HELP US FIGHT HEALTHCARE FRAUD
International Fraud Awareness Week 12-18 November 2023
In November 2000 , the Association of Certified Fraud Examiners , started Fraud Awareness Week . Hundreds of organisations , from around the world , pledge to create awareness about fraud within their companies and their communities . We are part of the pledge !
Fraud , Waste and Abuse ( FWA ) in healthcare , contributes to higher monthly contributions . Join us in taking a stand against it .
Here are some examples of medical aid fraud :
• Falsified or altered invoices
• Member and healthcare providers submitting false claims and sharing the money paid by the scheme
• Members using their membership for individuals who are not dependents
• Claiming for original medication at pharmacies but dispensing less expensive generic substitutes
• Claiming for unnecessary services
How can you help ?
• Check your claim statements carefully to ensure you have received the services for which your service provider is claiming
• Ensure that your membership card and number are protected at all times
• Don ’ t accept cash from a service provider in exchange for a medical aid claim
Remember to FIGHT for WHAT ’ S RIGHT and REPORT FRAUD !
32 Bonitas Member Magazine Issue 4 | 2023