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HomeMedicare 2026North CarolinaDurhamMedicare scams during enrollment season in Durham

Medicare 2026

Medicare scams during enrollment season in Durham

DURHAM, N.C. — Your Medicare number is a lot like a credit card. If the wrong person gets hold of it, they can run up bills in your name, drain benefits you may need later, and leave you sorting through months of confusing paperwork. The good news: a few simple habits can keep your number safe and help you spot trouble early.

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Locked mailbox closeup in Durham — illustrating this Medicare guide
Photo: the blowup Photo by the blowup on Unsplash

Key takeaways

  • Treat your Medicare number like a credit card — never share it with strangers who call, text, email, or knock on your door.
  • Medicare will not call you out of the blue asking for your number, bank details, or payment.
  • Check your Medicare Summary Notice or your online account at Medicare.gov for charges you don't recognize.
  • If you suspect fraud, call 1-800-MEDICARE or contact the North Carolina Senior Medicare Patrol (SMP) for free help.

Medicare fraud costs the program billions of dollars each year, and Durham residents are not immune. Local scammers often pose as Medicare workers, pharmacy staff, or even friendly neighbors offering "free" braces, test kits, or genetic screenings in exchange for your Medicare number. Here is how to guard your card and know what to do if something feels off.

Why your Medicare number matters

Since 2018, Medicare cards use a random Medicare Beneficiary Identifier instead of your Social Security number. That was a big step forward — but the new number is still valuable to criminals. With it, a scammer can bill Medicare for medical equipment, tests, or services you never received. Those false claims can eat into benefits you actually need, and cleaning them up takes time.

Durham is in Durham County, where beneficiaries have a wide range of Original Medicare, Medicare Advantage, and Part D options to choose from during enrollment. That variety is a good thing, but it also gives scammers more cover — they may pretend to be from "a new plan in your area" to trick you into handing over information.

Common scams to watch for in Durham

Local Senior Medicare Patrol volunteers say a few schemes come up again and again:

Medicare will never call, text, or email you out of the blue to ask for your number or payment information. If someone does, hang up.

Simple steps to protect your number

You don't need to be tech-savvy to keep your Medicare number safe. A few basic rules go a long way:

1. Guard your card. Carry it only when you need it — for a doctor visit or a new pharmacy. Otherwise, leave it in a safe place at home. 2. Share only with trusted providers. Your doctor, hospital, pharmacist, and licensed insurance agent may need it. A stranger on the phone does not. 3. Shred old paperwork. Medicare Summary Notices, explanation of benefits letters, and pill bottle labels can all contain personal details. 4. Review your statements. Check your Medicare Summary Notice every three months, or log in to your account at Medicare.gov to see claims in real time. 5. Be skeptical of "free." If an offer sounds too good — free equipment, free groceries, free gift cards in exchange for your Medicare number — walk away.

How to spot fraud on your statements

When your Medicare Summary Notice arrives, look at each line. Ask yourself:

If something looks wrong, start by calling the provider's office — sometimes it is just a billing mistake. If the answer doesn't add up, report it.

Where to get help in North Carolina

You have free, unbiased resources right here in the state:

Keep those numbers near your phone. If you ever feel pressured or unsure, hang up and call one of them before sharing anything.

By the numbers

Medicare Part B premium, 2006–2026

The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

By the numbers

How people get Medicare in Durham County

52% are on Medicare Advantage
(MA penetration in Durham County)
52%
48%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.

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Medicare Advantage companies in Durham County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
HumanaNational—Yes
UnitedHealthcareNational—Yes
Curacor Solutions CorpRegional—Yes
Aetna (CVS Health)National—Yes
Blue Cross Blue Shield (HCSC)Regional—Yes
Centene (WellCare)National—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Figures shown are illustrative sample data pending the current CMS file. Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

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The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

What should I do if I already gave my Medicare number to a scammer?
Call 1-800-MEDICARE right away and let them know what happened. Then contact the North Carolina Senior Medicare Patrol for guidance. Watch your Medicare Summary Notices closely over the next several months for charges you don't recognize, and report anything suspicious.
Will Medicare ever call me to ask for my number?
No. Medicare already has your information on file. If someone calls, texts, or emails asking you to "verify" or "update" your Medicare number, bank account, or Social Security number, it is almost certainly a scam. Hang up and call 1-800-MEDICARE if you want to double-check.
How do I get a new Medicare card if mine is lost or stolen?
You can request a replacement card for free by signing in to your account at Medicare.gov, calling 1-800-MEDICARE, or visiting your local Social Security office. If you believe your number was stolen, tell the representative — in some cases Medicare can issue you a new number.
Do I need to worry about fraud during Annual Enrollment?
Scam activity often picks up during the Annual Enrollment Period (October 15 – December 7) and the Medicare Advantage Open Enrollment Period (January 1 – March 31). Be extra careful about door-to-door visits, cold calls, and social media ads during those windows. Work only with licensed agents you sought out, or get free help from SHIIP. Protecting your Medicare number takes just a few minutes of attention each month — and it can save you from a serious headache down the road. When in doubt, slow down, hang up, and call an official source before you share a single digit.
Sources & further reading
  • Medicare.gov / Senior Medicare Patrol (SMP) fraud resources

For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.

Also for Durham

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This page was last updated: September 2026.

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