Legal analysis: The standard for filing and prosecuting medical insurance premium, endowment insurance premium, industrial injury insurance premium, unemployment insurance premium and maternity insurance premium is more than 3,000 yuan to 10000 yuan. More than 30,000 yuan100,000 yuan but less than 500,000 yuan may be investigated for criminal responsibility. Fraudulent medical insurance fund shall be treated as fraud. At present, China has officially defined social security fraud as a criminal offence. 1, allowing or inducing 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 to the medical insurance fund. 3, hanging bed in the hospital or will be able to outpatient treatment of insured individuals admitted to hospital. 4, the insured individuals use repeated registration, repeated or no indication of treatment, decomposition of hospitalization and other means of transitional medical care or provide unnecessary medical services. 5, in violation of the provisions of the scope of medical insurance drugs or drug varieties, excessive use, repeated use, illegal use of drugs with special restrictions, or self decomposition, change the prescription, etc. Dispensing medicines for the insured. 6 expenses incurred by non-designated medical institutions shall be incorporated into the expenses of designated medical institutions and settled with medical insurance agencies. 7, to assist the insured person to bear the medical insurance personal account fund or overall fund. 8. Illegal charging behaviors such as raising charging standards, increasing charging items, decomposing charging items, repeating charging, and expanding charging scope without authorization. 9, fraud, false data, etc. Access to medical insurance funds or personal account funds. 10, selling drugs for non-designated drug business units and swiping social security cards on their behalf.

Legal basis: Interpretation of People's Republic of China (PRC) on Several Issues Concerning the Specific Application of Laws in Handling Criminal Cases of Fraud Article 1 Whoever defrauds public or private property in an amount of more than 3,000 yuan but less than 10,000 yuan, more than 30,000 yuan but less than 100,000 yuan and less than 500,000 yuan shall be deemed as "large amount", "huge amount" and "extremely huge amount" as stipulated in Article 266 of the Criminal Law respectively. The higher people's courts and people's procuratorates of all provinces, autonomous regions and municipalities directly under the Central Government may, in combination with the economic and social development of the region, jointly study and determine the specific amount standards implemented in the region within the scope of the amount specified in the preceding paragraph, and report them to the Supreme People's Court and the Supreme People's Procuratorate for the record.