Development and Cholesterol
Doctor, I feel that my development is not very good, and I don't have obvious secondary sexual characteristics.
I want to pursue hormone therapy; will health insurance cover the costs? I'm worried it might be expensive.
When I go for a consultation, can I get tested right away? Do I need to fast, or is that not necessary? Also, over a year ago, during a school health check, I was found to have high cholesterol.
I have since controlled my diet and would like to get tested again.
Is it correct to see either an internal medicine or a metabolism specialist? Is that covered by health insurance as well? I'm also concerned about the costs and unsure how much money to bring since I am currently a student.
I'm worried that the testing fees might be in the thousands.
If I have two questions for the doctor regarding hormones and cholesterol, should I make two separate appointments, or can I ask both during one visit? Thank you for your help!
Xiao Jiang, 20~29 year old female. Ask Date: 2015/08/31
Dr. Wu Jiyu reply Internal Medicine
Regarding your inquiry, whether it concerns hormones or cholesterol, it is recommended to consult with a urologist or an endocrinologist for fasting tests, which should be covered by health insurance.
Thank you for your question, and the Nephrology Department at Changhua Hospital cares about your health.
Reply Date: 2015/08/31
More Info
Understanding hormone therapy and cholesterol testing costs in Taiwan involves several factors, including the healthcare system's structure, the specifics of the treatments, and the associated costs.
In Taiwan, hormone therapy, particularly for conditions like hypogonadotropic hypogonadism, is typically considered a medical necessity when prescribed by a healthcare professional. The National Health Insurance (NHI) system in Taiwan covers many medical treatments, including hormone therapy, but the extent of coverage can vary based on individual circumstances and the specific medications prescribed. Generally, if you are diagnosed with a condition that warrants hormone therapy, you may be eligible for NHI coverage, which would significantly reduce your out-of-pocket expenses. However, it is essential to consult with your healthcare provider to determine if your specific treatment plan qualifies for coverage under NHI.
Regarding the costs associated with hormone therapy, it is crucial to note that different medications may have varying prices. For instance, HCG (human chorionic gonadotropin) is often used for hormone replacement therapy and may be covered under NHI if deemed medically necessary. On the other hand, testosterone patches like Testoderm may also be covered, but again, this depends on the specific circumstances and the physician's recommendations. It is advisable to discuss with your doctor about the costs and coverage options before starting any treatment.
As for cholesterol testing, it is typically performed in a clinical setting, and fasting is often recommended to ensure accurate results. However, some tests can be done without fasting, so it is best to confirm with your healthcare provider. In Taiwan, cholesterol testing is usually covered by NHI, especially if it is part of a routine health check or if there is a medical indication for the test. You can visit either an internal medicine department or a metabolic department for cholesterol testing, and both should be able to assist you with your concerns.
When it comes to the costs of consultations and tests, it is understandable to be concerned about expenses, especially as a student. In Taiwan, the consultation fees for outpatient services under NHI are generally reasonable, often ranging from NT$150 to NT$500, depending on the hospital and the specialist. The costs for cholesterol testing can vary, but if covered by NHI, you may only need to pay a small co-payment. It is advisable to bring some cash, but you may not need to prepare a large sum if you are covered by NHI.
If you have multiple questions, such as those regarding hormone therapy and cholesterol testing, you might consider scheduling a single appointment with your healthcare provider to address both issues. This approach can save you time and potentially reduce costs associated with multiple visits.
In summary, hormone therapy and cholesterol testing in Taiwan can be managed effectively through the NHI system, which helps alleviate the financial burden on patients. It is essential to communicate openly with your healthcare provider about your concerns, treatment options, and the costs involved to ensure you receive the best possible care within your budget.
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