Suva: Increase in insurance fraud
Suva investigated more than 2200 suspected cases of insurance fraud in 2020. Many insured persons are honest. But there are also black sheep among doctors and hospitals who bill for false hours and services.
In a statement, Suva reports an increase in suspected cases of insurance fraud. In total, Suva investigated 222,000 cases last year in which a daily allowance or pension was paid out. In 2236 suspected cases (an increase of 23.6 percent), unjustified benefit payments of 12.6 million francs were prevented.
The black sheep lurk in various places. A small but active segment of health care providers, such as physicians and hospitals, intentionally bill inaccurately or incorrectly in order to receive more benefits. A doctor for example recorded more than 24 working hours and issued invoices on days when he was demonstrably on vacation. In some cases, treatments were also billed as outpatient services before or only after a hospital stay. The total loss for all health and accident insurers affected amounted to more than 2.7 million Swiss francs. However, an overwhelming majority are honest, Suva writes.
Source: Suva
