Penalties for defrauding medical insurance: First, recover the money cheated by medical insurance according to law; In addition, according to the seriousness of the case, a fine of more than two times and less than five times the amount of fraud will be imposed. If it constitutes a crime of fraud, it needs to bear criminal responsibility.

In recent years, cases of defrauding social insurance benefits such as pension, medical care, work injury, etc. or other social insurance benefits have occurred from time to time. In some places, there have even been organized behaviors of defrauding social insurance benefits or other social insurance benefits. Medical insurance fraud has the following penalties:

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According to Article 88 of the Social Insurance Law:

Whoever defrauds social insurance benefits by fraud, forgery of certification materials or other means shall be ordered by the social insurance administrative department to return the defrauded social insurance benefits, and a fine of not less than two times but not more than five times the amount defrauded shall be imposed.

In the chapter on legal liability, the Social Insurance Law stipulates administrative penalties for defrauding social insurance money and social insurance benefits by fraud, forgery of certification materials or other means, and stipulates that if a crime is constituted, criminal responsibility shall be investigated according to law. The act of defrauding social insurance benefits such as pension, medical care and work-related injury or other social insurance benefits is the same as the act of defrauding public and private property stipulated in the criminal law and has great social harm. If a crime is constituted, criminal responsibility shall be investigated according to law.

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For hospitals that are hospitalized like mortgage social security cards and charge 1 week 100 yuan, the defrauded medical insurance pooling fund shall be recovered in advance according to law; Then impose a fine of twice the amount of fraud on the designated hospital; The hospital was ordered to make a written examination in accordance with the relevant provisions of medical insurance and make rectification for three months, and it was required that the insured patients should not be admitted during the rectification period. If the rectification period fails to meet the requirements, the qualification of the designated medical institution for medical insurance in this hospital shall be cancelled according to the regulations.

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In short, the act of defrauding medical insurance is also a fraudulent act, which needs to be punished accordingly and has a bad influence.