HCSC Compliance Program

Report Fraud Issues Anonymously – Available 24/7. You can contact us at 1-800-543-0867.

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HCSC Takes Compliance Seriously

Health Care Service Corporation (HCSC) and its subsidiaries are founded on the basic principles of good business behavior. Among these principles are a commitment to the highest standard of business ethics and integrity.

This includes strict observance of and compliance with the laws and regulations governing the business operations of HCSC and its majority-owned (greater than 50%) subsidiaries, and in particular, the services that it performs or has delegated to others to perform pursuant to its government programs.

The Compliance Program demonstrates the Company’s commitment to full and comprehensive compliance with all Applicable Laws and regulations, Exchange requirements and contract terms and conditions, including, without limitation, the Company’s obligation under Medicare Advantage [including Dual Eligible Special Needs Plans (D-SNPs)], Medicare Part D, Medicare-Medicaid Plans (MMPs), Medicaid and/or Government Sponsored Children’s Health Insurance Program (herein “CHIP”) contracts, and Individual and Family Markets and Commercial Group health plans (hereinafter collectively referred to as “Government Programs”).

How Does HCSC Fight Fraud, Waste and Abuse?

We believe that fighting fraud, waste and abuse (FWA) is everyone's responsibility. HCSC provides resources and training to educate on how to recognize and report fraud, waste and abuse.

Fraud, Waste and Abuse Resources HCSC Annual Fraud, Waste and Abuse Training

How Does HCSC Maintain Government Programs Compliance?

Any individuals who impact HCSC's government programs are expected to abide by HCSC's Compliance Program, which includes a section specific to Government Programs, the HCSC Code of Ethics and Conduct and Government Programs Compliance Policies. You can review these documents and additional resources here.