Healthcare fraud can affect anyone, from health funds themselves to fund members like you.

It happens when someone—a healthcare provider or an individual—intentionally provides false information or withholds information in order to get a financial benefit.

Common types of healthcare fraud include identity theft, charging for services that weren’t provided, or falsifying documents to make claims.

Healthcare fraud costs the private health insurance industry hundreds of millions of dollars each year. These losses drive up your premiums and make the system less efficient.

You can avoid being the victim of healthcare fraud by keeping an eye out for signs of fraud. Signs include decreasing benefit levels for services you haven’t used, letters in the post for health services you haven’t signed up for, and charges on your account for services you haven’t received.

You should also keep your personal details—well, personal. If a provider asks to hold on to your membership card, that’s a red flag.

If you see any signs of fraud, contact your fund immediately. Alternatively, you can also contact the Department of Health’s Provider Benefits Integrity Hotline at 1800 314 808.

For more information on healthcare fraud, visit healthinsurancecomparison.com.au

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