Buying medicines in the swipe of social security cards and then resale is fraudulent insurance

On September 19, the Fuzhou Medical Insurance Bureau issued a reminder: buying non -medical insurance medicines with social security cards, swiping cards to buy medicine, etc., which is a fraudulent insurance behavior. Citizens find fraudulent insurance behaviors to call 0591-88609619.

Case 1: Buy health care products for swiping social security cards

When Ms. Wang purchased medicines in the pharmacy, the clerk secretly informed that the pharmacy was holding a store celebration. Customers could use social security cards to swipe non -medical insurance medicines, or they could choose 70 % cash back. Under the persuasion of the clerk, Ms. Wang bought a box of health products. After returning home, Ms. Wang inquired on the Internet and found that this approach was wrong, so she took the initiative to call the Municipal Medical Insurance Bureau to report the pharmacy.

"In this case, insured persons should take the initiative to refuse and complain in a timely manner." The relevant personnel of the Municipal Medical Insurance Bureau said, "Social security cards purchase health products, or cosmetics, daily necessities and other non -medical items. ","

Case 2: Swipe your card to buy medicine and then resale

During the hospitalization, Ms. Li met Aunt Sun. After learning that Aunt Sun needed to take a certain medicine for a long time, Ms. Li thought of buying drugs with her social security card and then resale to Aunt Sun. The medical staff discouraged Ms. Li in time after learning about it.

"According to the" Regulations on the Supervision and Administration of Medical Security Fund ", insured personnel shall not use their opportunities to sell medical security treatment to resold drugs, accept cash, physical or other illegal benefits. Relevant personnel of the Municipal Medical Insurance Bureau said that designated pharmaceutical institutions must not provide convenience for the above behavior of insured persons.

Case 3: illegal setting medical insurance fund

Mr. Lin found a large number of advertisements for helping the medical insurance fund in the elevator in the community. It was illegal to use the social security card to pick up the medical insurance fund, and Mr. Lin reported a complaint.

The "Social Insurance Law of the People's Republic of China" stipulates that "submit my medical security voucher to others' names", "Repeat medical security treatment", "use the opportunity to enjoy medical security treatment to resold drugs, accept cash, physical or other illegal benefits "If there is one of the above situations, the medical security administrative department shall order correction; if the medical security fund losses will be ordered, it shall be ordered to return; if it is an insured person, the network of medical expenses will be suspended for 3 months to 12 months.

Relevant personnel of the Municipal Medical Insurance Bureau stated that individuals should implement one of the above -mentioned acts for the purpose of deceiving the medical security fund to cause loss of medical security funds; or use other people's medical security vouchers Relevant information such as hiding, altering, and destroying medical documents, or fictional medical service projects, and other methods to deceive the expenditure of medical insurance funds, in addition to the treatment in accordance with the above provisions, the medical security administrative department will defraud it with a fine of 2 times and 5 times the amount of less than 5 times the amount. Essence

(Fuzhou Evening News reporter Li Hui)

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