In 2024, 628 million euros in fraud were detected and stopped, announced health insurance. On networks, Internet users denounce those who take advantage of the system …
Unjustified expenses, false work stoppages, fraud to hearing aids, double invoicing of the same care, false orders or digital fraud, invoicing of unpaid acts … Frauds to health insurance, in all their forms, continue to increase in France. So much so that Social Security deploys new means to fight against these abuses. In 2024, “628 million euros in fraud were detected and stopped, a record amount, up almost 35 % compared to 2023” specifies a report of March 20. Health insurance hardens the tone with more contentious actions: criminal procedures, administrative sanctions and financial penalties which concerned more than 9 in 10 cases of the insured, mainly for false work stoppages.
But another type of fraud draws the attention of health insurance: these are increasingly controlled health centers. And for good reason: “Certain establishments, more guided by financial interests than by the issuance of quality care to social insured, have thus billed unrealized or not necessary medical acts, often by bypassing the rating rules “ explains the CPAM. Some insured people benefit from this system, especially when care is taken care of by health insurance.
Michelle, whom we interviewed, long needed special care following a stroke she had at the age of 40. Now 60 years old, she continues to go to thermal cures every year for a stiff neck that continues. A care that makes her good and which is recommended to her by her doctors, even if she believes that she is better. “”I’ve been doing my treatment for 20 years every year“, She confides to us. If these care is useful to him, this is not necessarily the case for others. On social networks, some Internet users are loudly denouncing abuses. “A Patient Farter of Thuns will make an annual cure for” digestive disorders “, covered by health insurance, the accommodation being reimbursed up to € 1,200 for two by the mutual“, advance @Dermatopoullos on X.
But then, what do we risk in the event of social security fraud? The French administration site recalls the sanctions which can, depending on the situations, go from a simple warning to a prison sentence, of course by reimbursement of the sums unjustly received. The insured can also see his social benefits suspended and receive a fine.
