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National Benefit Integrity The Medicare Prescription Drug benefit is being implemented by the Centers for Medicare and Medicaid Services (CMS) to allow all Medicare beneficiaries access to prescription drug coverage beginning January 1, 2006. Marketing began on October 1, 2005 and Enrollment of the new benefit on November 15, 2005 to allow beneficiaries to choose from a variety of plans, including private prescription drug plans that offer drug-only coverage, or Medicare Advantage plans that offer both prescription drug and health care coverage Health Integrity, LLC, is responsible for monitoring fraud, waste, or abuse in the Medicare Prescription Drug benefit program. On November 14, 2009, as a result of a restructuring of the program by CMS, Health Integrity, LLC became the National Benefit Integrity (BI) MEDIC. Compliance and enforcement issues are now handled by another Medicare contractor. As the National BI MEDIC, Health Integrity has responsibility for fraud, waste, and abuse issues in all parts of the United States. Follow this link for more specific details and a referral form for referring fraud cases... Health Integrity has been authorized by CMS to monitor the prescription drug program and to investigate any beneficiary complaints related to the Medicare prescription drug benefit. Health Integrity is interested in receiving reports of potential fraud, waste or abuse from Medicare beneficiaries. Examples of these types of complaints may include:
Please contact us at 1(877)7SafeRx -1(877)772-3379 to report complaints about one of these types of fraud, waste, and abuse issues or a related complaint. Our fax number is (410) 819-8698 and our website is healthintegrity.org. If you have a general question or concern related to your Medicare drug benefit that does not involve a potential fraud, waste or abuse issue please contact your Plan or call 1-800-Medicare.
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