1. Lend my social security card to others, designated units or other units for use.

2, a large number of drugs that have nothing to do with my condition or excessive use of drugs and other abnormal medical purchases.

3, using false means such as impersonation, non-medical treatment, and drug purchase to defraud the fund.

4, using forged, altered or altered medical records, prescriptions, illness certificates, birth certificates, medical bills and other means to defraud the medical insurance fund.

5, the use of drugs and other means to defraud the medical insurance fund.

6, providing false medical information or not truthfully reflect the situation.

7, medical insurance review notice served or announced, the parties still refused to accept inquiries, provide medical information or refused to assist in the investigation.

8. other acts of defrauding medical insurance benefits, damaging and infringing on public interests to obtain medical insurance funds, resulting in losses of medical insurance funds.

If an individual commits insurance fraud and the amount of work-related injury insurance is more than 6.5438+0 million yuan, it constitutes the crime of insurance fraud, and criminal responsibility shall be investigated according to law.

Legal basis: Article 87 of People's Republic of China (PRC) Social Insurance Law. Where social insurance agencies, medical institutions, pharmaceutical trading units and other social insurance service institutions defraud social insurance fund expenditures by means of fraud or forgery of certification materials, the social insurance administrative department shall order them to return the defrauded social insurance money and impose a fine of more than 2 times and less than 5 times the amount defrauded.

Article 198 of the Criminal Law of People's Republic of China (PRC) commits insurance fraud under any of the following circumstances, and if the amount is relatively large, it shall be sentenced to fixed-term imprisonment of not more than five years or criminal detention, and shall also be fined not less than 10,000 yuan but not more than 100,000 yuan; If the amount is huge or there are other serious circumstances, he shall be sentenced to fixed-term imprisonment of not less than five years but not more than ten years, and shall also be fined not less than 20,000 yuan but not more than 200,000 yuan; If the amount is especially huge or there are other especially serious circumstances, he shall be sentenced to fixed-term imprisonment of not less than 10 years, and shall also be fined not less than 20,000 yuan but not more than 200,000 yuan, or his property shall be confiscated:

(1) The applicant intentionally fabricates the subject matter of insurance to defraud the insurance money;

(2) The applicant, the insured or the beneficiary fabricates false reasons or exaggerates the loss of the insured accident to defraud the insurance money.

(3) The applicant, the insured or the beneficiary fabricates an insurance accident that has never happened to defraud the insurance money;

(4) The applicant or the insured intentionally causes an insurance accident that causes property losses and defrauds the insurance money;

(5) The applicant or beneficiary intentionally causes the death, disability or illness of the insured to defraud the insurance money.

Whoever commits the acts listed in Items 4 and 5 of the preceding paragraph, which constitutes other crimes, shall be punished in accordance with the provisions of combined punishment for several crimes. If a unit commits the crime mentioned in the first paragraph, it shall be fined, and the directly responsible person in charge and other directly responsible personnel shall be sentenced to fixed-term imprisonment of not more than five years or criminal detention; If the amount is huge or there are other serious circumstances, he shall be sentenced to fixed-term imprisonment of not less than five years but not more than ten years; If the amount is especially huge or there are other especially serious circumstances, he shall be sentenced to fixed-term imprisonment of not less than 10 years. If an appraiser, witness or property appraiser of an insurance accident intentionally provides false documents to provide conditions for others to cheat, he shall be punished as * * * insurance fraud.