Possible Medicare fraud [View all]
I am on an Aetna Medicare Advantage plan provided through my former employer as a retirement benefit. It has been quite good and reasonably priced. In July I had the mandated Medicare wellness check up with my PCP and got vaccinated flu and pneumonia.
A month ago I got a letter offering me a payment plan over 5 months for $347.84. Both Medicare and Aetna Medicare state that there is no co-payment, no co-insurance - well no charges to the patient for 4 vaccinations; flu, covid, pneumonia and hep B.
I called billing and they said I would need to speak to Aetna. I called Aetna and got John. He was great, he called billing with me conferenced on and informed them just what I had told them - no charge to the patient, period.
I got an email from them again offering a payment plan. I spent an hour on the phone ranting about how this was Medicare fraud. She said she would remew the claim to Aetna. I said what for, they are not paying anymore and I am not paying it because it is an illegal charge.
Should I report this to Medicare as fraud?
I think a lot of people would be taken in and pay the $350 never sure what it was for.
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