1, six sex hormones are tested in general clinics, but not in social security card clinics;
2. Medical insurance generally refers to medical insurance, and medical insurance refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks;
3. Establish a medical insurance fund through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation and medical insurance reimbursement. Different medical insurance reimbursement regulations apply to drug purchase, outpatient service and hospitalization.
Reimbursement scope of medical insurance:
1, reimbursement of basic medical insurance drugs;
Class A and B drugs included in the basic medical insurance coverage can be reimbursed. Among them, Class A drugs refer to drugs that can basically meet the basic clinical needs. Class B drugs are included in the scope of basic medical insurance payment after the employees pay a certain percentage of the expenses, and the expenses are generally paid according to the basic medical insurance payment standard;
2, the basic medical insurance treatment project reimbursement
The scope of basic medical insurance payment items must be determined in accordance with the scope of basic medical insurance diagnosis and treatment items stipulated by the state. The diagnosis and treatment project that belongs to the basic medical insurance to pay part of the expenses can be paid by the insured person in advance and then paid in accordance with the provisions of the basic medical insurance;
3. Reimbursement of basic medical service facilities
The reimbursement scope of medical service facilities of basic medical insurance covers the service facilities that the insured person must live in during the process of diagnosis and treatment, including bed fees for outpatient and emergency observation and bed fees for hospitalization. For some referral transportation expenses, emergency transportation expenses, infant incubator expenses, food incubator expenses, nursing expenses and escort expenses, the basic medical insurance fund cannot reimburse them.
To sum up, six sex hormones are not included in medical insurance, and six sex hormones are generally checked in outpatient clinics, but are not reported in social security card outpatient clinics. In order to ensure the basic medical needs of the insured and standardize the management of medication and diagnosis and treatment in the basic medical insurance, the basic medical insurance stipulates the reimbursement scope of drug list, diagnosis and treatment items and medical service facilities.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.