Can you recognize benefits fraud

Can you recognize benefits fraud?

Insurance fraud is a growing concern and we need your help to tackle this issue. It may seem like a victimless crime, but benefits fraud impacts everyone and affects the price of insurance premiums.

While most people are honest and claim legitimate expenses, we still need to be thorough in our review and adjudication of claims and ensure they meet the guidelines of your benefits plan. While our claims adjudicators are well trained to spot irregularities in claim activity and our audits provide additional protection, educating plan members is key in our efforts to fight benefits fraud.

The Co-operators has partnered with the Canadian Life and Health Insurance Association Inc. (CLHIA) to raise awareness and educate consumers about how to recognize benefits fraud.

Benefit fraud occurs when a person intentionally submits false information about medical or dental treatment to their benefits provider. The CLHIA has provided some great tips on how to recognize benefits fraud on their website. Our goal is to ensure that your plan continues to support the health and well-being of your plan members and their families while remaining sustainable and cost effective.

If you or your plan members suspect fraud, contact:

The Co-operators Group Client Service Centre

The CLHIA Healthcare Anti-fraud

The rise of telemedicine and iCBT

The rise of telemedicine and iCBT

Learn about the increasing popularity of telemedicine, and the new digital offering available under our Extended Health Care plans.