Scambook: How Meta helps Medicare scammers target seniors


Center for Countering Digital Hate | A report from the CCDH outlines how Meta has profited at least $12 million in a single year by allowing ads that specifically target older adults in Medicare Advantage scams.

The ads promise thousands of dollars of free benefits through Medicare. Instead of delivering on the promise of free groceries and rent, the organizations behind the ads use respondents' personal data to manipulate people into switching to Medicare plans with higher costs and reduced access to medical care.

Ads from 30 of the top Medicare scammers generated 215 million impressions on Facebook in the past year, six times the reach of all previous years on record combined.

The ads use tactics that violate Meta’s advertising rules, including promoting:

  • Non-existent free benefits

  • Impersonation of government agencies

  • AI-generated endorsements from Joe Biden, Oprah Winfrey, Donald Trump, and others

  • Fake enrollment deadlines to create a sense of urgency

Meta routinely removes ads, but they’ve often generated millions of dollars for Meta before they’re removed. The longer an ad runs, the more revenue they provide. They’re quickly replaced with identical copies, and disabled advertiser accounts are quickly replaced as well.

The report aligns with last year’s Reuters investigations that exposed Meta’s own internal documentation related to revenue from and handling of ads for scams and banned goods.

Key findings from the CCDH report:

  • Meta is helping Mediacare scammers reach more users and target seniors

  • Meta fails to take action against Medicare scams

  • Policymakers must introduce reforms to hold platforms like Meta accountable

Self-Regulation by Social Media Platforms Is Not Working

Review the full report to see CCDH’s specific policy recommendations to address the surge of fraudulent Medicare Advantage ads on social media platforms. CCDH provides specific recommendations for:

  • Federal Reforms to Section 230

  • The Federal SCAM Act

  • State Legislation on Liability for Deceptive Acts, Know Your Advertiser Safeguards, and Reporting Requirements

Download Scambook: How Meta helps Medicare scammers target seniors

About CCDH

The mission of the Center for Countering Digital Hate is to make the internet safer. Social media and AI companies erode basic human rights and civil liberties by enabling the spread of online harms. These companies deny the problem, deflect the blame, and delay taking responsibility. The CCDH holds them accountable and responsible for their business choices by highlighting their failures, educating the public, and advocating change from platforms and governments to protect our communities.


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