FSS: "Free Medical Treatment Using Real Loss Insurance as Bait... May Involve Insurance Fraud"

[Asia Economy Reporter Changhwan Lee] Mr. A, who underwent cosmetic lower eyelid fat removal surgery and eyebrow incision surgery, received a fine of 1 million won for insurance fraud after being issued a false medical record under the pretext of physical therapy at the hospital's suggestion.

Mr. B, a patient with dry eye syndrome, was prosecuted with a suspended indictment after being deceived by the hospital's proposal that all high-cost procedure fees could be covered by indemnity insurance and receiving multiple false receipts to fraudulently claim insurance money.

It has been pointed out that if the hospital's counseling manager or broker encourages free treatment using indemnity insurance as bait and one complies, they may become involved in insurance fraud, so caution is necessary.

According to the "Financial Tips, Insurance Fraud Prevention Guidelines in Daily Life" announced by the Financial Supervisory Service on the 15th, the number of people caught for insurance fraud last year was 97,629, showing an increasing trend every year.

The Financial Supervisory Service explained that the proportion of ordinary citizens such as office workers, housewives, and students caught for insurance fraud is increasing, and they are mainly unaware that it is a crime and easily get involved due to financial temptation.

A representative type of insurance fraud is excessive treatment using indemnity insurance as bait. Non-medical personnel such as counseling managers (including brokers) check insurance subscription status and then suggest unnecessary treatments and procedures, with patients participating accordingly.

The Financial Supervisory Service emphasized that one must keep in mind that the moment they receive insurance money with documents that differ from the actual medical facts or amounts, thinking "this much should be okay," they can be implicated as insurance fraudsters.

Automobile insurance fraud is also on the rise recently. The typical fraud method involves multiple passengers in a vehicle deliberately causing rear-end collisions by targeting vehicles violating traffic laws at congested intersections and then demanding large settlement amounts.

Insurance fraudsters emphasize the victim's traffic law violations or negligence and force the flustered victim to admit accident responsibility or pay a large amount of cash.

The Financial Supervisory Service stated that if you are involved in a traffic accident suspected of insurance fraud, you should notify the police or insurance company and seek help, carefully decide on on-site settlements, and calmly respond by securing evidence and witnesses.

This content was produced with the assistance of AI translation services.