| As everybody aware, monthly premium for | | | | how. Normally the insurance company will pay the |
| health insurance is getting higher and higher which | | | | charges that the clinics and hospital charged the |
| make us the consumer the victim. Nevertheless | | | | policy owner for any service the policy owner go |
| this high premium is the effect a very high rate | | | | for. On top of that the clinics and hospital will also |
| of health insurance fraud. The health insurance | | | | get some reimbursement from the insurance |
| industry has been fighting continuously these fraud | | | | company. So here is where the health insurance |
| cases and has been spending a lot of money on | | | | fraud can happen. Clinics and hospital that have |
| investigation and prosecution, thus they try to | | | | intention to make fraud, they will claim a higher |
| gain back their losses by charging us high | | | | value than they suppose to charge for their |
| premiums, the policy owners. Most of us do not | | | | service to the insurance company. Or maybe |
| understand or worst do not aware at all about | | | | they provide some fake document and claim for |
| health insurance fraud. Heath insurance fraud is | | | | some service they actually did not perform. |
| one of the most serious cases of fraud which we | | | | People are getting more and more creative |
| as a policy owner must take it as serious matter. | | | | nowadays. All the tactics of health insurance fraud |
| On top of that to go a bit deeper, a policy owner | | | | discuss earlier is now common and have been |
| should realize what it really mean by health | | | | identified long ago. To explain more about the |
| insurance fraud what it could cause, so we will not | | | | types of fraud, recently the industry had |
| be part of the agenda. | | | | discovered a new way on how people trying to |
| What do we mean by Health insurance fraud? In | | | | perform this health insurance fraud. Now the |
| easy word health insurance fraud can be explain | | | | culprits are not targeting the insurance company |
| as the activity of trying to cheat the insurance | | | | anymore but the policy owner itself. There is now |
| company by giving false cases or information in | | | | a syndicate where phony insurance company is |
| order to get the insurance benefits. For an | | | | form and trying to get customer which is |
| example, you claim the insurance company for a | | | | desperate for insurance with a very low premium |
| reimbursement on a medical treatment expenses | | | | rates. At the beginning they jut operate like a |
| which you don't do and provide fake document to | | | | normal insurance company, paying for small |
| support it. Another example of good health | | | | medical claim and so on. When things getting |
| insurance fraud is trying to get a non-policy holder | | | | serious and policy owner need more expensive |
| to gain the same benefits as a policy holder by | | | | treatments, suddenly this company vanished with |
| manipulating some fakes document. In case | | | | all your premiums money living you in despair. |
| where sometime your beloved one like your | | | | The basic precaution for this kind of fraud is just |
| sister need some medical intention and she did not | | | | a very basic common sense which we could |
| have any insurance covered, most people will do | | | | apply. If an offer is too good to be true, there |
| this and consider it as small matter. In reality it will | | | | must be some fishy thing is going on and try not |
| give a big implication to the insurance industry and | | | | to get involved in this kind of offer. On the other |
| the consumer and on top of that one can be | | | | we as the policy owner please be honest to our |
| jailed if caught doing so. | | | | self and don't cheat just to fulfill our needs. There |
| You will be surprise that not only policy owner | | | | is a lot more people who actually really need the |
| that perform this health insurance fraud, another | | | | money from the insurance company for major |
| party that is capable of doing it is the service | | | | reason. It will also control the insurance industry |
| providers like clinics and hospitals. Let me explain | | | | by limiting the increase of the premium payments. |