国家医保局发布个人骗取医保基金典型案例（第四期）

Core Viewpoint - The National Healthcare Security Administration emphasizes the importance of safeguarding the medical insurance fund, highlighting a zero-tolerance policy towards fraud and misuse of these funds [1] Group 1: Case Summaries - Case 1: In Qinhuangdao, Hebei, an individual named Guan and four accomplices collected over 70 social security cards to fraudulently claim over 120,000 yuan in reimbursements for a drug, which they then sold across multiple provinces [2] - Case 2: In Wuhu, Anhui, a participant named Xiao exploited his medical condition to obtain excess medication, selling the surplus for a total fraud amount of 51,950.91 yuan [3] - Case 3: In Zhengzhou, Henan, Zhang falsified injury details to claim 39,477.26 yuan in reimbursements after already receiving compensation from his employer for a work-related injury [4] - Case 4: In Yantai, Shandong, Wang and two others conspired to misrepresent a work-related injury as a home accident, resulting in a fraudulent claim of 18,070.63 yuan [5] - Case 5: In Benxi, Liaoning, Liu misrepresented a traffic accident to claim 6,549.11 yuan from the medical insurance fund, which was determined to be the responsibility of a third party [6] Group 2: Legal Consequences and Warnings - All individuals involved in the fraud cases faced criminal charges and were required to fully repay the misappropriated medical insurance funds, underscoring the serious legal repercussions of such actions [7] - The article warns the public against engaging in fraudulent activities, emphasizing the importance of adhering to healthcare laws and protecting personal medical insurance rights [7]