For Beneficiaries and Members
The team at Memorial Hermann Health Solutions, Inc. is dedicated to fighting health care fraud, waste and abuse, along with our network of physicians, pharmacies and other providers. Most doctors and pharmacists work ethically to provide ethical medical care, and submit proper claims for payment. However, there are unfortunately a few health care providers who exploit the system. Protecting your personal information is the best line of defense in the fight against health care fraud and abuse.
Things you can do to protect yourself:
- Don't give your Medicare, Medicaid, or Social Security numbers to strangers.
- Remember that Medicare does not call or visit to sell you anything.
- Keep records of your doctor visits, tests, and procedures.
- Save your Explanation of Benefits and review it for any inaccuracies.
If you are enrolled in one of our Medicare Advantage plans and would like to learn more about Medicare fraud please visit stopmedicarefraud.gov.
For Medicare Advantage Beneficiaries
If you suspect there has been any suspicious activity with your medical or drug claims please call Customer Service at 844-550-6886 (TTY 711) for HMO Plans and 844-550-6896 (TTY 711) for PPO Plans. You may also email us at MHHealthPlanFWA@memorialhermann.org. Customer Services Representatives are available 8AM – 8PM, 7 days a week.
For all other members
If you suspect there has been any suspicious activity with your medical or drug claims please call Customer Service 1- 888-594-0671. Monday – Friday: 6am-6pm, Sat-Sun 9am – 12pm. You may also email us at MHHealthPlanFWA@memorialhermann.org.