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Medicare Education

Medicare Phone Fraud:
What You Need to Know

Every year, millions of seniors are targeted by fraudulent Medicare phone calls. Here's how to spot them — and why working with a local agent is the safest choice.

By Coverage Your Way·March 2026

The Numbers Don't Lie

Medicare fraud isn't a rare occurrence — it's a nationwide epidemic that disproportionately targets seniors. The statistics are staggering.

$5.8B
Lost to Medicare fraud annually in the U.S.
47%
Of Medicare fraud cases involve unsolicited phone or online contact
2.5x
More likely to be scammed by a phone agent vs. a local in-person agent
1 in 3
Seniors reports receiving suspicious Medicare calls each year

Sources: CMS, FTC, Senate Special Committee on Aging, AARP Fraud Watch Network

How Phone Scammers Operate

Medicare phone scammers are sophisticated. They use caller ID spoofing to appear as if they're calling from Medicare, government agencies, or well-known insurers. They often know your name, your age, and sometimes even your Medicare number — purchased from data brokers on the dark web.

Their goal is always the same: get your Medicare ID, Social Security number, or banking information — or switch you to a plan that pays them a high commission without you understanding what you're signing up for.

Red Flags to Watch For:

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They call you out of the blue claiming to be from 'Medicare' — Medicare rarely calls beneficiaries directly.

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They ask for your Medicare or Social Security number to 'verify your account' or 'send a free kit.'

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They pressure you to switch plans immediately or claim a deal is 'expiring today.'

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They offer free gifts, meals, or cash in exchange for your Medicare information.

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They can't tell you where they're calling from or which company they represent.

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They claim your current plan is being cancelled and you must act now.

Why Local Agents Are Safer

Choosing a local, in-person Medicare agent isn't just more personal — it's significantly safer. Here's why.

You Can Verify Who They Are

A local agent has a physical address, a state license number, and references in your community. You can look them up — or meet them in person before signing anything.

No Incentive to Mislead You

Local agents rely on word-of-mouth and long-term relationships. Their reputation in the community depends on doing right by you — not making a quick sale.

They Know Your Local Providers

A community-based agent knows which plans work best with the hospitals and doctors in the Inland Empire — something a distant call center simply can't offer.

Accountable to State Regulations

Licensed local agents must follow strict state and federal rules. They are held to a higher standard of conduct and can be reported to your state's insurance commissioner.

You're Not a Lead — You're a Neighbor

To a phone agent, you're a sales target. To a local agent, you're a member of the community. That difference shows in every interaction.

Ready to Work with Someone You Can Trust?

Coverage Your Way is your local Medicare specialist in the Inland Empire. We meet you in person, explain everything clearly, and never pressure you.

© 2026 Coverage Your Way · Licensed Medicare Insurance Agent · Inland Empire