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HomeMedicare 2026WashingtonSpokaneMedicare Fraud in Spokane: Why Your Number Matters

Medicare 2026

Medicare Fraud in Spokane: Why Your Number Matters

Your Medicare number is more than a string of letters and digits. To a scammer, it's a key that can unlock thousands of dollars in fake billing to Medicare — and leave you tangled in the cleanup for months. In Spokane and across Eastern Washington, the Senior Medicare Patrol (SMP) hears from people every week who wish they had paused before sharing that number.

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Key takeaways

  • Since 2018, Medicare cards use an 11-character Medicare Beneficiary Identifier (MBI) instead of your Social Security number, but it's still valuable to scammers, so guard it like a credit card.
  • Reviewing your Medicare Summary Notice or Explanation of Benefits every few months is the most powerful way to catch fraud early.
  • If you suspect fraud, call your provider first for billing mistakes, then 1-800-MEDICARE, the Washington State SMP at 1-800-562-6900, or IdentityTheft.gov for broader identity theft.
  • No legitimate caller needs your Medicare number to sign you up for 2027 changes like the drug cost cap or payment plan, since the cap applies automatically and the payment plan is requested through your Part D insurer.

Spokane, Washington — Why Your Medicare Number Deserves the Same Care as Your Social Security Number

The good news: a few simple habits can keep your information safe. Here's what to know, and how to spot trouble early.

Treat Your Medicare Card Like a Credit Card

Since 2018, Medicare cards carry a Medicare Beneficiary Identifier (MBI) — a unique 11-character mix of numbers and letters — instead of your Social Security number. That was a big step forward, but the MBI is still valuable to criminals.

A few plain rules from Medicare.gov:

If you lose your card, you can order a replacement free at Medicare.gov or by calling 1-800-MEDICARE.

Common Scams Showing Up Around Spokane

Scams shift with the seasons, but a few keep resurfacing:

If something feels off, it probably is. Trust that gut check.

Read Your Statements — This Is Where You Catch Fraud

Every three months, Original Medicare sends a Medicare Summary Notice (MSN). If you're on a Medicare Advantage or Part D plan, you get an Explanation of Benefits (EOB) from your insurer.

Look for:

You can also check claims anytime by logging in at MyMedicare.gov. Reviewing these documents is the single most powerful thing you can do to catch fraud early.

What to Do If You Think Your Number Was Misused

Don't panic — and don't stay quiet. Take these steps:

1. Call your provider first if the charge might be a billing mistake. 2. Call 1-800-MEDICARE (1-800-633-4227) to report suspected fraud. 3. Contact the Washington State Senior Medicare Patrol (SMP) at 1-800-562-6900. SMP counselors are trained specifically to investigate Medicare fraud, errors, and abuse — for free. 4. If your identity was stolen more broadly, report it at IdentityTheft.gov.

Keep notes: dates, names, phone numbers, and what was said. That record helps investigators.

By the numbers

Medicare Part B premium, 2006–2026

The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

By the numbers

How people get Medicare in Spokane County

58% are on Medicare Advantage
(MA penetration in Spokane County)
58%
42%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.

A Quick Note on 2027 Changes Scammers May Exploit

Big Medicare changes tend to bring big scam waves. For 2027, expect to hear about:

These are real program-level facts from Medicare. But no legitimate caller needs your Medicare number to "sign you up" for the drug cap or the payment plan — the cap applies automatically, and the payment plan is requested through your Part D insurer.

Local Context: Spokane County

Spokane is in Spokane County, where a wide range of Medicare Advantage and Part D plans are offered each year. That variety is a real benefit — but it also means more mailers, TV ads, and phone calls during AEP (Oct. 15 – Dec. 7) and the Medicare Advantage Open Enrollment Period (Jan. 1 – March 31). Slow down. Compare options at Medicare.gov's Plan Finder, or sit down with a free, unbiased counselor.

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Medicare Advantage companies in Spokane County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
UnitedHealthcareNational—Yes
Kaiser PermanenteRegional—Yes
HumanaNational—Yes
Aetna (CVS Health)National—Yes
Scan GroupRegional—Yes
Molina Healthcare IncRegional—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Figures shown are illustrative sample data pending the current CMS file. Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

Q: Someone called saying they were from Medicare and needed to confirm my number. Was that real?
No. Medicare does not make unsolicited calls asking for your number. Hang up and, if you'd like, report the call to 1-800-MEDICARE.
Q: My doctor's office asked for my Medicare number over the phone. Is that OK?
Yes, if *you* placed the call or they're a provider you already see. The rule is simple: never give the number to someone who contacted *you* first.
Q: I already gave my number to a suspicious caller. What now?
Call 1-800-MEDICARE and the Washington SMP at 1-800-562-6900. Watch your MSNs and EOBs closely for the next several months.
Sources & further reading
  • Medicare.gov / Senior Medicare Patrol (SMP) fraud resources

For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.

Medicare plans in your area changing for 2027 — check yoursCall