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Page of Yokohama-shi National Health Insurance

<information for specific medical checkup>


  In Yokohama-shi National Health Insurance, we find lifestyle-related diseases such as high blood pressure, dyslipidemia, diabetes due to accumulation of internal organs fat and carry out improvement of lifestyle, "specific medical checkup" for the purpose of disease prevention free.
 Specific medical checkup PR video
  We made PR video for consultation rate improvement in nine capital prefecture cities (Saitama, Chiba, Tokyo, Kanagawa, Yokohama-shi, Kawasaki-shi, Chiba-shi, Saitama-shi, Sagamihara-shi).
 Let's go to specific medical examination in couples together
  We let the comical exchanges of couple make careful explanation and appeal for the need to receive specific medical checkup clearly.
 For oneself? For what? Let's receive specific medical examination!
  Teacher who became slim, and appeared in new school term. What was there during summer vacation? Daughter who heard story of teacher recommends specific medical checkup consultation in hope of health of father eagerly.
               
 Contents
Target person
Conduct contents (items such as inspection)
Self-burden at window
Conduct period
Conduct organization
About sending of consultation ticket

 Person who is targeted for specific medical checkup
 In 2018, it is for one corresponding to next (1), (2) either.

(1) Person (target person by standard of country) who takes out Yokohama-shi National Health Insurance sequentially from before April 1, and reaches birthday of 40 years old - 75 years old by March 31, 2019
(2) One (Yokohama-shi original target person) to invite birthday of 40 years old - 75 years old to in one that took out Yokohama-shi National Health Insurance after April 2 by March 31, 2019

 In addition, please be careful even if it is person meeting the above agreement as person corresponding to (1) - (9) in the following frame does not become a target of specific medical checkup.
 [person who does not become a target of specific medical checkup]

 (1) Person who is pregnant in April 1 or person of woman in childbed within one year after the delivery
 (2) Person who is detained by facility following detective facility, labor ground, these other in April 1
 (3) Person who already continues in hospital or clinics more than six months in April 1, and is hospitalized or person who continues in hospital and clinics in more than six months in the year, and is hospitalized
 (4) Person who enters person with a disability support facility
 (5) Person who enters facility to establish of garden of incorporated administrative agency Kunitachi severeness mentally-disabled person center wish
 (6) Person who enters special elderly nursing home
 (7) Person who enters nursing home for the elderly
 (8) Person who enters pay nursing home
 (9) Person who enters care for the elder healthcare facility
 

[request to person under treatment in lifestyle-related diseases now]

 Is already diabetes, high blood pressure or dyslipidemia; including taking medicine treatment average and whole going to hospital treatment by artificial dialysis when medical management is performed, please consult about the need of consultation with family doctor before having a medical examination in specific medical checkup.

 Conduct contents (items such as inspection) of specific medical checkup
 We carry out specific medical checkup in the next item to find lifestyle-related diseases such as high blood pressure, dyslipidemia, diabetes due to accumulation of internal organs fat early.
 In addition, by specific medical examination of Yokohama-shi National Health Insurance, we add medical examination item originally and can confirm function of function of kidney and urinary tract, function of prostate, too.

[inspection item (add-on) which all the testees receive of basic item and Yokohama-shi National Health Insurance]
  Purposes such as inspectionInspection item
Interview

Medical examination

We know the treatment situation and lifestyle of lifestyle-related diseases

Interview (lifestyles such as taking medicine and smoking history, meal, exercise, sleep)

We examine subjective symptoms and objective symptom

Physical medical examination

Item of inspection

Is it obesity of internal organs fat type?

Height, the weight, the girth of the abdomen measurement
BMI body-mass index (weight kg ÷ height m ÷ height m)

Is it high blood pressure?

Blood pressure measurement

Is lipid abnormal?

Blood test (neutral fat, HDL cholesterol, LDL cholesterol)

Is it diabetes?

Blood test (fasting blood sugar, hemoglobin A1c)
Urinalysis (urine sugar)

How is state of function of kidney?

Urinalysis (urine protein), eGFR (reference level) (※)
Blood test (※ creatinine, ※ uric acid)

How is state of function of liver?

Blood test (GOT, GPT, γ-GTP)

Does bladder, urinary tract system not have abnormality?

Urinalysis (※ urine occult bleeding)

 ※Inspection of seal is inspection except basic item of specific medical checkup which country established.
  (Yokohama-shi National Health Insurance original add-on)

  ・ Serum creatinine: We confirm function of kidney.
  ・ Serum uric acid: We confirm whether it is gout.
  ・ Urine occult bleeding: We confirm whether there is not bleeding from urinary tract.
  ・ eGFR : We confirm function of kidney.
   

[inspection item (detailed item) when we are required by judgment of doctor, to receive]
Purposes such as inspectionInspection item

Is there not anemia?

Blood test (red blood cell, complexion elementary quality, hematocrit level)

How is state of cardiac function?

Electrocardiogram

How is states of blood vessel such as arteriosclerosis?

Examination of the fundus

 
[country standard to carry out inspection item) of the detailed item (above]
 

Examination of 1 anemia
 There is anamnesis of anemia and performs in one that doctor judged to be necessary.

Examination of 2 electrocardiography
 
In result of specific medical checkup of the year concerned,
 We perform in more than more than blood pressure 140mmHg or diastolic blood pressure 90mmHg or having subjective symptoms and objective symptom or not that arrhythmia is doubted in inspection for the shrinkage period.
 
3 examinations of the fundus
 In result of specific medical checkup of the year concerned, blood pressure or blood sugar performs in one that corresponded to the next standard.
 Oh, it is blood pressure: More than more than the shrinkage period blood pressure 140mmHg or diastolic blood pressure 90mmHg
 i blood sugar: More than more than 126 mg/dl of fasting blood sugar or hemoglobin A1c6.5%
※But we include thing corresponding to i mentioned above in results of specific medical checkup of last year when we do not correspond to a mentioned above, neither i in result of specific medical checkup of the year concerned.

