{"id":25219,"date":"2026-06-17T11:17:59","date_gmt":"2026-06-17T19:17:59","guid":{"rendered":"https:\/\/www.spokeo.com\/compass\/?p=25219"},"modified":"2026-03-26T10:18:07","modified_gmt":"2026-03-26T18:18:07","slug":"medical-identity-theft","status":"publish","type":"post","link":"https:\/\/www.spokeo.com\/compass\/medical-identity-theft\/","title":{"rendered":"What is Medical Identity Theft? Keeping Yourself Protected"},"content":{"rendered":"\n<p><em>Key Takeaways:<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><em>Medical identity theft is when someone steals your medical coverage information to fraudulently use it for themselves.<\/em><\/li>\n\n\n\n<li><em>Thieves commit medical identity theft to obtain healthcare benefits that are still billed to the victim.<\/em><\/li>\n\n\n\n<li><em>Physical theft, phishing scams, and data breaches are common ways this can occur.<\/em><\/li>\n\n\n\n<li><em>There are a number of signs you are a victim, such as unexpected medical bills, collection letters, prescription fills, and denied coverage.<\/em><\/li>\n<\/ul>\n\n\n\n<p>As if medical care wasn\u2019t stressful enough, scammers are doing their best to make things even tougher, this time through something known as medical identity theft. Let\u2019s take a look at what it is, why they do it, and ways you can spot it before it\u2019s too late.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is Medical Identity Theft?<\/h2>\n\n\n\n<p>Medical identity theft is when <strong>someone steals your healthcare information (or uses your private information to sign up for healthcare plans) in order to gain medical benefits<\/strong> \u2014 such as receiving medical care, equipment, prescription drugs, etc. \u2014 all under your name. Essentially, they use your private information to get benefits, while you\u2019re stuck with the bill, or worse, no access to medical care.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Why Do Scammers Steal Medical Information?<\/h3>\n\n\n\n<p>The details vary widely, but in broad terms, medical identity theft attempts to fraudulently obtain care or to extract money from the healthcare system through bogus claims. A few potential examples might include:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A person who can\u2019t afford insurance buys yours from a scammer.<\/li>\n\n\n\n<li>A person who\u2019s uninsurable applies for, and gets, insurance using your private information.<\/li>\n\n\n\n<li>A person who needs costly tests or treatments claims them under your coverage, using your ID.<\/li>\n\n\n\n<li>A person with a drug habit secures prescriptions from multiple doctors, giving each one a separate fake identity.<\/li>\n\n\n\n<li>Scammers file fake claims in your name with your insurer, or with Medicare or Medicaid, for services that have not been performed.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">How Medical Identity Theft Occurs<\/h3>\n\n\n\n<p>While the end goal of medical identity theft is to fraudulently obtain benefits while pawning the costs onto the victim, scammers must first get hold of the victim\u2019s private information. Here\u2019s how that usually happens:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Physical theft:<\/strong> Criminals will steal your Medicare or Social Security card and then use that information to commit medical identity theft.<\/li>\n\n\n\n<li><strong>Scams:<\/strong> <a href=\"https:\/\/www.spokeo.com\/compass\/everything-to-know-about-phishing\/\" target=\"_blank\" rel=\"noreferrer noopener\">Phishing scams<\/a> are the most widely used method by criminals, where they will pretend to be from an official organization (like Medicare or other health insurance providers) and trick you into giving up private information they can later use \u2014 often through links to <a href=\"https:\/\/www.spokeo.com\/compass\/how-to-spot-fake-websites\/\" target=\"_blank\" rel=\"noreferrer noopener\">spoofed websites<\/a> or fraudulent phone calls.\u00a0<\/li>\n<\/ul>\n\n\n\n<p><strong>Data breaches:<\/strong> This one is harder to protect yourself from, as scammers with more advanced technical skills will occasionally break through security systems, revealing information en masse. While there isn\u2019t much you can do to prevent this, keeping <a href=\"https:\/\/www.spokeo.com\/compass\/is-your-online-identity-safe\/\" target=\"_blank\" rel=\"noreferrer noopener\">good online safety practices<\/a>, like occasionally updating your passwords, can help keep your information safe.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/i0.wp.com\/www.spokeo.com\/compass\/image\/pexels-karola-g-5900034.jpg?resize=1024%2C682&#038;ssl=1\" alt=\"victim of medical identity theft on phone with insurance trying to understand charges\" class=\"wp-image-29178\" srcset=\"https:\/\/i0.wp.com\/www.spokeo.com\/compass\/image\/pexels-karola-g-5900034.jpg?resize=1024%2C682&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.spokeo.com\/compass\/image\/pexels-karola-g-5900034.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.spokeo.com\/compass\/image\/pexels-karola-g-5900034.