Medical Insurance Fraud

Medical Insurance Fraud occurs when a claimant attempts to claim a medical benefit they are not entitled to or an insurer denies a medical benefit they are obliged to provide. Medical insurance fraud can also happen when an individual provides false information to an insurance company by seeking compensation for a service that they never received. For example, providing a false receipt for a paramedical expense that was never incurred in order to obtain a monetary refund is medical insurance fraud.

This type of fraud can attract a wide range of sentences under the Criminal Code, ranging from probation to up to 14 years in jail, depending on the circumstances, the sophistication of the scheme, and the amount of financial loss.