Allina Health | Aetna®

ALERT: Potential Genetic Testing Scam 

Recently, the Centers for Medicare and Medicaid Services (CMS) alerted us of a scam designed to generate Medicare member referrals to genetic testing companies. Please read this communication so you know what to watch out for and can help educate your clients.

Agents: Please be wary of any offers of payment in exchange for referrals of Medicare members for genetic testing or other medical services covered by Medicare. This may be part of a scam.

About the scam

The scam is occurring in multiple states at a variety of locations, including places like local health fairs, broker offices, convenience stores, grocery stores and shopping malls.

Based on the limited information we know at this time, it appears that some individuals are offering Medicare beneficiaries a cheek swab for genetic testing as part of a free health screening. Beneficiaries are told they just need to provide a cheek swab, and their ID and Medicare information, to receive their test results. 

Medicare does not pay for these types of genetic predisposition (screening) tests. Additionally, requesting Medicare member information and/or providing it to a lab unnecessarily may potentially result in fraudulent activity.

Agent recruitment tactics

It’s been reported that some entities are recruiting agents and agencies to participate in getting their clients signed up for genetic testing. Agents are given the impression that the program is approved by Medicare and by carriers, which is not true. They charge agents upfront to participate and then pay agents for each client referred for genetic testing.

What you need to know – Your responsibilities as an agent

As an agent representing Allina Health and Aetna Medicare plans, you must follow Aetna and CMS requirements. You’re responsible for knowing the rules and complying with them.

Our stance

We absolutely do not condone or approve of any activities that violate CMS regulations. Any agents found conducting activities that are prohibited by CMS would face corrective action up to termination of their contract (“for cause”).

Remember, you play an important role in preventing fraud and abuse

As one of our contracted agents, you’re required to report all suspected or actual occurrences of non-compliance, fraud, waste or abuse. There are four ways to report potential issues. You can: 

  1. Make an anonymous call to the AlertLine (1-888-891-8910)
  2. Visit AlertLine on the web, at
  3. Write to Compliance, P.O. Box 370205, West Hartford, CT 06137-0205
  4. Email Medicare Compliance at or 

Resources to help you stay compliant 


If you have any questions, just contact your Medicare Broker Manager in Minneapolis listed below. Or you can contact the Aetna Medicare Broker Services Department at 1-866-714-9301 or Business hours are 8 a.m. to 8 p.m. ET, Monday - Friday.

Amy Banker
Allina Health | Aetna Medicare Broker Mgr.
(612) 251-6644
Drew Jessen
Allina Health | Aetna Medicare Broker Mgr.
(612) 423-4451


Allina Health | Aetna is the brand name used for products and services provided by Allina Health and Aetna Insurance Company. Health plans are offered, underwritten or administered by Allina Health and Aetna Insurance Company (Allina Health | Aetna). Allina Health | Aetna is an affiliate of Aetna Life Insurance Company and its affiliates (Aetna). Allina Health | Aetna has sole responsibility for its products and services. Aetna provides certain management services to Allina Health | Aetna.

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