Medicare fraud happens when Medicare is billed for services or supplies you never got. Medicare fraud costs Medicare a lot of money each year.
It’s against the law for someone who knows that you have Medicare to sell you a Marketplace plan.
Fraud is different from abuse. Abuse happens when doctors or suppliers don't follow good medical practices, which leads to unnecessary costs to Medicare, improper payment, or services that aren't medically necessary .
A complaint about the quality of care you got from a doctor, hospital, or other provider or facility isn't considered fraud or abuse. Your Quality Improvement Organization (QIO) can help you if you have a complaint about your quality of care.