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The Illinois SMP Program produces informational resources and tools to help people Protect themselves from healthcare fraud, Detect healthcare fraud, and know when to Report healthcare fraud. Here are a few of those helpful resources: SMP Materials List This document is an overview of the outreach materials available through the Illinois SMP Program at AgeOptions.

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SMP Materials List

This document is an overview of the outreach materials available through the Illinois SMP Program at AgeOptions.

SMP Materials List (PDF)


NEW!

How to Read a Medicare Summary Notice (MSN)

Reading your Medicare Summary Notice (MSN) or Explanation of Benefits is a great way to detect potential fraud or errors. This updated handout summarizes what to look for when reviewing your MSN and includes examples of the newly redesigned MSN available in 2013:

Handout:
How to Read a Medicare Summary Notice (MSN) - English (PDF)

 

How to Read a Medicare Summary Notice (MSN) - Spanish (PDF)

 

PowerPoint:

How to Read a Medicare Summary Notice (MSN) - English (PowerPoint)


Illinois SMP In Case of Emergency Card:

In Case of Emergency Card - English

In Case of Emergency Card - Spanish

In Case of Emergency Card - Korean

In Case of Emergency Card - Tagalog


SMP Games/Puzzles:

Illinois SMP Fraud BINGO/Loteria Game:

BINGO game cards (English)

Loteria game cards (Spanish)

BINGO/Loteria game words and questions (in English and Spanish)
(To play the SMP BINGO or Loteria game, print a copy of these questions and read them and the corresponding answers aloud. Have participants find the answers on their BINGO/Loteria card - see links above for cards.)

SMP Word Search Puzzles from Catholic Charities:
(The SMP Coordinator at South Suburban Senior Services of Catholic Charities created the two SMP fraud word search puzzles below.)

SMP Word Search Puzzle 1

SMP Word Search Puzzle 2


Illinois SMP Toolkit

The Illinois SMP program has produced a toolkit with information about Medicare Parts A, B, C, and D; a checklist to use when considering a private insurance plan, and tips on how to protect yourself from different types of fraud. Call AgeOptions at (800)699-9043 to get a paper copy of the toolkit or download an electronic copy here:

Illinois SMP Toolkit - English

Illinois SMP Toolkit - Spanish

Illinois SMP Toolkit - Korean


Illinois SMP Program Brochure

Our program brochure gives basic information about healthcare fraud and the SMP program.

SMP Program Brochure - English

SMP Program Brochure - Spanish

SMP Program Brochure - Russian

SMP Program Brochure - Korean

SMP Program Brochure - Chinese

SMP Program Brochure - Vietnamese


Illinois SMP Program Healthcare Tracking Journal

The SMP program produces healthcare tracking journals that you can use to take notes on their doctor appointments, hospital visits, prescription drugs, etc. Compare your notes to the claims listed on your Medicare Summary Notice or Explanation of Benefits!

SMP Healthcare Tracking Journal - English

SMP Healthcare Tracking Journal - Spanish

SMP Healthcare Tracking Journal - Russian

SMP Healthcare Tracking Journal - Korean

SMP Healthcare Tracking Journal - Chinese SMP

Healthcare Tracking Journal - Vietnamese


Illinois SMP Tip Sheets and PowerPoint Presentations

The Illinois SMP program has produced tip sheets and PowerPoint presentations with information on health care and fraud, and steps that Medicare beneficiaries can take to Protect themselves from, Detect, and Report healthcare fraud:

National SMP PowerPoint Presentations - Protect, Detect, Report

5 minute presentation

15 minute presentation

30 minute presentation

General Medicare/Medicaid Fraud Tips/Information Tip Sheets:

Medicare and Medicaid fraud tips - English

Medicare and Medicaid fraud tips - Spanish

Medicare and Medicaid fraud tips - Arabic

Medicare and Medicaid fraud tips - Assyrian

Medicare and Medicaid fraud tips - Bosnian

Medicare and Medicaid fraud tips - Chinese

Medicare and Medicaid fraud tips - Gujarati

Medicare and Medicaid fraud tips - Hindi

Medicare and Medicaid fraud tips - Khmer

Medicare and Medicaid fraud tips - Korean

Medicare and Medicaid fraud tips - Polish

Medicare and Medicaid fraud tips - Russian

Medicare and Medicaid fraud tips - Vietnamese

PowerPoint Presentations:

PowerPoint: The SMP Program and Health Care Fraud
This presentation explains the SMP program and health care fraud. It includes examples of fraud schemes from Illinois and tips on how consumers can protect themselves from health care fraud.

