Be careful to be deceived!Take care of your "life -saving money", you must understand this →

Author:Shanghai Xuhui Time:2022.07.11

Weaving Secret Fund Supervision Network, building a medical insurance protection line

Fraud in medical insurance knowledge

Each of us is facing uncertain disease risks. Medical insurance funds are used to prevent mutual help to prevent the risk of medical expenses. But which illegal acts are stealing the "life -saving money" of ordinary people?

1. Dear insured behavior of insured persons:

Do not submit your own medical security voucher to others;

Do not enjoy medical security treatment repeatedly;

Do not use the opportunity to enjoy medical protection treatment to resold drugs, accept cash, physical or other illegal benefits;

Do not use other people's medical security certificates to seek medical treatment and purchase medicine;

It is not allowed to obtain medical security fund expenditures by falsifying, altering, concealment, altering, destruction of medical documents, medical certification, accounting vouchers, electronic information, etc. or fictional medical service projects.

If the insured violates the regulations, it must not only return the medical insurance fund loss, but also be suspended for the medical expenses to settle for 3-12 months;

Those who deliberately deceive the medical insurance fund will also be fined 2-5 times the amount of the medical insurance fund, which constitutes criminal criminal liability in accordance with the law.

2. Fraud in a fixed -point medical institution:

3. Fraud in a fixed -point pharmacy:

If a fixed -point pharmaceutical institution violates the regulations, it will order correction and return the loss of the medical insurance fund caused by the cause of the loss of more than 2 times or less;

Those who refuse to correct or cause serious consequences shall be ordered to suspend the suspension of the relevant responsible departments of the relevant responsible departments for less than 1 year and 1 year.

If you deliberately deceive the medical insurance fund, the fines of more than 2 times more than 5 times the amount of the officer shall be ordered; or order the designated pharmaceutical institution to suspend the relevant responsible departments of the relevant responsible department for 6 months or less. Lift the service agreement; those who have professional qualifications shall revoke the qualifications of practice in accordance with the law.