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Affordable Care Act and Scammers

Affordable Care Act and Scammers

Since the Affordable Care Act (ACA) was signed into law in March 2010, unscrupulous scammers have been creating ways to take advantage of consumers’ uncertainty surrounding the law.

The National Association of Insurance Commissioners (NAIC)  and state insurance regulators are warning consumers about common red flags and providing tips on how to avoid being the victim of a scam.

A common ploy involves unsolicited calls from scammers who claim to have your new “Obamacare” insurance card and say they just need to get some information before they can send it to you. The caller then asks for credit card numbers, bank account information or your Social Security number. A variation of this trick specifically targets seniors on Medicare; the caller claims that in order for them to get their new Medicare card and continue receiving their benefits, they must verify their bank account and routing numbers. Some callers ask for their Medicare numbers, which are identical to Social Security numbers.

You are not required to obtain a new insurance or Medicare card under the ACA. Also, anyone who is a legitimate representative of the federal government will already have your personal and financial information and should not ask you to provide it.

Some other important “red flags” to watch out for:

The salesperson says the premium offer is only good for a limited time.

Enrollment in the exchanges will be open from Oct. 1 to March 31, and rates for plans in the exchanges will have been approved for the entire enrollment period. Be skeptical of someone who is trying to pressure you into buying a policy because the rate is only good for a short time. Remember: if the offer sounds too good to be true, it probably is.

The salesperson says you could go to jail for not having health insurance.

Starting in 2014, all Americans will be required to have health insurance. You will not face jail time if you do not purchase health insurance. However, those who remain uninsured and do not qualify for any exemptions will face a penalty of $95 (for each adult) or 1% of family income, whichever is greater. In 2015, the penalty will increase to $325 per adult or 2% of family income, and in 2016 and beyond, the penalty will be $695 per adult or 2.5% of family income. For more information on the individual shared responsibility provision of the ACA, click here.

You receive an unsolicited phone call or email from someone trying to sell insurance.

The federal government and state insurance departments will not be contacting individual consumers to sell them insurance. Do not give any sensitive information to anyone who claims to be with the federal government, your state insurance department or a navigator for your state’s exchange.

Article from NAIC – National Association Of Insurance Commissioners  

Brian Schroeder
Brian Schroeder
Brian J Schroeder – Independent Broker - (925) 513-7778