I swear it's a strange world..whatever happened to honest living?

A friend of mine with an individual medical cover is planning to look for a friendly hospital so that he is "admitted" there and the bill runs to 2.5m and once he is "discharged" the hospital refunds him 1.5m and keeps the remainder.

, a condition requiring that much will have to involve some major surgical operation - someone willing to have a scalpel rip through their body will have worked for that cash.

A friend of mine.. Milking the insurance dry....Honestly if one can go to such extent, he also needs to see Dr Frank just in case he is on his way to the mental hospital.

Hii utashikwa. Insurers have doctors and pharmacists on payroll who examine courses of treatment (diagnosis processes, fees, procedures and drugs prescribed).
This is an exact science....Sometimes even figures like 150,000/- invite keen examination, wacha hiyo yako ya 2.5 million ...things like prescription of fancy drugs when there are equivalent generics will get somebody under the radar ...remember doctors and pharmacists licenses can be revoked for fraud and malpractice, and insurers can delist hospitals where there is suspected fraud. Hard to get people to play ball.

Unless its an inside job, some medics(mostly nurses) employed by the insurance companies to follow up the cases collude with doctors and patients to get a few coins - but its mostly small amounts < 100k, anything more than that attracts attention of the auditors and a few have been caught when they attempted instant major gains.

The mere thought that someone can even contemplate doing this is really scaring, esp after watching my friend's son in ICU for 10days, accumulated bill of 1m. That someone would wish to 'cheat' he/she was in such a circumstance is simply horrifying.

He stole from insurance companies and went missing.
http://www.nation.co.ke/...8/-/j64d4dz/-/index.html

He was seen at UpperHill Mediacal Centre today shouting.he must have been looking for Dr. Frank Njenga.