The thyroid function measurement is divided into several kinds, to carry out three thyroid function test, the price is about 200 yuan, if the test five thyroid function, the price is about 300 yuan, so to carry out the thyroid function test, should be in the hospital under the guidance of the doctor to carry out the test, in addition to the thyroid function test can be used in many places with the medical insurance card, so the patient to carry out the test, should be carry their health insurance card with them to save money.
Precautions for checking thyroid:
Three days before checking thyroid, you should maintain a normal or light diet, avoid spicy, greasy and stimulating food, so as not to affect the results of the thyroid test, and you should avoid eating food containing too much iodine, so as not to cause the thyroid gland to become enlarged.
Try to avoid taking drugs that affect the abnormal secretion of thyroid hormone such as lisinopril, clinically some of the drugs will lead to abnormal secretion of thyroid hormone, should be explained to the doctor during the examination.
Should avoid excessive emotional tension, maintain a calm and relaxed mood for the thyroid examination, excessive emotional tension will affect the thyroid hormone secretion instability, which will have a certain impact on the test results, the thyroid examination should be explained to the doctor's special circumstances, as well as the body's abnormal symptoms in order to diagnose the condition of the doctor.
I. Thyroid minimally invasive surgery medical insurance reimbursement?
Thyroid disorders are covered by Medicare and are reimbursable. The following are the two criteria for reimbursement:
1. Reimbursement according to the inpatient payment rate: malignant tumors (radiotherapy and chemotherapy period), emergency hospitalization for observation (emergency visit, critical situation, cause to be investigated, need to stay in hospital for observation) items in the second and third level of the basic medical insurance designated medical institutions with reference to the management of outpatient specific illnesses, reimbursement according to the inpatient reimbursement rate and, for malignant tumors (radiotherapy and chemotherapy period) There is no limit.
2. Reimbursement according to the outpatient payment rate: malignant tumors (non-radiotherapy and chemotherapy treatments) must be treated in designated second- and third-level medical institutions, and the payment limit for malignant tumors (non-radiotherapy and chemotherapy treatments) is 6,000 yuan/year.
3. Special circumstances: if you suffer from two or more (including two) specific diseases and are eligible for reimbursement of outpatient medical expenses for the specific diseases, the outpatient treatment for the specific diseases you enjoy during the year will be paid according to the maximum limit of one of the diseases.
In summary, the thyroid surgery medical insurance can be reimbursed, the town health center reimbursement rate of 60%; secondary hospitals reimbursement rate of 40%; tertiary hospitals reimbursement rate of 30%. If you go to the town health center reimbursement rate is the highest, but each local reimbursement rate will have a certain gap, to reimburse the local health insurance rules. The family's economic condition is poor can go to the relevant departments to apply, there may be a certain amount of subsidies.
Second, thyroid surgery reimbursement materials:
1. general reimbursement: invoices, lists, discharge summary medical insurance card;
2. accidental injury reimbursement: invoices, lists, discharge summary, the first page of the case (discharge records, admission records, surgical records without surgery is not required, inspection report card), accidental registry, the case of a description of the medical insurance card, a copy of the food to make up for the bankbook General accidental injury needs to be presented one month, from the first day of discharge to one month after the reimbursement;
3. Chronic disease reimbursement: outpatient invoice or hospitalization invoice, a copy of the chronic disease card copy of the health insurance card.
Three, the reimbursement of the two standards:
1. Reimbursement according to the proportion of hospitalization payment: malignant tumors (radiotherapy, chemotherapy period), in the basic medical insurance designated second and third level of health care institutions for emergency hospital observation (emergency medical consultation, emergency situation, the cause to be investigated, the need to stay in the hospital for observation) project with reference to the management of outpatient specific diseases, reimbursement according to the proportion of inpatient reimbursement and, for malignant tumors ( radiotherapy and chemotherapy), there is no limit.
2. Reimbursement according to the outpatient payment rate: malignant tumors (non-radiotherapy and chemotherapy treatments) must be treated in designated second- and third-level medical institutions, and the payment limit for malignant tumors (non-radiotherapy and chemotherapy treatments) is 6,000 RMB/year.
3, special circumstances: suffering from more than two (including two) specific diseases and eligible for reimbursement of outpatient medical expenses for specific diseases, its annual enjoyment of outpatient treatment for specific diseases will be paid in accordance with the maximum limit of one of the diseases.
Four, the thyroid
The thyroid is a very important gland in vertebrates, belonging to the endocrine organs. In mammals it is located in the neck under the thyroid cartilage, both sides of the trachea. In humans, the thyroid gland is shaped like a butterfly, like a shield armor, so it is named so. The thyroid gland controls the rate at which energy is used, makes proteins, and regulates the body's sensitivity to other hormones. The thyroid gland relies on the production of thyroxine to regulate these responses, with triiodothyronine (T3) and thyroxine, which may also be called tetraiodothyronine (T4). Both regulate metabolism, growth rates, and mediate other body systems.T3 and T4 are synthesized from iodine and tyrosine. The thyroid gland also produces calcitonin, which regulates calcium balance in the body.
