Private Investigations

A Fraud Committed Upon the American People: Fake Health Insurance Plans

By George Northrop, MD www.tsr-associates.comhealthinsurancefraudwarn_138301-900x535

The total amount spent on healthcare in 2016 is projected to be well in excess of 3 trillion dollars. Of this, up to 270 billion dollars will be diverted away from American pockets by health care fraud. These swindles will cost each United States resident over $800 this year alone. To put this in perspective, this amounts to approximately $70 per month. In effect, each of us pays the equivalent of a high-end mobile phone bill to health care fraudsters every month. And the problem is only getting worse.

Of all of the current forms of fraud, one stands alone by virtue of its sinister nature: Fake Health Insurance Plans. Crooked plans promising top tier service and benefits often deliver nothing at all once policyholders attempt to avail themselves of their benefits. Victims face bankruptcy and homelessness due to such blatant scams. The ultimate extent of Fake Health Insurance Plans is currently unknown, however they have become extremely pervasive, saturating nearly every state. In fact, some fraudsters have been so bold as to run television ads with 800 active telephone lines selling phony coverage. As usual, the elderly, infirmed and uninsured suffer most. However, due to the absurd complexity and uncertainty of the U.S. health insurance market, all Americans remain at risk.

Criminals exploit confusion over health care insurance and health care reform to their advantage. While they buy mansions and take expensive vacations, honest, hard-working Americans see their health endangered and their lives stolen away by debt. Governmental agencies and private insurers attempt to combat these criminals, but bureaucracy and inefficiency too often prevail. Even when criminals are prosecuted, victims are rarely reimbursed in a meaningful or restorative way.

Hiring a Private Investigator who understands and specializes in health care fraud is a powerful mechanism by which victims may pursue legal and financial satisfaction. This is especially true when the legal system seems too slow or overburdened to assist victims within the timeframe that they require. Prosecutable information obtained by Private Investigators on behalf of victims can often be used to the advantage of the victim and ensure that he/she is at the front of the line with regard to reimbursement. It also ensures that victims have the chance to face their tormenter and explain to them what needs to be explained prior to justice taking its course. And this is the right of every American.

If you have been or suspect that you are the victim of a Fake Health Insurance scam, contact TSR-Associates. We have a medical doctor on staff to answer your questions and formulate a plan to help. Together, justice can be found.