:
- Go slowly when researching a health insurance company or provider.
- Protect your personal and medical information.
- Keep learning about health care and share what you know.
Sources
- https://www.nicb.org/prevent-fraud-theft/staged-auto-accident-fraud
- https://consumer.ftc.gov/articles/spot-health-insurance-scams
- https://www.tn.gov/attorneygeneral/working-for-tennessee/consumer/resources/materials/healthcare-scams.html
- https://www.bluecrossnc.com/blog/insurance-basics/health-insurance-scams
- https://www.opic.texas.gov/news/insurance-scams/
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