The health insurance bureau raided the pharmacy and was fined.

Two months after the death of the insured person, some people said that their relatives, with their health insurance card to the pharmacy to buy medicine, the result of the health insurance bureau raid, the pharmacy was fined.
Sceress, this is an example, but this matter reveals three aspects of information: First, the management of the health insurance fund still needs to be improved;
health insurance bureau raid, drugstores were fined account readers to the author reflect: Yesterday, their chain of stores by the health insurance bureau penalty.
a man holding a health insurance card claiming to be his father's to buy his father's medicine, and the clerk brushed him boxes of medicine.
the health insurance bureau raided, saying the owner of the card the clerk had swiped had been dead for two months.
health insurance bureau believes that the pharmacy has not done a good job of drug distribution registration problems, in violation of the relevant provisions.
study, gave a warning once, and recovered the violation of the health insurance fund 89.5 yuan.
, the pharmacy should be corrected within 7 days, after the rectification is completed in writing to the medical insurance center, the center in accordance with the relevant provisions of the service agreement for acceptance.
readers believe that there are many reasons for such a thing, social security card does not show whether the insured person is alive or not, and sometimes the wrong brush situation is not accidental.
, he said, on the one hand, men holding their father's health insurance card swipe is a fraud, should be held legally responsible for the loss of national health insurance should be borne.
, the insured person has passed away for two months, not a day or two, and the card has not been written off.
this involves the work of various departments as well as efficiency issues, health care management still has room for improvement.
A third, the pharmacy clerk in my absence, did not strictly follow the person card book carefully checked, in the absence of the patient commissioned his guardian to provide proof of the drug, the pharmacy also has a certain responsibility.
to buy drugs on behalf of, contains the risk platform special contributor code Wanxuan on this matter, said, "as long as the use of impersonation, certainly belongs to the phenomenon of violations, exposing the drugstore involved in the usual management is not strict."
is both reasonable and legal in this matter, the general principle of treatment is that the law is greater than the situation.
"He said, "Pharmacies usually allow families of insured persons with special circumstances to buy drugs on their behalf, which is reasonable, but there is a risk that the conduct itself is not supported by legislation and that fraud may occur."
Once such acts are found in various examinations in the health insurance sector, the legal principle must be adhered to, that is, after the death of the insured person, the balance of his or her personal account for health insurance may be returned to the individual, and his eligibility for insurance coverage and treatment shall be cancelled in a timely manner in accordance with the process of operation.
" he also pointed out that there are many problems at the grass-roots level, but some places are already strengthening this management, he referred to the recent release of relevant documents in Chongqing.
In accordance with the Notice of Chongqing Municipality on Matters Related to Medical Insurance Refunds, if the insurance premium is over-paid by the insured unit or individual due to the preferential treatment of medical insurance contributions or government subsidies, deaths, duplicate contributions, etc., the insured units or individuals may apply for medical insurance refund.
if the insured person dies before January 1 of the next year after the payment has been paid in the next year, the legal heir or designated beneficiary may apply for a refund of the medical insurance fee paid by the individual.
Health insurance inspection, all pharmacies should pay attention to the State Health Insurance Administration issued on September 7 "medical security administrative law enforcement matters guidance directory" pointed out that the administrative departments of medical insurance at all levels to employers and individuals to comply with medical insurance laws and regulations to carry out supervision and inspection.
, medical services and medical expenses included in the scope of payment of the basic medical insurance fund should also be subject to supervision and management.
If the treatment of medical insurance or maternity insurance is fraudulently obtained by fraud, forgery of supporting materials or other means, the administrative departments of medical insurance at all levels shall carry out administrative penalties in accordance with article 88 of the Social Insurance Law and Article 104 of the Basic Medical and Health Promotion Law.
the requirements, the administrative department of social insurance shall order the return of the defrauded social insurance funds and shall be fined between two and five times the amount of the defrauded.
the current situation, the multi-country health insurance bureau has begun to check the retail pharmacies.
September 27, Shandong Province made it clear that from the province's 27,478 fixed-point pharmacies, in accordance with the 1% ratio, publicly pulled out 274 fixed-point pharmacies, unified distribution to 16 cities in the province, the full start of health insurance fixed-point pharmacies "double random one open" supervision work.
June 10, Shaanxi Provincial Health Insurance Bureau, the Drug Administration jointly issued a message that the beginning of July, a three-month period, the two departments will work together in the jurisdiction of the selected drugs to carry out centralized inspection, the sale of chinese medicine retail pharmacies are no exception.
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