[HEALTH.MIL] TRICARE Beneficiaries Being Targeted by Call Centers and Others For Unsolicited Medical Prescriptions
- From: HEALTH.MIL@xxxxxxxxxxxxx
- To: "Milton Bell" <Milton.Bell@xxxxxxxxxxx>
- Date: Mon, 13 Apr 2015 10:54:52 -0500
TRICARE Beneficiaries Being Targeted by Call Centers and Others For Unsolicited
Medical Prescriptions
4/10/2015By: <http://www.health.mil/News/Authors/HealthdotMil-Staff> Military
Health System Communications Office
Related Topics:
<http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Qua
lity-And-Safety-of-Healthcare/TRICARE-Fraud-Watch-Program> TRICARE Fraud Watch
Program,
<http://www.health.mil/Military-Health-Topics/Business-Support/Program-Integrity
> Program Integrity,
<http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Acc
ess-to-Healthcare/Pharmacy-Program/Compound-Drugs> Compound Drugs
The Defense Health Agency, Office of Program Integrity (DHA-PI) has received a
significant number of concerns from our TRICARE beneficiaries regarding
unsolicited attempts by "Call Centers" to encourage them to provide personal
identifying information and health information so that they can allegedly
provide prescribed cream medications to the TRICARE beneficiary.
TRICARE and its contractors never call and ask for personal identifying
information or health information. Beneficiaries should be wary of unsolicited
attempts by any entity asking them for personal or health information, either by
phone or in person.
The "Call Center" will normally cold call and say, "I am a representative
calling from XYZ, we are calling to tell you about a benefit TRICARE will cover
for you for a prescription pain cream you are eligible for. Do you have any of
the following medical issues (list of issues) or pain? If so, TRICARE wants to
get you taken care of, all we need are your Doctor's name and your TRICARE
information and we will contact your doctor and get these medications or
supplies out to you immediately and submit a claim. "
DHA PI strongly advises you to give NO information to these types of unsolicited
request for your personal health information and personal identifying
information. Often these "Call Centers" have identified what limited
information they have through "google" searches or through individuals who have
approached you independently and obtained information directly from you.
Should you receive a phone call for this information provide-NO information.
Also, please immediately submit a Fraudline report to our Pharmacy Benefits
contractor ESI. You can report the issue to Express Scripts Inc.
* Express Scripts Fraud Tip Hotline: 1-866-759-6139
* Email: <mailto:TRICAREfraudtip@xxxxxxxxxxxxxxxxxxx>
TRICAREfraudtip@xxxxxxxxxxxxxxxxxxx
ESI can also flag your profile and reject attempts to bill for these
medications. If you do receive unsolicited medication in the mail, you can
refuse delivery.
Additionally, TRICARE has revised and published the following news article:
<http://www.health.mil/News/Articles/2015/03/12/TRICARE-Revises-Compound-Drug-Co
verage> TRICARE Revises Compound Drug Coverage
SOURCE: HEALTH.MIL Press Release at
http://www.health.mil/News/Articles/2015/04/10/TRICARE-Beneficiaries-Being-Targe
ted-by-Call-Centers-and-Others
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