Medical Identity Theft: What You Need To Know

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Thieves are not just after your bank account information. Medical identity theft, an increasingly common crime, involves a criminal using another person's information to receive medical treatment and insurance benefits. Your health and care can be jeopardized due to this unseen, silent risk.

Medical identity theft is a growing concern. According to the Ponemon Institute, a research center dedicated to privacy, data protection and information security policy, roughly 1.84 million people were victims of medical identity theft in 2013.

In addition to severely compromising a victim's medical treatment, the crime is also costly. Ponemon stated that medical identity theft cost victims over $12 billion in out-of-pocket medical fees in 2013, yet many victims are unaware that their medical records have been compromised.

Some warning signs of medical identity theft include:

  • Getting a bill for a medical service you didn't receive
  • A notice from your health plan stating you have reached your benefit limit
  • Denial of insurance after a fraudulent condition is listed in your medical record

If your health records are compromised in a medical identity crime, your health may be at risk while you seek resolution. Unfortunately, in some cases, you must resolve these issues before you can receive future treatment.

Here are some proactive steps you can take to keep your private medical information safe from criminals.

Leave your insurance card at home

Insurance cards contain important personally identifying information (PII). When not in use, your insurance card should be stored at home in a safe, with your other personal documents.

Ask your doctor for a copy of your medical records

There may be a fee associated with attaining your records. Review your medical history carefully, keeping an eye out for any inaccuracies.

You may also ask for a copy of the "accounting of disclosures" of your medical records. This report will include:

  • Details of the medical information exchanged with your provider
  • Who received your medical information
  • The reason your medical information was requested

You are permitted to order one free copy of this report from each of your medical providers every 12 months. If you find errors in your medical history, report them immediately.

Do not provide your healthcare information over the phone

Criminals often use phone scams that promise free medical care, money, or "ways around" insurance. Do not accept these false offers.

Remember, a reputable company will never ask you to provide your personal data over the phone. If someone calls and requests your military or insurance information, hang up—this is a scam!

Monitor your medical bills

Open and read all mailed medical bills, insurance statements, and healthcare summaries. Keep a watchful eye out for unexplained charges or purchases.

Review your credit report

Seniors need to remain vigilant over their credit report. Errors and fraudulent activity frequently appear on a credit report.

You can request one free credit report from each of the three credit reporting agencies (CRAs):

We recommend reviewing your report every four months.

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Funded by a partnership with the Texas Legislature, and powered by the Center for Identity, IDWise is a resource center for the public on identity theft, fraud, and privacy. IDWise offers clear and accessible resources to empower citizens—both online and offline—to be better informed and make smarter choices to protect their personal information.

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