1. fictitious medical services, forged medical documents and bills, fraudulent health insurance fund;
2. provide false invoices for the insured;
3. the medical costs that should be borne by the individual to be recorded in the scope of payment of the medical insurance fund;
4. for the people who do not belong to the scope of the medical insurance for the medical insurance Treatment;
5. Providing card-crediting services for non-designated medical institutions;
6. Hospitalization under the name of the hospital;
7. Fraudulent expenditure of the medical insurance fund by exchanging medicines, consumables, goods and diagnostic and therapeutic items;
8. Other fraudulent and deceitful acts of designated medical institutions and their staff.
9. The use of health insurance vouchers to buy and sell illegal profit
10. The health insurance will be lent to others or fraudulent medical
11. Health insurance card violation of cash or purchase of food, daily necessities, etc.
Two, the use of health insurance fraud how to sentence
The use of health insurance fraud sentenced to the same as the ordinary fraud, in accordance with the judicial interpretations of the criminal fraud case Standard 3000 yuan to 10000 yuan or more, to meet the criminal case filing standards. The use of health insurance fraud according to the "Social Insurance Law" and "Criminal Law", health insurance fraud, in addition to the recovery of the amount of fraud, a fine of two to five times the amount of the larger amount of fraud criminal responsibility, as for the larger amount of the specific amount of provincial and municipal regulations are different.
According to the "Supreme People's Court, the Supreme People's Procuratorate on the handling of criminal cases of fraud in the specific application of the law on a number of issues of the Interpretation" of the first article of the fraudulent public and private property valued at more than three thousand to ten thousand yuan, thirty thousand to one hundred thousand yuan or more, more than five hundred thousand yuan, shall be recognized as the "Criminal Law" Article 266 of the "amount of larger", "amount of larger", "amount of larger", "amount of larger", "amount of larger", "amount of larger" and "larger". The amount shall be recognized as "a large amount", "a huge amount" or "a particularly huge amount" as stipulated in Article 266 of the Criminal Law, respectively. "If the amount of fraudulent public or private property is relatively large, the penalty shall be fixed-term imprisonment of not more than three years, criminal detention or control, and a fine or a single fine; if the amount is huge or there are other serious circumstances, the penalty shall be fixed-term imprisonment of not less than three years but not more than ten years, and a fine; if the amount is particularly huge or there are other particularly serious circumstances, the penalty shall be fixed-term imprisonment of not less than ten years but not more than life imprisonment, and a fine or confiscation of property. This Law provides otherwise, in accordance with the provisions.
The elements of insurance fraud are as follows:
1. Object elements
The object of this crime is the ownership of public and private property.
2. Objective elements
This crime to the objective manifestation of fraud, falsification of documents or other means of fraudulent medical social insurance fraud in large amounts.
3. Subjective elements
The subject of this crime is the general subject, where the legal age of criminal responsibility, with the capacity for criminal responsibility of natural persons can constitute this crime.
4. Subjective elements
The subjective aspect of this crime is manifested in the direct intent, and the purpose of illegal possession of public and private property. or other particularly serious circumstances, shall be sentenced to more than ten years of imprisonment or life imprisonment, and shall be fined or confiscated property.