Welcome Advantage MD Members

OIG COVID-19 Fraud Alert

The U.S. Department of Health and Human Services Office of Inspector General (OIG) is alerting the public about fraud schemes related to the coronavirus pandemic (COVID-19).

Individuals are offering COVID-19 tests to Medicare beneficiaries in exchange for personal details, including Medicare information. However, the services are unapproved and illegitimate.

Individuals are targeting beneficiaries in a number of ways, including telemarketing calls, social media platforms, and door-to-door visits. These individuals use the coronavirus pandemic to benefit themselves, and beneficiaries face potential harms. The personal information collected can be used to fraudulently bill Federal health care programs and commit medical identity theft.

Protect Yourself

Advantage MD Plan Members should:

• Be cautious of unsolicited requests for their Medicare, other insurance, Social Security numbers, banking or credit card information.
• Be suspicious of any unexpected calls or visitors offering COVID-19 tests or supplies.
• Ignore offers or advertisements for COVID-19 testing or treatments on social media sites.
• Have a physician or other trusted healthcare provider assess your condition and approve any requests for COVID-19 testing.

If you believe your Advantage MD Plan information has been compromised or that you were a victim of suspected fraud, please contact the Advantage MD Medicare Compliance Department using one of the following methods listed below:

Phone: Local 410-762-1575 or Toll free 1-844-697-4071
Fax: 410-762-1502
Email: MedicareCompliance@jhhc.com
Hotline: 1-844-SPEAK2US (1-844-773-2528)
Mail: Johns Hopkins Advantage MD Medicare Compliance Department
7231 Parkway Drive, Suite 100
Hanover, MD 21076

If you suspect COVID-19 fraud, the OIG requests that you contact National Center for Disaster Fraud Hotline 866-720-5721 or disaster@leo.gov

Pharmacy Network Changes for Plan Year 2020

As of January 1, 2020, some pharmacies will no longer participate in the Advantage MD pharmacy network. A few of the biggest pharmacies that will be leaving our network are:

• Sam’s Club Pharmacy
• Wegmans Pharmacy
• Martins Pharmacy
• PillPack

If the pharmacy you use to fill your prescriptions is one of the pharmacies leaving the network, we will mail you a letter with more information and other nearby pharmacies.

October 2019 Newsletter

Stay up-to-date on health screenings, staying active to stay healthy and getting mentally ready for the holidays: We cover all this and more in our interactive October 2019 newsletter edition.

Genetic Testing Scam

Unfortunately, every so often scammers target Medicare beneficiaries. They claim to offer services in order to get members’ Medicare information to use for identity theft or fraudulent billing purposes.

One such scam is offering cheek swabs for genetic testing. If you agree to this or verify your personal or Medicare information, they will send you a testing kit even if it is not ordered by your provider or medically necessary.

To protect yourself from this scam:

• A health care provider who you know and trust should approve any requests for genetic testing.
• If you get a genetic testing kit in the mail, do not accept it unless your health care provider ordered it. Refuse the delivery or return it to the sender. Keep a record of the sender’s name and the date you returned the items.
• Be suspicious of anyone who offers you free genetic testing and then requests your Medicare number. Do not give them any personal information—they could use it for other fraud schemes.

To stay safe from all scams, guard all your personal information including your plan member ID number. Johns Hopkins Advantage MD will not ask you for your Social Security Number or your Medicare ID number before discussing your Advantage MD account with you. (We will ask for other identifiers, such as your address or date of birth.) If anyone other than your provider’s office requests your Medicare information, do not give it to them.

For more information about this scam: U.S. Department of Health and Human Services Office of Inspector General

June 2019 Newsletter

Understand your 2019 prescription coverage, what to do when diagnosed with arthritis and is it time to see your doctor about your bladder problem?: We cover all this and more in our interactive June 2019 newsletter edition.

Address Change for Advantage MD

Johns Hopkins Advantage MD has a new address. We are now located at:
7231 Parkway Dr.
Suite 100
Hanover, MD 21076

Our claims and appeals mailing information will not change. Please continue to send any claims and appeals to:
Johns Hopkins Advantage MD Claims
PO Box 3537
Scranton, PA 18505

Thank you for your cooperation.