 Self-burden (consultation charges) at window

Free *

 ※Self-burden became free than April, 2018.

 Conduct period of specific medical checkup
 Please have a medical examination within the following period in 2018.
 From April 1, 2018 to March 31, 2019

 Conduct organization of specific medical checkup
 We can receive specific medical checkup in medical examination conduct organization that Yokohama-shi National Health Insurance entrusted with.

 About sending of consultation ticket
 Among people taking out Yokohama-shi National Health Insurance sequentially from before April 1, we send "consultation ticket" which is necessary for consultation of specific medical checkup about becoming 40 years old - 74 years old by the end of 2018 individually.
 For improvement of convenience of testee and security of medical examination opportunity, sending of consultation ticket became once a year.
 It is as follows at consultation ticket shipment time of 2018.
We sent out in the end of May, 2018

 
 We can have you receive specific medical checkup until March 31, 2019, but window of medical examination conduct organization is crowded very much in end of the fiscal year in particular.
 I would like understanding and cooperation to have you have a medical examination within consultation encouragement period to guide as much as possible.
 In addition, above which joined Yokohama-shi National Health Insurance on one and after April 2 when consultation is hoped for earlier than shipment time in table issues consultation ticket if you can apply to ward office Insurance and Pension Division National Health Insurance Section of ward to live.

 Based on consultation result of specific medical checkup of last year, person that specific health instruction is used, please consult specific medical checkup after specific health instruction now.

[person who took out Yokohama-shi National Health Insurance in) on the way after (April 2 in the year]
 Because we might receive medical examination in employee health insurance (or the workplace) which we joined before about person who took out Yokohama-shi National Health Insurance in the middle of the year, we do not perform that we send out consultation ticket uniformly.
 When you hope for consultation of specific medical checkup of Yokohama-shi National Health Insurance, you apply to ward office Insurance and Pension Division National Health Insurance Section of ward to live, and please receive grant of consultation ticket.

[one becoming) 75 years old this year in (2018]
 Because it shifts to medical system for elder senior citizens after 75-year-old birthday, and specific medical checkup is not received, we do not perform that we send out consultation ticket uniformly.
 When you hope for consultation of specific medical checkup by the day before on 75-year-old birthday, you apply to ward office Insurance and Pension Division National Health Insurance Section of ward to live, and please receive grant of consultation ticket.
   
 About medical system for elder senior citizens member "Yokohama-shi Health Checkups" 75 years or older
 
 After the consultation of specific medical examination…

 By results of specific medical examination, you use supporting program "Yokohama-shi National Health Insurance identification health instruction" for 3-6 months in lifestyle judged to need review and do help to change lifestyle.

Guidance detailed about "Yokohama-shi National Health Insurance specific health instruction" from this


◇ ◇ ◇ ◇ ◇ ◇ ◇ ◇ ◇   FAQs  ◇ ◇ ◇ ◇ ◇ ◇ ◇ ◇ ◇ 

We become 75 years old by the end of Q this year. It is person insured of Yokohama-shi National Health Insurance, but consultation ticket does not arrive yet this year. Can you not receive specific medical checkup?
 
Employee health insurance turns from past National Health Insurance into medical system for elder senior citizens when we reach birthday of A
75 years old. 
  Because I become a target of Yokohama-shi Health Checkups when I turn into medical system for elder senior citizens, I do not send consultation ticket of specific medical checkup to one becoming 75 years old in the middle of the year. But we can receive specific medical checkup according to to this until the day before on 75-year-old birthday.
  You apply to ward office Insurance and Pension Division National Health Insurance Section of ward to live for one where consultation is hoped for, and please receive grant of consultation ticket.
 
 [reference about medical examination of person older than 75 years old]

 Dial (TEL 045-664-2606) for exclusive use of Yokohama-shi kenshin
 Health and Social Welfare Bureau health business section (TEL 045-671-2453)
 Or it is each ward Health and Welfare Center Health and Welfare Division

As of Q, we use specific health instruction. Can you receive specific medical checkup this year?
 
Person using specific health instruction consults specific medical checkup after specific health instruction now and, based on medical examination result of A
last year, would appreciate your confirming result of identification health instruction.
  In addition, you use identification health instruction earlier at hand when you have consultation ticket and use of specific health instruction ticket this year based on medical examination result of last year, and please confirm the result by identification medical examination.
  In addition, we can receive specific medical checkup until expiration date (March 31, 2019) even if it is past consultation encouragement period.

We were going to receive specific medical examination in Q end of the fiscal year, but reservation is full and cannot have a medical examination. Even if it is past expiration date, can you receive specific medical examination?
 
Medical examination consultation after it is past expiration date of A
consultation ticket is not possible. We are crowded with reservations in end of the fiscal year and there are many inquiries, "we do not get reservation" and will have.
  Medical examination organization is crowded in season when end of the fiscal year or a cold are prevalent, too and may not get reservation. We recommend early consultation by all means.

Is there supporting business of Q clinical survey expense?
 
Because specific medical checkup, identification health instruction was carried out as for the supporting business of clinical survey expense that we carried out in A
Yokohama-shi National Health Insurance from 2008, it was abolished. Please utilize specific medical checkup, identification health instruction in future.

 [to exclusive dial following as for the question about specific medical checkup]


 Dial for exclusive use of Yokohama-shi kenshin

Telephone : 045-664-2606 

FAX : 045-664-2828

(excluded for celebration holiday and the year-end and New Year holidays for from 8:30 to 17:15 for from Monday to Saturday)
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