Can social security see andrology?

There are several kinds of andrology that cannot be reimbursed, such as sexually transmitted diseases and infertility. There is no way, it depends on what disease it is. If it is a general male disease, it can be reimbursed within the scope of medical insurance, and it cannot be reimbursed if it is not within the scope of medical insurance.

If you want to use the personal account of the medical insurance card to pay the hospitalization expenses, tell the hospital settlement staff before leaving the hospital and follow the normal credit card procedures.

For the personal burden in medical insurance, you can use the medical insurance card to pay all (if the balance is enough) or pay part of it.

The so-called personal burden part refers to the part below the deductible point (for example, 2000 yuan for a tertiary hospital) and the part of the reimbursement ratio (for example, 20% for a tertiary hospital). Self-funded items cannot be paid by personal account of medical insurance card.

Extended data:

Proportion of medical insurance reimbursement

Taking Hunan as an example, according to Article 27 of the Measures for the Implementation of Basic Medical Insurance for Urban and Rural Residents in Hunan Province, the hospitalization medical expenses incurred by insured residents within the policy scope of designated medical institutions for basic medical insurance in the overall planning area shall be paid by the above deductible;

Paid by the urban and rural residents' medical insurance fund in proportion: township hospitals and community health service institutions are not less than 80%; County-level medical institutions are not less than 70%; Municipal medical institutions are not less than 60%. Each overall planning area reasonably determines the specific payment ratio according to the income and expenditure of urban and rural residents' medical insurance fund.

Article 28 stipulates that when insured residents are hospitalized in provincial-level designated medical institutions, the Qifubiaozhun shall be determined according to about 10% of the average hospitalization expenses of provincial-level designated medical institutions in the previous year, which shall not be less than 1500 yuan, and the proportion of hospitalization expenses within the policy scope shall not be less than 50%.

The specific payment standard shall be reasonably determined by the Provincial Department of Human Resources and Social Security in conjunction with the Provincial Department of Finance according to the operation of the medical insurance fund for urban and rural residents in the overall planning areas and the medical treatment of the insured residents.

Thirtieth stipulates that the medical insurance fund for urban and rural residents shall set the maximum payment limit for hospitalization. In a settlement year, the cumulative maximum payment limit of basic medical insurance for urban and rural residents (excluding serious illness insurance for urban and rural residents) is 6.5438+0.5 million yuan.

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