Healthcare scams can happen at anytime, anywhere, and to anyone—including individuals, families, and businesses alike. To help our customers avoid these schemes, we compiled the following list of resources and tips.

  • Healthcare scam alerts

    Individuals can be targeted for scams in a variety of ways, including phone, email, or social media, in an attempt to fraudulently obtain their medical or financial information.

    Oftentimes, these scams will involve creating phishing messages or sending fraudulent emails claiming to be from reputable businesses in an attempt to steal your information. Protect yourself and your family or business from these scams by staying alert. For example, keep a lookout for deceitful variations of the Mass General Brigham Health Plan name and contact information, such as MassGeneralBrighamHealthPlan.com or MassGenerlBrighamHealthPlan.org.

    You can also contact Mass General Brigham Health Plan customer service at the number on the back of your member ID card to verify or ask questions about any communications using our name. As a reminder, you should contact us before purchasing unsolicited Mass General Brigham Health Plan insurance policies or agreeing to changes to your health plan or payment method. You can also send an email to healthplanCustomerService-Members@mgb.org or start a Live Chat during regular business hours on the Member.MassGeneralBrighamHealthPlan.org
    portal.

    For more information, the Department of Health and Human Services (HHS)’s Office of Inspector General tracks a variety of health care and insurance-related scams. Visit HHS’ Consumer Alerts page to stay updated on the latest fraud schemes.

  • Healthcare fraud, waste, and abuse

    Healthcare fraud, waste, and abuse can occur through a variety of ways. This includes duplicate billing, false claims submissions, misuse of protected health information, and more. Mass General Brigham Health Plan is constantly working to protect you from fraud, waste, and abuse — but we can't do it alone. Follow these simple tips to help prevent fraud, waste, and abuse:

    • Protect your health insurance information by being mindful when using your member ID card at the doctor's office or pharmacy and not sharing it with another person to use

    • Remember to properly store or discard your medical or health insurance documents

    • Sign into your Mass General Brigham Health Plan secure Member portal to review your health information and check your claims history regularly to verify the services that you've received

    • Report any suspected fraud, waste, and abuse by using our Compliance Hotline below

  • Compliance Hotline

    Report a compliance issue

    If you have a legal or ethical question or believe that another member of the Mass General Brigham Health Plan community has violated a legal or ethical responsibility, you can contact the Compliance Hotline at 1-844-556-2925 or massgeneralbrighamhealthplan.ethicspoint.com/ for confidential and anonymous reporting.