国家医保局公布5起个人骗取医保基金典型案例

Core Viewpoint - The National Healthcare Security Administration (NHSA) has released five typical cases of individuals fraudulently obtaining medical insurance funds to strengthen legal awareness and deter fraudulent activities in the healthcare system [1] Group 1: Case Summaries - Case 1: In Qinhuangdao, Hebei Province, an individual named Guan and four accomplices collected over 70 social security cards to fraudulently claim over 120,000 yuan from medical insurance by purchasing and reselling a drug called Semaglutide [2] - Case 2: In Wuhu, Anhui Province, an individual named Xiao exploited his medical condition to fraudulently obtain and sell excess medication, resulting in a total fraud of 51,950.91 yuan [3] - Case 3: In Zhengzhou, Henan Province, Zhang falsified injury details to claim 39,477.26 yuan from medical insurance, despite already receiving compensation from his employer for a work-related injury [4] - Case 4: In Yantai, Shandong Province, Wang and two accomplices misrepresented a work-related injury as a home accident to fraudulently claim 18,070.63 yuan from medical insurance [5][6] - Case 5: In Benxi, Liaoning Province, Liu was involved in a traffic accident and falsely reported the circumstances to claim 6,549.11 yuan from medical insurance, leading to criminal charges [7] Group 2: Legal Consequences and Warnings - All individuals involved in these cases faced criminal penalties and were required to fully repay the fraudulently obtained medical insurance funds, highlighting the serious legal repercussions of such actions [8] - The NHSA emphasizes the importance of adhering to healthcare laws and regulations, urging the public to resist the temptation of fraud and to report any suspicious activities to protect the integrity of the medical insurance system [8]