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Is andrological surgery covered by medical insurance?

The insurance editor will help you answer your questions. For more questions, you can answer them online.

First, if it is a general male disease, it can still be reimbursed if it is within the scope of medical insurance. If it is not within the scope of medical insurance, it cannot be reimbursed, such as sexually transmitted diseases, infertility, etc. Reimbursement depends on the male disease of the patient. The reimbursement ratio of hospitals in each place is different.

2. Basic medical insurance reimbursement scope:

1. Outpatient and emergency medical expenses: for active employees within the year (January 1st to December 31st) that meets the scope of basic medical insurance The accumulated medical expenses exceed 2,000 yuan.

2. Settlement ratio: During the contract period, 50% of the dispatched personnel's expenses exceeding 2,000 yuan will be reimbursed, and the individual will pay 50%; the maximum amount of outpatient and emergency reimbursement paid to dispatched personnel in one year is 20,000 yuan.

3. Insured persons must properly keep the outpatient medical receipts (including receipts for large amounts and below, the bottom of prescriptions, etc.) for medical treatment at designated hospitals as a voucher for medical expense reimbursement.

4. Outpatient medical treatment for three special diseases: when the insured person needs to seek medical treatment in an outpatient clinic after radiotherapy and chemotherapy for malignant tumors, renal dialysis, or kidney transplantation, the insured person shall The designated secondary and tertiary hospitals for medical treatment will issue a "Disease Diagnosis Certificate", fill out the "Medical Insurance Special Disease Application Approval Form", and report it to the district medical insurance center for approval and filing. Outpatient medical treatment and medicine collection for these three special diseases are only available in designated hospitals approved for treatment, and cannot be purchased at designated retail pharmacies. If the medical expenses incurred fall within the prescribed range for outpatient special diseases, they will be settled with reference to hospitalization.