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SMP Fraud Fact July 2021

posted on July 14, 2021
Senior Medicare Patrol
read more

The Missouri SMP (Senior Medicare Patrol) wants to make sure that you are taking full advantage
of the preventive benefits provided to you by Medicare.


Medicare covers at least two dozen preventive benefit services. They range from screenings for
heart disease, cancer and diabetes, to shots for the flu and pneumonia. Early detection and prevention may
help you delay or lessen the effects of diseases.


Your Medicare coverage includes a yearly wellness visit to the doctor as well. Many folks have
delayed regular trips to the doctor’s offices because of the COVID-19 pandemic; however, a doctor’s visit
can be very safe when you follow CDC recommended precautions.


Some preventive services are provided to men only, and some to women only. Your medical
history also might determine how and when Medicare covers a preventive service. Some services are
covered once, some annually, and some every few years. If your provider accepts Medicare assignment,
you pay nothing for most covered preventive services.


Genetic testing – one of the most recent Medicare scams – is not a preventive benefit and should
only be conducted after consultation with your primary doctor. The best way to determine which services
are appropriate for you is to visit your doctor and ask. There also is a very handy little booklet, called
“Your Guide to Medicare Preventive Services,” that explains the services and provides a checklist. You
may get the booklet by calling the Missouri SMP office and as always, report suspected Medicare fraud or
abuse to the Missouri SMP ( Senior Medicare Patrol) at (888) 515-6565. SMPs are funded through the
U.S. Department of Health and Human Services, Administration for Community Living. The Missouri
SMP empowers and assists Medicare beneficiaries to prevent, detect and report healthcare fraud, errors
and abuse.


This project was supported, in part by grant number 90MPPG0040, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy.

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