As background she doesn’t live in the US and is a greencard holder. She came to visit and got a US phone number, which she is still using now from abroad to continue to call.
Im just curious how she is even entitled to benefits when many Americans are without health insurance and she has never worked a day in her life.
I learned of this because a letter came to the house with her telephone appointment date.
Honestly, if she werent so abusive and nasty to me, I would look the other way, but this feels like fraud to me.
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I think that is fraud

Nope. If she’s abusive and nasty I’d silently report her as fraud since she is not in the US.
Plus she’s abusing our tax dollars that she’s not entitled to.