You should be aware of these schemes in case someone asks you to participate, or in case you see fraudulent activity. Indicators of potential fraud include the following:

• Medical providers outside the VA may try to scam the VA when they submit claims to receive payment from VA for the services they provide you. For example, they could bill for services they didn’t provide or even submit duplicate bills to get paid more than once.
• Providers suggesting treatments or procedures you do not need, to obtain payment from VA.
• Be wary of unproven medical care, equipment, and procedures.

Tips to Avoid Scams

Do’s

• Protect your personal health care and insurance information. Scammers will try to use this information to gain access to your account – and even steal your identity.
• Review all paperwork to confirm accuracy and authenticity. Confirm dates of service for care received, patient’s name, provider’s name, location, and types of services.
• Check your Explanation of Benefits (PDF, 3 pages, 1.3MB) from your provider. Did you visit the doctor listed on the date indicated? Does the explanation of benefits contain any procedures or treatments that do not look correct to you? VA wants to know!
• Check all provider billing if you receive a VA statement or Explanation of Benefits.

Don’ts

• Do not trust someone who contacts you saying they’re affiliated with the Department of Veterans Affairs. Scammers use official-looking names, seals, and logos. If you’re not sure if the “offer” is legit, hang up and call your VA representative directly.
• Do not share personal health information or health insurance information with others. If anyone says they need your information, it’s a scam.
• Do not provide your Social Security number, medical records, or other personally identifiable information to anyone offering claims assistance without verifying their accreditation status.
• Do not sign a blank form for someone else to complete later. Always review the completed form before signing and keep a copy for record-keeping purposes.
• Do not order medical equipment over the phone unless your physician advises you to do so. Hang up on unsolicited calls offering you special services or something that sounds too good to be true.
• Do not be silent if you think VA is paying for services you didn’t receive. Don’t agree to treatments or procedures you are uncomfortable with just because a new provider says they are necessary.