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:
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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.)
(The SMP Coordinator at South Suburban Senior Services of Catholic Charities created the two SMP fraud word search puzzles below.)
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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:
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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 - Chinese
SMP Program Brochure - Vietnamese
--------------------------------------------------------------------------------------------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
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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:
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)
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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)
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Durable Medical Equipment:
Tip Sheets:
Durable Medical Equipment fraud tips - English
Durable Medical Equipment fraud tips - Spanish (COMING SOON!)
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)
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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)
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Skilled Nursing Facilities:
Illinois SMP Tip Sheet: Medicare, Skilled Nursing Facilities, and Fraud
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.
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Illinois SMP Tips to Take With You to the Hospital
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Illinois SMP Health Care Reform Scams Tip Sheet
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Reading your Medicare Summary Notice or Explanation of Benefits can be difficult. This handout summarizes what to look at and what to look for when reviewing your Medicare Summary Notice:
What to Look For on Your Medicare Summary Notice
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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
Money Transfer Scams Tip Sheet
Just Hang Up: Avoiding Telephone Scams
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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
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This project was supported in part by grant numbers 90MP0026 and 90MP0127 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.