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Protecting older adults: free Medicare help and how to spot a scam

Last reviewed August 2026

Short answer: For free, unbiased help with Medicare, contact your State Health Insurance Assistance Program (SHIP) — counsellors are trained, independent and do not sell plans. If your income is limited, check Extra Help for prescription costs and Medicare Savings Programs for premium help. Treat any unsolicited call, text or visit asking for your Medicare number as fraud, and report it to 1-800-MEDICARE.

Key takeaways

  • Every state has a SHIP offering free, unbiased Medicare counselling with nothing to sell.
  • Medicare will never call unsolicited to ask for your Medicare number.
  • Extra Help and Medicare Savings Programs can substantially reduce drug and premium costs for qualifying incomes.
  • Pressure and urgency are the reliable signature of a scam, whatever the product.

Free help that has nothing to sell you

The most common problem older adults describe is not a lack of information but a surplus of it, most of it from someone earning a commission. There are three sources that are not selling anything.

  • Your State Health Insurance Assistance Program (SHIP) — free one-to-one Medicare counselling, in every state.
  • 1-800-MEDICARE — the official Medicare helpline, available around the clock.
  • Your local Area Agency on Aging — help with benefits, transport, meals and in-home support.

Programs that lower what you pay

Millions of people who qualify for these never apply, usually because nobody told them the programs exist.

Assistance programs for older adults
ProgramWhat it helps withHow to start
Extra Help (Part D Low-Income Subsidy)Prescription drug premiums, deductibles and copaysApply through Social Security
Medicare Savings ProgramsPart B premiums, and sometimes deductibles and coinsuranceApply through your state Medicaid agency
Medicaid (dual eligibility)Costs Medicare does not cover, including long-term servicesState Medicaid agency
State pharmaceutical assistanceDrug costs, where your state runs a programAsk your SHIP counsellor

The scam patterns that target older adults

These recur every year, and they intensify during Medicare Open Enrollment in October to December when marketing volume is highest.

  • A caller claiming to be from Medicare who needs to verify your number. Medicare does not do this.
  • Free braces, genetic test kits, or medical equipment offered in exchange for your Medicare number.
  • A new Medicare card that requires a fee or your bank details. Medicare cards are free.
  • A plan salesperson who arrives unannounced at your door — unsolicited in-person marketing of Medicare plans is prohibited.
  • Anyone insisting you must decide today or lose your benefits.
  • A caller who already knows some of your details. Knowing your name and address proves nothing.

If it has already happened

There is no embarrassment in this: these operations are professional and they target everyone. Act quickly and use the free routes.

Call 1-800-MEDICARE and your plan, report to IdentityTheft.gov, contact your bank if any payment details were given, and tell your SHIP counsellor so they can help check your statements. If services you never received appear on a Medicare Summary Notice, read our medical identity theft page for the record-correction steps.

Sources

Every resource on this page is a free government or federally funded service. Check the primary sources below for current contact details and eligibility.

HealthQuotes AI is not a government agency, a medical provider or a crisis service, and does not provide medical, tax or legal advice. This page points to official free resources. See our editorial policy.

Frequently asked

Is there free help with Medicare decisions?

Yes. Every state runs a State Health Insurance Assistance Program (SHIP) providing free, unbiased one-to-one counselling from people who do not sell plans and earn no commission.

Will Medicare ever call me to ask for my Medicare number?

No. Medicare does not make unsolicited calls asking you to verify or provide your number. Treat any such call as fraud and report it to 1-800-MEDICARE.

What is Extra Help?

Extra Help, also called the Part D Low-Income Subsidy, reduces prescription drug premiums, deductibles and copays for people with limited income and resources. You apply through Social Security, free of charge.

Can someone come to my door to sell a Medicare plan?

Unsolicited door-to-door marketing of Medicare plans is not permitted. If someone arrives uninvited, do not share your Medicare number, and report the contact to 1-800-MEDICARE.