What counts as TRICARE fraud
TRICARE is run by the Department of War / Defense Health Agency. Common schemes include:
- Billing TRICARE for services not provided
- Compounded drug and lab test schemes
- Kickbacks for referring service members
Honest mistakes and disputes over a single bill are not fraud. Fraud means someone knowingly took money they were not entitled to.
Where to report it
| Contact | Handles |
|---|---|
| Defense Health Agency Program Integrity | TRICARE provider and beneficiary fraud |
| America.gov/fraud (WHIP reward portal) | Required route if you want a WHIP award of $10,000–$30,000 |
Can you get a reward?
Yes. Department of War / Defense Health Agency programs are covered by the federal Fraud Whistleblower Incentive Program (WHIP): a written tip that leads to criminal charges can earn $10,000–$30,000. For larger frauds, the False Claims Act pays 15–30% of what the government recovers.
- WHIP: submit in writing at America.gov/fraud, include your contact details, and do not take part in the fraud. Step-by-step guide.
- False Claims Act: a sealed lawsuit filed through a lawyer; worthwhile mainly for frauds of $1 million or more. Compare the routes.
- State laws: many states have their own false claims acts. Check your state's page in the case database.
Estimate your own case with the reward calculator.
What to include in your report
- Who: names of people and businesses, addresses, provider or license numbers if you have them
- What: the service, benefit or loan involved and what was wrong with it
- When and how often, and roughly how much money
- How you know: what you saw, and any documents or photos you are allowed to share
Where TRICARE fraud is being prosecuted
States with the most TRICARE announcements in our database since January 20, 2025; the largest amount named is $1.2B (billed):
| State | Announcements |
|---|---|
| Texas | 8 |
| New Jersey | 4 |
| New York | 4 |
| California | 4 |
| Georgia | 3 |
| Massachusetts | 2 |
| Maryland | 2 |
| South Carolina | 2 |
Recent TRICARE fraud cases
Source: U.S. Department of Justice press releases. Charged cases are allegations. All 47 TRICARE announcements
Frequently asked questions
Where do I report TRICARE fraud?
Defense Health Agency Program Integrity: TRICARE provider and beneficiary fraud. America.gov/fraud (WHIP reward portal): Required route if you want a WHIP award of $10,000–$30,000.
Can I get a reward for reporting TRICARE fraud?
Yes. Department of War / Defense Health Agency programs are covered by the federal Fraud Whistleblower Incentive Program (WHIP): a written tip that leads to criminal charges can earn $10,000–$30,000. For larger frauds, the False Claims Act pays 15–30% of what the government recovers.
Can I report TRICARE fraud anonymously?
Most inspector general hotlines accept anonymous tips. To be paid a WHIP award, though, you must give contact information and disclose your identity to the Justice Department before payment; you can stay anonymous during the process only through a lawyer.
How common is TRICARE fraud prosecution?
Our database has 47 Justice Department announcements involving TRICARE since January 20, 2025, counting each press release separately.