Protect Your Identity
Fraud is an intentional deception or trickery resulting in injury to another person. Examples of fraud include:
- Using someone else’s medical benefits for your health care services.
- Using someone else’s social security number to qualify for government assistance.
Abuse is the intentional misuse of healthcare or government resources. An example of abuse is:
- Requesting and obtaining medications or medical equipment you do not need.
Why you should care about fraud and abuse?
Healthcare fraud and abuse is a serious issue. Fraudulently received benefits or services impact the cost of your healthcare services. The cost of healthcare impacts the benefits available to you.
L.A. Care is strongly committed to protecting the privacy of your personal information.
We have policies, procedures and systems in place that govern how we gather and use your protected health information. Such policies include:
How and why we get your personal health information
After you become a member of our health plan, we get information about you from the program you join. We also get medical information from your doctors, clinics, labs and hospitals. This information helps us approve health care services you need, and pay for healthcare services you receive.
How we may use and share information about you
We may use or share your information only if it is related to your healthcare program.
How we protect your medical information
We store your membership information and medical records in areas with limited access and in protected data systems. Limited personnel are allowed to access your information. We require these personnel to sign a Confidentiality and Protection Agreement, and train them extensively on privacy and security.
We also use security badges for area access, as well as passwords, firewalls and anti-virus software to protect your data. We constantly monitor our procedures, security systems and personnel to make sure your information is accessed appropriately and securely.
If you suspect someone of inappropriately using your information or violating your privacy, call the L.A Care Privacy Officer & Information Security Official at 1-(888)-839-9909, Ext. 4308. This number is available to you 24 hours a day, 7 days a week. Your call is free and confidential.
Protect yourself from Identity Theft
Here are some steps you can take to help prevent your personal information from being stolen:
- Protect your member ID card like you protect your bank or credit cards.
- Take your ID card to your doctor’s appointment. Avoid speaking your membership information, personal facts or social security number out loud.
- Don’t give out your personal information unless it is needed to look up your information.