Help Prevent Health Plan Enrollment Fraud
Health plan enrollment fraud occurs when a person or company intentionally misrepresents
facts to improperly receive health care products and services. This includes adding
a person who is not eligible for health plan coverage as a dependent on your health
plan.
You can help prevent enrollment fraud. Contact your employer or HMSA if you need
to remove a dependent from your health plan who is no longer eligible. For example:
- If you get a divorce, your former spouse may not be eligible to remain on your health
plan.
- A child who is no longer considered your legal dependent may not be eligible to
remain on your health plan.
If you suspect any type of health plan fraud, call HMSA’s confidential fraud hotline
at (808) 948-5166 on Oahu or 1 (888) 398-6445 toll-free on the Neighbor Islands and the
Mainland.