The Genetic Testing Scam: A $2.1 Billion Medicare Fraud

A massive genetic testing scam that cost Medicare $2.1 billion has highlighted the growing sophistication of healthcare fraud. This scam specifically targeted Medicare beneficiaries through health fairs and other public events.

How the Scam Works

Scammers approach Medicare beneficiaries at health fairs or other events with offers of “free” genetic testing. They claim to:

• Test for genetic cancer risk
• Provide valuable health information
• Cover the cost through Medicare

The process typically involves:

1. A cheek swab collection
2. Request for your Medicare number
3. Promise of test results that never arrive

Warning Signs

1. Unsolicited Testing Offers

   • Random offers at health fairs
   • Claims of “free” genetic testing
   • Pressure to provide Medicare information

2. Misleading Information

   • Claims that Medicare “always covers” genetic testing
   • Promises of comprehensive health screening
   • Requests for Medicare numbers without proper documentation

How to Protect Yourself

1. Understand Medicare Coverage

   • Medicare rarely covers genetic testing
   • Testing must be ordered by your doctor
   • Coverage is limited to specific medical conditions

2. Verify the Source

   • Only get genetic testing through your doctor
   • Check if the testing facility is Medicare-approved
   • Never share your Medicare number at health fairs

3. Be Wary of “Free” Offers

   • Question why testing is being offered for free
   • Ask for documentation of Medicare approval
   • Get a second opinion from your doctor

What to Do If You’re a Victim

If you’ve been approached for genetic testing:

1. Contact Medicare immediately
2. Report the incident to the Office of Inspector General
3. Keep any documentation from the event
4. Monitor your Medicare statements for unauthorized charges

Prevention Tips

• Never get genetic testing without a doctor’s order
• Be skeptical of “free” health screenings
• Keep your Medicare number private
• Report suspicious testing offers

Remember: Legitimate genetic testing is always ordered by your doctor and conducted at approved facilities.

Have questions about genetic testing coverage or suspect you’ve been targeted by this scam? Let’s talk. I’m here to help you make informed decisions about your healthcare.