The thyroid gland is the largest endocrine gland in adults. It is located in the front part of the neck, brownish-red in color, in the shape of an "H", and weighs about 25 grams; it consists of the right and left lobes, the isthmus, and the conical lobes. The right and left lobes of the thyroid gland are cone-shaped (the right lobe is slightly larger), attached to the side of the larynx and trachea, the upper end reaches the middle of the thyroid cartilage, and the lower end is against the 4th tracheal ring, which is about 5cm in length and 2.4cm in width, and the inner side of which is attached to the cricoid cartilage by the lateral ligament, so that the thyroid gland can move up and down with the larynx when swallowing. The thyroid isthmus connects the right and left lobes and is located in front of the cartilaginous rings of the 2nd-4th trachea, but in a few people, the isthmus of the thyroid gland may be absent. more than 60% of the people have a conical lobe protruding upward from the isthmus. The conical lobe, which varies in length and reaches the hyoid bone in some cases, is a remnant of the development of the thyroid gland. In the vicinity of the right and left lobes of the thyroid gland, there is a separate mass of thyroid tissue called the parathyroid gland. The thyroid gland has two layers of peritoneum, the outer layer is the thyroid capsule, which consists of the deep cervical fascia (pre-tracheal fascia), and is closely connected to the cervical vascular sheath to the outside; the inner layer is called the fibrous capsule, which is the peritoneum of the gland itself, and is directly adhered to the surface of the glandular tissue and penetrates deep into the parenchyma of the gland to separate the glandular tissue into a number of small lobes. The connection between the thyroid capsule and the fibrous capsule is loose and easy to separate, so clinically it can be used for thyroid endocystectomy. From the hyoid bone to the thyroid isthmus or conical lobe, there is sometimes a small muscle bundle called the thyroid raphe, which has the effect of lifting the thyroid gland.
V. Settlement Procedures for Hospitalization and Outpatient Treatment of Special Diseases
Specified medical institutions will report the cost statement of patients discharged from hospitals in the previous month, hospitalization statement and relevant information to the medical insurance agency before the 10th day of each month, which will be used as the basis for the monthly pre-allocation and year-end settlement after examination and approval by the medical insurance agency;
Medical insurance agencies will make monthly pre-allocations of last month's The coordinated expenses for hospitalization and outpatient treatment of special diseases are allocated by the medical insurance agency every month;
Participants who are recognized as suffering from special diseases should go to a designated medical institution designated by the labor security department for medical treatment and purchase of medicines, and the incurred medical expenses are directly recorded in the accounts and settled instantly.
Sixth, emergency settlement procedures
Participants due to emergency rescue to the city's non-designated medical institutions and hospitalization in foreign medical institutions, medical expenses incurred by the individual or the unit advance, emergency rescue after the end of the emergency, with the hospital emergency medical records, inspection, laboratory reports, invoices, a detailed list of medical charges and other medical insurance agencies for reimbursement in accordance with the provisions of the procedures.
VII. Settlement Procedures for Relocated Staff
Relocated staff will be assigned 1-2 designated medical institutions in their place of residence by their units and reported to the medical insurance agency for the record;
Medical expenses incurred by relocated staff who are sick in designated medical institutions in their place of residence will be advanced by themselves or their units, and will be settled by their units when the treatment is over. After the end of treatment, the unit will hold the participant's medical card and medical records, valid expense notes, duplicate prescriptions and hospitalization expense lists, etc., and settle the bill at the social medical insurance agency on the specified date.
Eighth, referral and transfer settlement
Participants due to the conditions of the designated medical institutions or specialized diseases to other medical institutions for diagnosis and treatment, need to fill out the referral and transfer approval form. By the attending physician to put forward the reasons for referral and transfer of hospitals, the department director to put forward the views of referral and transfer of hospitals, the medical insurance office of the medical institution audit, the signature of the director in charge, reported to the Municipal Medical Insurance Center for approval before the transfer of hospitals;
Referral and transfer of hospitals, in principle, first in the city and then out of the city, the first in the province and then out of the province. The transfer within the city is required to be carried out among the designated medical institutions. Out-of-town referrals and transfers must be made by the designated medical institutions above the third level in the city;
Medical expenses incurred by the insured person after the referral and transfer to the hospital shall be advanced in cash by the individual or the unit, and after the completion of medical treatment, the participant or his/her agent shall reimburse the hospitalization expenses that belong to the scope of payment of the integrated fund to the medical insurance agency with the approval form for the referral and transfer to the hospital, the medical record certificate, the prescriptions and the valid documents
Legal basis:
Social Insurance Law of the People's Republic of China
Article 4: Employers and individuals within the territory of the People's Republic of China shall, in accordance with the law, pay social insurance premiums, and shall have the right to inquire into the records of contributions and individual rights and interests, and to request that social insurance agencies provide social insurance counseling and other related services.
Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise the payment of contributions for them by their own units.
Article 5: The people's governments at or above the county level shall incorporate the cause of social insurance into their national economic and social development plans.
The State raises funds for social insurance through multiple channels. The people's governments at or above the county level give necessary financial support to the social insurance cause.
The State supports the social insurance cause through preferential tax policies.
Article 25 The State establishes and improves the basic medical insurance system for urban residents.
Basic medical insurance for urban residents combines individual contributions with government subsidies.
The government shall subsidize the part of the individual contributions required by persons enjoying the minimum subsistence guarantee, persons with disabilities who have lost the ability to work, and elderly persons over sixty years of age and minors from low-income families.
Article 30 The following medical expenses shall not be included in the scope of payment by the Basic Medical Insurance Fund:
(1) those which should be paid from the Workmen's Compensation Insurance Fund;
(2) those which should be borne by a third person;
(3) those which should be borne by the public ****health;
(4) those who seek medical treatment outside China.
Medical expenses shall be borne by a third person in accordance with the law, and if the third person fails to pay or if the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after the first payment.