Illinois SMP Informational Materials

 

The Illinois SMP Program produces informational resources and tools to help people Protect themselves from healthcare fraud, Detect healthcare fraud, and know when to Report healthcare fraud. Here are a few of those helpful resources:

 

Illinois SMP Toolkit

The Illinois SMP program has produced a toolkit with information about Medicare, a checklist to use when considering a private insurance plan, and tips on how to protect yourself from different types of fraud. Call AgeOptions at (800)699-9043 to get a paper copy of the toolkit or download an electronic copy here:

Illinois SMP Toolkit

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Illinois SMP Program Brochure

Our program brochure gives basic information about healthcare fraud and the SMP program.

SMP Program Brochure - English

SMP Program Brochure - Spanish

SMP Program Brochure - Russian

SMP Program Brochure - Chinese

SMP Program Brochure - Korean

SMP Program Brochure - Vietnamese

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Illinois SMP Program Healthcare Tracking Journal

The SMP program produces healthcare tracking journals that you can use to take notes on their doctor appointments, hospital visits, prescription drugs, etc. Compare your notes to the claims listed on your Medicare Summary Notice or Explanation of Benefits!

SMP Healthcare Tracking Journal - English

SMP Healthcare Tracking Journal - Spanish

SMP Healthcare Tracking Journal - Russian

SMP Healthcare Tracking Journal - Chinese

SMP Healthcare Tracking Journal - Korean

SMP Healthcare Tracking Journal - Vietnamese

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Tip Sheets

The Illinois SMP program has produced tip sheets with steps that Medicare beneficiaries can take to Protect themselves from, Detect, and Report healthcare fraud:

Illinois SMP Tips to Avoid and Detect Medicare Fraud

Illinois SMP Tips to Avoid Home Health Fraud

Illinois SMP Health Care Reform Scams Tip Sheet

 

Reading your Medicare Summary Notice or Explanation of Benefits can be difficult. These handouts use sample Medicare Summary Notices to explain each piece of your Part A and Part B statements.

How to Read Your Medicare Summary Notice - Part A claims

How to Read Your Medicare Summary Notice - Part B claims

 

 

National SMP Program Tip Sheets

The following tip sheets have been issued by the national SMP program:

What are Medicare Fraud and Abuse?

Reading Your Medicare Summary Notice

Medicare Advantage Plans 1(information for consumers/general public)

Medicare Advantage Plans 2 (detailed information for professionals and SMP volunteers)

 

Tip Sheets Created By Others:

Centers for Medicare and Medicaid Services National Training Program handout on Medicare Advantage Marketing Guidelines:
Medicare Advantage Marketing Guidelines - CMS

Health Assistance Partnership (HAP) tip sheet on Medicare Advantage Plan Marketing Guidelines:
HAP Marketing Guidelines Tip Sheet

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Illinois SMP PowerPoint Presentations

These are PowerPoint presentations used by SMP staff and volunteers to educate groups about health care fraud, waste, and abuse:

Medicare Basics and Fraud Tips (45 minutes)
(brief information about Medicare Parts A, B, C, and D and the SMP program's tips to protect yourself from health care fraud)

The SMP Program and Health Care Fraud (60 minutes)
(This presentation is used to train members of the Attorney General's Silver Beat Program and others who want more information about health care fraud. It includes several examples of health care fraud schemes from Illinois.)

Home Health Presentation: Medicare Coverage/Home Health Fraud
(information on what home health services Medicare covers, who qualifies for those services, and current fraud schemes related to home health)

 

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Illinois SMP Reporting Forms (for Illinois SMP Partner Agencies and Volunteers)

These forms are for SMP Partner Agencies and Volunteers to report their outreach and activities to AgeOptions.

Illinois SMP Outreach Activity Reporting Form

Illinois SMP Reporting Form for One-on-One Counseling & Simple Inquiries about Fraud