Anti-Fraud

Health care fraud is committed when false or misleading information is submitted to an insurance company to improperly increase the amount of health care benefits paid. It is a crime.

The cost of fraud affects everyone. The U.S. General Accounting Office estimates that health care fraud costs consumers approximately $35 to $60 billion annually. For employers, fraud increases the cost of providing benefits and their overall cost of doing business. This translates into higher premiums and out-of-pocket costs for employees.

If you suspect health care fraud in any circumstance, we urge you to report it. All reports are confidential. You are not required to provide your name, address, or other identifying information.

Report Fraud

There are three ways to report fraud:

  1. Submit the Online Fraud & Abuse Tip Referral Form electronically.
  2. Call the confidential anti-fraud and corporate compliance hotline at 1-866-282-2707. Hearing impaired plan participants may call the TTY line toll-free at 1-888-789-0429.
  3. Mail your report. Write a description of your complaint, enclose copies of any supporting documentation, and mail it to:

    FutureScripts
    Corporate & Financial Investigations Department
    1901 Market Street
    Philadelphia, PA 19103