Medicare Genetic Testing Scam

Representatives from genetic testing companies, or possibly insurance agents working on behalf of these companies, may ask to participate in a beneficiary event.  The Centers for Medicare and Medicaid Services (CMS) have received inquiries from beneficiaries stating that they have been billed for genetic testing or cancer screenings performs at community events and senior centers.  All Medicare beneficiaries should do the following:

  • Do not give out your Medicare number or Social Security number. Be cautious of unsolicited requests for your Medicare or social Security numbers.  If your personal information is compromised, it may be used in other fraud schemes.
  • Do not consent to any lab tests at senior centers, health fairs, or in your home. Be suspicious of anyone claiming that genetic tests and cancer screenings are at no cost to you.
  • Genetic tests and cancer screenings must be medically necessary and ordered by your doctor to be covered by Medicare. Random genetic testing and cancer screenings aren’t covered by Medicare.  If you are interested in the test, speak with your doctor.
  • Monitor your Medicare Summary Notice to see if there are any services you didn’t have or didn’t want but were billed for. Medicare Summary Notices are sent every three months if you get any services or medical supplies during that 3-month period.
  • Call 1-800-MEDICARE or 1-800-HHS-TIPS if you think you are a victim of fraud. You may also call Vivian Hollifield, SHIIP Coordinator, at 682-6186.