Protect Yourself From Medical Identity Theft

Dec 10, 2012
Express Scripts has a dedicated team of experts fighting fraud, waste and abuse in healthcare. Learn how to protect yourself from being a victim.

With millions of Americans slated to gain access to healthcare under the Affordable Care Act, many may find themselves unknowingly at risk for medical identity theft, a crime that costs the country $41.3 billion annually. In the U.S., an estimated 1.5 million people have their medical identity stolen each year.

It's a cruel twist on the traditional crime of personal identity theft. When a person’s medical identity is stolen, he may find that false information is added to his personal health record, such as a change in blood type or inaccurate allergies.

Stolen medical identities often fuel another crime: prescription drug fraud and abuse. Thieves can use stolen information to illegally obtain prescription drugs and sell them on the secondary market. Illegal drug diversion costs the nation $73.5 billion each year, and prescription drug abuse is responsible for more deaths than heroin and cocaine combined.

To help fight against medical identity theft and fraud, healthcare consumers should take the following steps:

Guard your card: Protect your medical identification card at all times and keep it in a safe and secure location. Some healthcare companies (including Express Scripts) have fraud, waste and abuse programs in place to identify fake or forged prescriptions and other signs of fraudulent activities. If your card is lost or stolen, immediately alert your insurance company.

Toss with caution: When throwing away prescription bottles or vials, remove the labels or black out your personal information so it is illegible. When throwing away documents with protected health information on it, shred the documents instead of discarding them in the garbage.

Protect your personal information: Be alert to impersonators or email phishing scams asking you for your personal information, and never give out your passwords over the phone, on the internet or through email. If you are unsure, call the company directly to inquire about the request.

Be privy to privacy policies: Before agreeing to the privacy policies of anyone you do business with, read through their policies in detail to completely understand how your personal information will be used. If you have questions, request more information.

Lock up your bottles: Keep your prescription bottles hidden or locked away, especially during the holiday season when you may have an increase in visitors who will have access to your personal belongings.

Read your EOB statements: It is important to carefully read any explanation of benefits (EOB) statements you receive from your health plan after treatment to make sure the services listed are accurate. Review the name of the provider, the date of service and the service provided. If it includes information that does not look familiar, immediately report it to your health plan provider.

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