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Granny says doctor taught her how to cheat medical aid
By Cai Wenjun |
August 19, 2011, Friday
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Online Edition
Online Edition
A 79-year-old woman and her niece admitted to fraudulently claiming 200,000 yuan (US$31,250) in medical insurance payments using fake medical bills in a Zhabei District People's Court this week.
The elderly Liang Maodi said in the hearing that she learned about the cheating skills from a so-called retired doctor surnamed Xu during a tonic exhibition in Suzhou.
She said 130,000 yuan of the 200,000 yuan she illegally received over recent years had been given to the "doctor" as commission.
The crime was first detected in May last year, when the niece, Liang Meijuan, went to the Zhabei District Medical Insurance Center requesting reimbursement for a 22,000 yuan hospitalization fee after the elder woman was reportedly admitted to a Suzhou hospital in neighboring Jiangsu Province for heart disease and stroke treatment.
Local medical insurance covers Shanghai people's medical fees in other province, while the patient should pay the bills upfront and then request reimbursement in Shanghai using the necessary documents.
However staff found that the medical bill offered by Liang was in a different color from another patient being treated at the same hospital. They called the Suzhou hospital and found out that Liang had not received treatment there.
Officials then investigated all the previous medical bills from Liang and found she had received 13 reimbursements from three hospitals in Suzhou over recent years.
Her niece helped her to claim all the reimbursement in Shanghai, while the elderly woman has lived in Suzhou for years.
Chinese courts usually hand down a lighter punishment for suspects above 75 years old according to the criminal law, said court officials.
The elderly Liang Maodi said in the hearing that she learned about the cheating skills from a so-called retired doctor surnamed Xu during a tonic exhibition in Suzhou.
She said 130,000 yuan of the 200,000 yuan she illegally received over recent years had been given to the "doctor" as commission.
The crime was first detected in May last year, when the niece, Liang Meijuan, went to the Zhabei District Medical Insurance Center requesting reimbursement for a 22,000 yuan hospitalization fee after the elder woman was reportedly admitted to a Suzhou hospital in neighboring Jiangsu Province for heart disease and stroke treatment.
Local medical insurance covers Shanghai people's medical fees in other province, while the patient should pay the bills upfront and then request reimbursement in Shanghai using the necessary documents.
However staff found that the medical bill offered by Liang was in a different color from another patient being treated at the same hospital. They called the Suzhou hospital and found out that Liang had not received treatment there.
Officials then investigated all the previous medical bills from Liang and found she had received 13 reimbursements from three hospitals in Suzhou over recent years.
Her niece helped her to claim all the reimbursement in Shanghai, while the elderly woman has lived in Suzhou for years.
Chinese courts usually hand down a lighter punishment for suspects above 75 years old according to the criminal law, said court officials.
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