She declared 800 euros of monthly income, applied for social assistance and benefited from Universal Health Coverage (CMU), as specified. France 3. Yet this pharmacist from Saint-Fons, in the south of Lyon, had more than 1.3 million euros in her bank accounts.
She was arrested on September 21, 2016, and tried for a fraud at the Primary Health Insurance Fund (CPAM) of the Rhône. The amount of damage is estimated at 2.2 million euros. The 48-year-old practitioner received undue reimbursements from Social Security for two years. For this, she amended the prescriptions of her clients. She added prescriptions to those received by mail, favoring heavy treatments, and always the most expensive.
Abnormal increase in turnover
This mother-of-two’s merry-go-round came to light when Social Security began to wonder that her pharmacy’s turnover was increasing by 25% a year. “For example, all of a sudden there were a lot more HIV-positive people in his pharmacy with boxes of drugs at 1,000 euros”, wrote France 3 in 2016, taking the information from a police source.
She was sentenced at first instance to 5 years in prison. The Advocate General requested on appeal six years, two of which were suspended. Thursday April 5, the Lyon Court of Appeal reduced the sentence to 3 years in prison and a fine of nearly 1 million euros.
Read also :
Social Security fraud: a Toulouse doctor in police custody
Social security scam: a nurse and a midwife sentenced to one year in prison
What are the drugs that cost the Social Security the most?
