国家医保局发布个人骗取医保基金典型案例

Core Viewpoint - The National Medical Insurance Administration emphasizes the importance of safeguarding the medical insurance fund and has released five typical cases of individual fraud to strengthen legal awareness and deter fraudulent activities [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 obtain 120,000 yuan in reimbursements for a drug, which they then sold in other provinces [2] - Case 2: In Wuhu, Anhui, an individual named Xiao exploited his medical condition to obtain excess medication, selling the surplus for a total fraud 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 accomplices misrepresented a work-related injury as a home accident, resulting in a fraudulent claim of 18,070.63 yuan [5][6] - Case 5: In Benxi, Liaoning, Liu misrepresented a traffic accident to claim 6,549.11 yuan from the medical insurance fund, which was ultimately recovered [7] Group 2: Fraud Patterns and Consequences - The five cases illustrate two main types of fraud: selling medical drugs and falsifying documentation to claim reimbursements [8] - All individuals involved faced criminal penalties and were required to fully repay the defrauded medical insurance funds, highlighting the serious legal repercussions of such actions [8] - The National Medical Insurance Administration warns the public against engaging in fraudulent activities, stressing the importance of adhering to medical insurance laws and protecting personal rights [8]