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医保卡变“购物卡”?央视曝光大参林、海王星辰等“套”刷医保卡黑链条
Yang Shi Wang· 2025-11-12 07:52
Core Viewpoint - The article highlights the ongoing misuse of medical insurance cards in China, where non-medical products are being fraudulently classified as medical devices to allow consumers to purchase everyday items using their insurance funds [1][3][5]. Group 1: Misuse of Medical Insurance Cards - Various pharmacies are openly promoting the ability to use medical insurance cards for purchasing daily necessities, such as toothbrushes and skincare products, which violates regulations that restrict insurance funds to medical-related expenses [3][5]. - Investigations reveal that some products, like "dental brushes" and "medical dressings," are essentially ordinary items but are labeled as medical devices to facilitate insurance payments [7][10][14][17]. - A significant number of consumers are being encouraged to exploit these loopholes, with online platforms sharing strategies for using insurance cards to buy non-medical items [3][5]. Group 2: Pharmaceutical Companies' Role - Companies are producing everyday products under the guise of medical devices, claiming they are "cleaner and safer" to attract consumers and increase profits [24][26]. - A specific company reported a substantial contract worth 90 million yuan for supplying these products to nearly 20,000 pharmacies, indicating a lucrative market for such practices [26][28]. - The production of these items is described as legal and compliant, as they possess the necessary medical coding to qualify for insurance payments, despite their actual use being unrelated to medical care [30][28]. Group 3: Impact on the Market - In Gansu, a chain of pharmacies is prominently displaying "medical skincare products" that are registered as medical devices, allowing them to be purchased with insurance funds, despite being marketed as regular skincare items [32][34]. - The profitability of pharmacies is closely tied to the ability to process insurance claims, leading to aggressive promotion of these products [38][39]. - A specific company revealed that approximately 60% of its sales in Gansu are processed through insurance payments, amounting to an estimated 6 million yuan being drawn from consumers' insurance accounts [45].
医保卡变“购物卡”?总台《财经调查》曝光“套”刷医保卡黑链条→
Sou Hu Cai Jing· 2025-11-09 12:14
Core Viewpoint - The article highlights the ongoing misuse of medical insurance cards in China, where non-medical products are being fraudulently classified as medical devices to allow consumers to purchase them using their insurance funds, despite regulations prohibiting such practices [1][3][5]. Group 1: Misuse of Medical Insurance Cards - Various stores are openly promoting the ability to use medical insurance cards for purchasing everyday items like toothbrushes and skincare products, which are not intended for medical use [3][7]. - Consumers have reported finding guides online that instruct them on how to exploit their insurance cards for non-medical purchases [3][7]. - The Chinese Social Insurance Law explicitly states that medical insurance funds should only be used for medical-related expenses, yet violations continue to occur [5]. Group 2: Specific Examples of Misclassification - In multiple pharmacies, items such as dental cleaning devices and "medical toothbrushes" are sold, which are essentially regular products but labeled differently to qualify for insurance payments [9][10]. - A pharmacy in Chengdu allowed the purchase of contact lenses labeled as medical devices, despite official confirmation that they should not be eligible for insurance payment [12][14]. - Products like sunscreen sleeves and masks are being marketed as "medical isolation pads" to enable insurance payment, despite their actual use being for sun protection [22][23][33]. Group 3: Company Practices and Financial Implications - Companies are taking advantage of the loophole by branding everyday items as medical devices, thus increasing their market share and profits, with one company reporting a contract worth 90 million yuan for such products [29][31]. - The practice of selling "medical skincare products" in pharmacies is prevalent, with companies reporting significant sales figures, indicating that a large portion of their revenue comes from insurance payments [37][45][53]. - In one case, a company revealed that approximately 60% of its sales in a specific region were made using medical insurance cards, amounting to around 6 million yuan being drawn from consumer insurance funds [53].