Posted 1 day ago
Beware of Genetic Testing Scams Targeting Medicare Patients
In recent years, genetic testing has emerged as a powerful tool for identifying hereditary health risks and guiding personalized treatment and surveillance plans. However, as this technology gains in popularity, so does its misuse. A growing number of Medicare recipients are being targeted in fraudulent genetic testing schemes that promise free genetic tests in exchange for personal information. These scams not only compromise your identity but can also lead to significant Medicare fraud.
Scammers often operate through telemarketing calls, health fairs, or even door-to-door visits, claiming they can offer a “free” genetic test covered by Medicare. They may pose as healthcare providers or representatives from genetic testing companies, convincing victims to provide their Medicare number, social security number, and other sensitive information. Once they have this information, fraudulent claims are submitted to Medicare for unnecessary or fake tests – often without the patient’s knowledge or proper medical oversight.
One of the red flags to watch out for is any unsolicited offer of genetic testing, especially if the person claims Medicare will pay for it without your doctor’s involvement. Legitimate genetic tests are only covered by Medicare when they are deemed medically necessary and ordered by a treating provider or genetic counselor. If you’re approached by someone offering a genetic test that you did not ask for or that your provider did not recommend to you, be cautious and do not provide your Medicare ID or any personal information.
To protect yourself, always consult with your provider before agreeing to any type of testing. At Ironwood, your provider will order genetic testing for you in the office if necessary or they will refer you to an Ironwood Genetic Counselor, in which either an in-person or a telehealth consultation will be scheduled for you. Be skeptical of “free” offers and never share your Medicare number with anyone who contacts you out of the blue. You should also regularly review your Medicare statements (such as your Explanation of Benefits) to spot any suspicious charges or unfamiliar services.
If you suspect you’ve been targeted by a Medicare testing scam, report it immediately. Contact the Medicare fraud hotline at 1-800-MEDICARE or report the incident online to the Department of Health and Human Services Office of Inspector GeneralDepartment of Health and Human Services Office of Inspector General. Staying informed and vigilant is the best way to protect yourself and help prevent fraud that affects millions of Americans. By knowing the signs and taking a proactive stance, you can help stop these types of scams. Remember: if it sounds too good to be true, it probably is – especially when your health and Medicare coverage are involved.
Mandy Kass, MS, CGC
Certified Genetic Counselor
As a certified oncology genetic counselor, Mandy works with patients who have a personal and/or family history of cancer to assess their risk of having an inherited cancer predisposition. This information allows for the pursuit of early detection or possibly prevention of certain cancer types.
The ultimate goal of cancer genetic counseling is to empower patients to use their personal risk information to better inform treatment and management decisions and to educate family members on their possible cancer risks.
Mandy obtained her Bachelor of Science degree in Psychology from Arizona State University in 2013. She then went on to pursue her Master’s Degree in Human Genetics from Sarah Lawrence College and graduated in 2016. Her training in genetic counseling included clinical rotations at several locations throughout New York City, including Columbia University Medical Center, Mount Sinai Beth Israel, and Bellevue Hospital.
Prior to pursuing her graduate degree, Mandy worked for the National Suicide Prevention Lifeline. She is also a member of the National Society of Genetic Counselors and of the Cancer Special Interest Group. Outside of work, Mandy enjoys exploring Arizona, traveling, and spending time with her family, friends, and two golden retrievers.
She is happy to be part of Ironwood Cancer & Research Centers and to manage a genetic counseling department based on individualized care, patient education, and supportive guidance.