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.spokeo.com\/compass\/image\/pexels-karola-g-5900034.jpg?resize=1170%2C780&amp;ssl=1 1170w, https:\/\/i0.wp.com\/www.spokeo.com\/compass\/image\/pexels-karola-g-5900034.jpg?resize=585%2C390&amp;ssl=1 585w, https:\/\/i0.wp.com\/www.spokeo.com\/compass\/image\/pexels-karola-g-5900034.jpg?resize=263%2C175&amp;ssl=1 263w, https:\/\/i0.wp.com\/www.spokeo.com\/compass\/image\/pexels-karola-g-5900034.jpg?w=1280&amp;ssl=1 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Signs You\u2019re a Victim of Medical Identity Theft&nbsp;<\/h2>\n\n\n\n<p>Healthcare can be plenty confusing and stressful on its own, which is why it\u2019s important to keep an eye out for certain signs that you may be a victim of medical identity theft. Here\u2019s what to look out for:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1. Medical Bills You Don\u2019t Recognize<\/h3>\n\n\n\n<p>If you receive any medical bills or insurance claims that don\u2019t track back to care you\u2019ve received, there\u2019s a high chance it\u2019s someone else posing as you.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. Explanation of Benefits (EOB) Inaccuracies<\/h3>\n\n\n\n<p>EOB statements are given by health insurance companies, detailing information like health care received and corresponding billing. If you notice errors or items you don\u2019t recognize, it\u2019s likely a fraudulent claim has been filed under your name.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. Collections Notices<\/h3>\n\n\n\n<p>If you know you\u2019re up to date on all your healthcare bills, but keep receiving collections notices for medical debts (or unexplainable drops in your credit score), that\u2019s a pretty big indication that someone is using your medical identity.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4. Notification of Benefits Limit Reached&nbsp;<\/h3>\n\n\n\n<p>Some plans will have a limit to the benefits offered within a period of time. If you\u2019re notified that you\u2019ve hit that limit, but haven\u2019t actually done so yourself, someone else has received services in your name.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5. Denied Claims Due to Preexisting Conditions You Don\u2019t Have<\/h3>\n\n\n\n<p>If you are seeking care for a new medical issue, only to find you\u2019ve been denied due to a nonexistent preexisting condition, you once again will want to look into the possibility of someone using your medical identity.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">6. Unrecognized Prescription Refills&nbsp;<\/h3>\n\n\n\n<p>While some people use medical identity theft to get free healthcare, others are simply trying to load up on prescription pills. If you find any prescriptions filled in your name that you were never prescribed, look into the possibility that your information has been compromised.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to Prevent Medical Identity Theft<\/h2>\n\n\n\n<p>As with any type of fraud or <a href=\"https:\/\/www.spokeo.com\/compass\/worried-about-your-parents-best-identity-theft-protection-for-seniors\/\" target=\"_blank\" rel=\"noreferrer noopener\">identity theft<\/a>, there are certain things you can do to help lower your chances of becoming a victim. While there\u2019s no way to completely eliminate the possibility, the following practices can help minimize your risk:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Keep sensitive documents securely stored (both physically and digitally).<\/li>\n\n\n\n<li>Don\u2019t share your medical information with anyone other than trusted healthcare providers.<\/li>\n\n\n\n<li>Don\u2019t click any unknown links or provide information to random callers. If you\u2019re unsure whether an email, text, or call is from whoever they claim to be, either look up the official contact information or run a <a href=\"https:\/\/www.spokeo.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Spokeo search<\/a>.<\/li>\n\n\n\n<li>Practice good online security, like using unique and <a href=\"https:\/\/www.spokeo.com\/compass\/what-to-know-about-password-entropy\/\" target=\"_blank\" rel=\"noreferrer noopener\">complex passwords<\/a>.<\/li>\n\n\n\n<li>Safely dispose of old documents with private information.<\/li>\n\n\n\n<li>Pay attention to data breach notices and take action to re-secure your account.<\/li>\n\n\n\n<li>Check your explanation of benefits statements and other medical\/billing statements regularly and thoroughly.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">FAQs<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">How am I affected by medical identity theft?<\/h3>\n\n\n\n<p>When people use your identity for medical benefits, there are a number of harmful repercussions. You can be denied necessary care, get stuck with large debts, deal with higher premiums, and suffer damage to your credit score.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Someone stole my medical identity. What should I do?<\/h3>\n\n\n\n<p>If you know you are a victim of medical identity theft, immediately contact your healthcare provider. You may also want to contact your bank to see if any of your financial accounts have been compromised, as well as check in with the major credit bureaus.<\/p>\n\n\n\n<p><em>Cyrus Grant is a writer from Southern California with a background in law and dispute resolution. When he isn\u2019t writing, he can be found deep-diving into the latest technology trends or simply spending time at the beach.<\/em><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Here\u2019s everything you need to know about what medical identity theft is and how to stay safe.<\/p>\n","protected":false},"author":152,"featured_media":25220,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[810],"tags":[],"class_list":["post-25219","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-identity"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What is Medical Identity Theft? 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