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Insurance scams: how to tell a real plan from a trap

Unexpected insurance offers deserve an independent check before you share details or pay. Scam pitches can imitate genuine low-cost plans and covered medical services. Price and contact method alone do not establish whether an offer is real.

Fake health-insurance and ACA “enrollment” calls and texts

A caller may promise cheap coverage or a subsidy and pressure you to act. A low premium alone is not proof of fraud.

Start at HealthCare.gov or your state marketplace to compare coverage and find approved enrollment help. Certified partners and licensed agents can also help enroll you.

The Marketplace may call about an application and request identity details. If unsure, hang up and contact its official call center yourself. See Marketplace fraud protection and our health insurance scam call guide.

Medicare and “new card” scams

Impersonators offer a replacement card, refund, or benefit to obtain your Medicare number. Medicare does not call to sell anything, but limited legitimate callbacks can involve personal information.

Do not give details to an unverified caller. Call 1-800-MEDICARE independently. See Medicare’s fraud guidance and our Medicare phone scam guide.

Auto-warranty “your car's warranty is expiring” calls

An unexpected warranty sales call may sell misleading coverage or seek payment details. A service contract is not necessarily a manufacturer’s warranty.

Ask your dealer or existing provider about actual coverage. Hang up on an unwanted sales robocall without pressing keys. See auto-warranty call scam.

Fake “free screening” and “free gift” hooks

A free-equipment or screening pitch can be used to obtain an insurance number and submit fraudulent claims. Genuinely covered preventive care can also have no out-of-pocket cost.

Ask your own provider and insurer whether the service is appropriate, covered, and ordered for you. Do not give an unverified caller your insurance details to claim an offer.

How to check a health plan or insurer is real

Before sharing details or paying:

  • Start with HealthCare.gov’s enrollment options or your state marketplace. Official phone assistance and certified partners are valid routes too.
  • Check the insurer and agent with your state insurance department through the NAIC directory. Licensing does not authenticate someone claiming to represent them.
  • Read the plan documents: confirm coverage, exclusions, premiums, and out-of-pocket costs. A discount program is not comprehensive insurance.
  • Use an independently verified contact before providing sensitive details.

Already shared something? Choose the matching recovery steps.

● Public service · free steps first

Take the free protection steps first

A suspicious message does not tell us how someone found your details. If you shared personal information, start with the official recovery guidance. You can also freeze your credit for free.

Decide what protection you need

Start with the free controls above. Compare what a paid service would add only after deciding which problem remains.

Frequently asked

What are the most common insurance scams?
Examples include fake enrollment help, Medicare-card impersonation, misleading warranty sales, and equipment offers used for fraudulent billing. These are patterns to investigate, not proof that every similar offer is fraudulent.
Is a “you're pre-qualified for a $0 health plan” call or text real?
Not enough information to tell. Low-premium plans and legitimate enrollment assistance exist. Compare the actual plan and verify the caller through your marketplace or insurer before sharing details.
How do I check that a health plan or insurer is real?
Start with HealthCare.gov or your state marketplace and its listed enrollment routes. Check an insurer or agent with your state insurance department and independently verify the person contacting you. Read benefits, exclusions, and costs before enrolling.
I gave a caller my SSN or Medicare number — what should I do?
For an exposed SSN, use IdentityTheft.gov’s exposed-information guidance and consider a free credit freeze. For an exposed Medicare number, call 1-800-MEDICARE and review claims. Exposure is not proof of misuse; report identity theft if someone uses your information.

Sources

  1. 01Spot Health Insurance Scams— Federal Trade Commission
  2. 02Looking for health insurance? Make sure that's what you're getting— Federal Trade Commission
  3. 03Phone scams— Federal Trade Commission