PowerPoint: The SMP Program and Health Care Fraud SPANISH
(same presentation as above in Spanish)


Home Health

Tip Sheets:

Home Health fraud tips - English

Home Health fraud tips - Spanish

Home Health fraud tips - Arabic

Home Health fraud tips - Assyrian

Home Health fraud tips - Bosnian

Home Health fraud tips - Chinese

Home Health fraud tips - Gujarati

Home Health fraud tips - Hindi

Home Health fraud tips - Khmer

Home Health fraud tips - Korean

Home Health fraud tips - Polish

Home Health fraud tips - Russian

Home Health fraud tips - Tagalog

Home Health fraud tips - Vietnamese

PowerPoints:

PowerPoint: Home Health - Medicare and Home Health Fraud
Information on what home health services Medicare covers, who qualifies for those services, and fraud schemes related to home health.

PowerPoint: Home Health - Medicare and Home Health Fraud (SPANISH)


Durable Medical Equipment:

Tip Sheets:

Durable Medical Equipment fraud tips - English

Durable Medical Equipment fraud tips - Spanish

Durable Medical Equipment fraud tips - Arabic

Durable Medical Equipment fraud tips - Assyrian

Durable Medical Equipment fraud tips - Bosnian

Durable Medical Equipment fraud tips - Chinese

Durable Medical Equipment fraud tips - Gujarati

Durable Medical Equipment fraud tips - Hindi

Durable Medical Equipment fraud tips - Khmer

Durable Medical Equipment fraud tips - Korean

Durable Medical Equipment fraud tips - Polish

Durable Medical Equipment fraud tips - Russian

Durable Medical Equipment fraud tips - Tagalog

Durable Medical Equipment fraud tips - Vietnamese

PowerPoints:

PowerPoint: Medicare and Durable Medical Equipment Fraud
This presentation includes information on Medicare coverage of durable medical equipment and Medicare's rules for durable medical equipment suppliers, as well as information on fraud schemes involving durable medical equipment in Illinois.

PowerPoint: Medicare and Durable Medical Equipment Fraud (SPANISH)


Insurance Plan Marketing:

Tip Sheets:

Tips to Avoid Insurance Marketing Scams (ENGLISH)

Tips to Avoid Insurance Marketing Scams (SPANISH)

PowerPoints:

PowerPoint: Insurance Plan Marketing - Protect Yourself From Fraud!
Information on Medicare's rules regarding Part D and Medicare Advantage plan marketing.

PowerPoint: Insurance Plan Marketing (SPANISH)
(same as above in Spanish)


Skilled Nursing Facilities:

Illinois SMP Tip Sheet: Medicare, Skilled Nursing Facilities, and Fraud

PowerPoints:

PowerPoint: Medicare, Skilled Nursing Facilities, and Fraud
Presentation on when Medicare covers skilled nursing facility services, Medicare beneficiaries' rights in a skilled nursing facility, and fraud issues in skilled nursing care.


Hospital Care:

Illinois SMP Tips to Take With You to the Hospital


Health Reform:

Illinois SMP Health Care Reform Scams Tip Sheet


Tip Sheets Created By Others

Illinois Attorney General's Silver Beat Program Tip Sheets:
In partnership with AgeOptions and the Illinois SMP program, the Illinois Attorney General's Office Silver Beat program provides outreach and education to seniors on a variety of fraud issues. Here are a few of their helpful tip sheets on consumer fraud issues:

Medicare Spoofing Scam Tip Sheet

Fake Check Scam Tip Sheet

Money Transfer Scams Tip Sheet

Just Hang Up: Avoiding Telephone Scams


Illinois SMP Ads

The Illinois SMP Program created the following advertisements to get the word out about fraud and volunteering with SMP. (Please contact the SMP Program at (800)699-9043 if you would like to use these ads in your publication. We have higher quality files that we can share.)

General Fraud Ad

English Version (JPEG)

 

Spanish Version (JPEG)

 

Volunteer Ad

English Version (JPEG)


Illinois SMP Reporting Forms
(for Illinois SMP Partner Agencies and Volunteers)

These forms are for SMP Partner Agencies and Volunteers to report their outreach and activities to AgeOptions.

Illinois SMP Outreach Activity Reporting Form

Illinois SMP Reporting Form for One-on-One Counseling & Simple Inquiries about Fraud


This project is supported in part by grant numbers 90MP0163 and 90SP0015 from the U.S. Administration on Aging, 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 on Aging policy.