Social Security uncovers record fraud of €3.7 million
Health Insurance has uncovered or stopped financial damage of €3.7 million in 2025, representing a 35% increase compared to 2024. Healthcare practitioners account for 85.5% of the disputed sums.
Social Security uncovers record fraud of €3.7 million
Health Insurance has published unprecedented figures concerning fraud in 2025. The institution identified or prevented damage of €3.7 million, marking a 35% increase compared to the previous year. These disputed amounts constitute only a minimal portion of the €1.62 billion in benefits distributed.
Healthcare practitioners rank at the top of the list of those responsible for these frauds, accounting for 85.5% of the sums involved. Scheme beneficiaries come far behind (9.4%), followed by hospital facilities (5%) and companies (0.1%).
A high-profile case emerged in Poitiers in mid-2025. The ophthalmology department located on Porte de Paris had its accreditation with the health insurance fund withdrawn following several inspections. The financial loss was estimated at nearly half a million euros. The dispute concerned the categorisation of care provided and the qualifications of healthcare staff.
The medical transport sector ranks second among the most affected sectors. Abuses frequently involve inflating distances billed. Pharmacies follow, with some accused of illegally extending prescriptions or providing quantities exceeding prescriptions. The fund contacted the Pharmacy Association during the past year.
Nursing professionals are also subject to increased scrutiny for irregularities involving mileage allowances and cases of multiple billing. Among hearing aid professionals, dysfunctions decreased in 2025 following the revelation in the previous year of a large-scale fraudulent system. Equipment billed but never supplied to users had been identified.
Among insured persons, fraud primarily concerns sick leave. Forged certificates, falsified pay slips, identity theft and engaging in paid activity during work leave constitute the main schemes identified. Since early June, the fund has revised its verification procedures to examine absence durations earlier, without waiting for the end of the semester.
Sick leave increases by 2% annually since the pandemic. The organisation paid out €65.9 million in daily allowances during 2025.
Source: Le7.info
Source: Google News MA — Crime (fr)