Exchange of drugs, diagnosis and treatment items, medical materials, medical service facilities or daily necessities, health care products and other expenses. It is an act of defrauding the medical insurance fund to apply for medical insurance settlement and collect funds for expenses within the scope of medical insurance policy outside the scope of medical insurance payment.

You can't use the medical insurance card to brush health care products.

Medical insurance fund fraud

1. Allow uninsured individuals to be hospitalized in the name of the insured;

2. The medical expenses paid by the insured person at his own expense shall be declared and paid by the medical insurance fund;

3. The insured person who hangs a bed in the hospital or can be treated in outpatient service is admitted to the hospital;

4. Excessive medical treatment or providing unnecessary medical services by means of repeated registration, repeated or no indication treatment, decomposition of hospitalization, etc. for the insured individual;

5. In violation of the scope of medical insurance drugs or drug varieties, excessive, repeated and illegal use of drugs with special restrictions, or dispensing drugs for insured individuals by decomposing or changing prescriptions;

6. The expenses incurred by non-designated medical institutions shall be incorporated into the expenses of designated medical institutions and settled by medical insurance agencies;

7 to assist the insured individuals to obtain medical insurance personal account fund or overall fund;

8. Unauthorized raising of charging standards, increase of charging items, decomposition of charges, repeated charges, expansion of charges and other illegal charging behaviors;

9. Obtaining medical insurance funds or personal account funds by means of false reports or false data transmission through fraud;

10. Selling drugs for non-designated drug business units and swiping social security cards on their behalf;

1 1. Change the expenses of drugs, diagnosis and treatment items, medical materials, medical service facilities or daily necessities, health care products outside the scope of medical insurance payment into expenses within the scope of medical insurance policy, apply for medical insurance settlement, and collect funds to pay;

12. Forge or use medical documents such as false cases, prescriptions, inspection reports and disease diagnosis certificates to defraud the medical insurance fund;

13. using false medical bills for reimbursement;

14. Other acts that violate the relevant provisions of social insurance and cause losses to the medical insurance fund.

Buying nourishing health care products with the medical insurance card of Resources People's Network belongs to fraudulent insurance.