倒卖药品、伪造材料…… 5起骗保案接连公开
Jin Rong Shi Bao·2025-12-02 11:22

Core Viewpoint - The National Medical Insurance Administration has revealed five typical cases of individuals fraudulently obtaining medical insurance funds, involving illegal activities such as the resale of medical drugs and the fabrication of proof materials [1] Group 1: Types of Fraud - The fraudulent activities include both the resale of medical drugs by insured individuals and the use of false proof materials to claim medical reimbursements [1] - Specific cases highlight individuals exploiting special disease treatments and low-income insurance benefits to illegally profit from excess prescriptions [1] Group 2: Case Summaries - In Hebei Province, an individual named Guan collected over 70 social security cards to fraudulently claim over 120,000 yuan in medical reimbursements by purchasing and reselling a drug called Semaglutide [2] - In Anhui Province, a person named Xiao exploited his low-income insurance status to fraudulently claim 51,950.91 yuan by selling excess medication prescribed for his condition [3] - In Henan Province, Zhang was found to have fabricated injury details to claim 39,477.26 yuan in reimbursements, leading to criminal charges and penalties [4] - In Shandong Province, Wang and his accomplices were involved in a scheme to misrepresent a work-related injury as a home accident, resulting in a fraudulent claim of 18,070.63 yuan [5][6] - In Liaoning Province, Liu was implicated in a case where he misrepresented a traffic accident to claim 6,549.11 yuan from the medical insurance fund, with the case currently under investigation [7]