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What are the penalties for Zhuzhou's illegal use of medical insurance?
What are the penalties for Zhuzhou's illegal use of medical insurance?

In any of the following circumstances, the medical insurance department shall order it to make corrections; Causing losses to the medical insurance fund, shall be ordered to return; For the insured, the online settlement of medical expenses will be suspended for 3 months to 12 months:

1. Give my medical insurance certificate to others under a pseudonym;

2 repeated enjoyment of medical insurance benefits to defraud the medical insurance fund;

3. Use the opportunity to enjoy medical insurance benefits to resell drugs and accept cash back, in kind or obtain illegal benefits;

In addition, an individual commits one of the acts listed in the preceding paragraph for the purpose of defrauding the medical insurance fund, causing losses to the medical insurance fund; Or using another person's medical insurance certificate to seek medical treatment or purchase medicine; Or by forging, altering, concealing, tampering, destroying medical documents, medical certificates, accounting vouchers, electronic information and other related materials or fictional medical service items, the medical insurance department shall, in addition to handling them in accordance with the provisions of the preceding paragraph, impose a fine of not less than 2 times but not more than 5 times the amount defrauded. If a crime is constituted, criminal responsibility shall be investigated according to law.

Who is suitable for medical treatment in Zhuzhou?

Zhuzhou medical insurance cross-provincial direct settlement object is as follows

Applicable object:

(1) Resettlement of retirees in different places: those who have settled in different places after retirement and whose household registration has moved to their place of residence.

(2) Long-term residents in different places: people who live in different places for a long time and meet the requirements of the insured place.

(3) Resident staff in different places: personnel who are sent by the employer to work in different places and meet the laws and regulations of the insured place.

(4) Referral (emergency) personnel from different places: those who meet the requirements of referral (emergency) in the insured place.

The concept of direct settlement of hospitalization expenses in different provinces of basic medical insurance;

Eligible insured persons go to the designated medical institutions outside the province for medical treatment. Before medical treatment, they can go through the filing and registration formalities at the agencies of the insured place according to the law. When they go through the discharge settlement, they only need to pay the part of the hospitalization medical expenses paid by the individual, and the medical insurance fund pays the part directly at the settlement window of the medical institution. It is not necessary to go to the agencies of the insured place to fully reimburse the medical insurance expenses.

Treatment method:

1. medical insurance bureau, Hunan Province

2. WeChat official account? Zhuzhou medical insurance?