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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 the internal organs fat and carry out improvement of lifestyle, "specific medical checkup" for the purpose of disease prevention free.

Last update date August 31, 2020

Contents

Following the fact that emergency declaration of Kanagawa was canceled on May 25, we reopened specific medical checkup from May 26.

In addition, instructions when we have you have a medical examination are as follows.

  • As the acceptance systems with each medical institution may be different, based on trend of new coronavirus infectious disease, consultation, please after confirmation to family medicine and consultation planned medical institution beforehand.
  • Specific medical examination of physical condition when is good, please have a medical examination. We would appreciate your refraining from consultation of medical examination without overdoing it when there is poor physical condition such as fever, a cough.
  • For prevention of infection spread, I would like cooperation of mask wearing during medical examination.
  • We follow Reception hours, and I would like cooperation in preventing crowd, closeness.

We decided to cancel conduct taking the situation of new model coronavirus infectious disease into consideration about "identification medical examination early stage consultation campaign" that person who had a medical examination by September won prize. Therefore, we would appreciate your understanding.

It is for corresponding in next (1), (2) either.
(1) Person (eligible people 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, 2021
(2) (Yokohama-shi original eligible people) that meets birthday of 40 years old - 75 years old in that took out Yokohama-shi National Health Insurance after April 2 by March 31, 2021
In addition, please be careful even if it is person meeting the above agreement as people corresponding to (1) - (9) in the following frame do 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 childbirth
(2) Person who is detained in April 1 by facility according to detective facility, labor ground, these other
(3) Person who already continues in hospital or clinics more than six months in April 1, and is hospitalized or people who continue in hospital and clinics in the more than six months in the year, and are hospitalized
(4) Person who enters person with a disability support facility
(5) People who enter facility to establish in 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
[to person under treatment in lifestyle-related diseases now ask]
Is already diabetes, high blood pressure or dyslipidemia; including taking medicine treatment average and going to hospital treatment average by artificial dialysis when medical care management is performed, please consult about the need of consultation with family doctor before having a medical examination in specific medical checkup.

From April 1, 2020 to March 31, 2021

Free of charge

Among people taking out Yokohama-shi National Health Insurance sequentially from before April 1 in this year, we will send "consultation ticket, medical questionnaire" which is necessary for consultation of specific medical checkup about becoming 40 years old - 74 years old and to invite 75 years old birthday to in after July individually within this year.
It is as follows at consultation ticket of this year, medical questionnaire shipment time.

We sent out on May 15, 2020


While emergency declaration announces in Kanagawa, we cancel consultation of specific medical examination. About reception desk of medical examination reservation after emergency declaration cancellation, please confirm to consulted medical institution.
Expiration date of consultation ticket is until March 31, 2021 (as for the person becoming 75 years old until the day before birthday). In addition, person who took out Yokohama-shi National Health Insurance after April 2 will issue consultation ticket, medical questionnaire if you can apply to dial (045-664-2606) for exclusive use of Yokohama-shi kenshin or ward office Insurance and Pension Division National Health Insurance Section of ward to live.
By having specific medical checkup have a medical examination after specific health instruction, based on consultation result of specific medical checkup of last year, person that specific health instruction is used can confirm result now.

We list beforehand to have you avoid time when hospital is crowded with infectious diseases such as influenza of usual during "encouragement period of consultation" listed in consultation ticket, but we talk about consultation time this year with medical institution of family medicine and consultation plan enough based on trend of new model coronavirus infectious disease regardless of encouragement period of consultation and would appreciate your considering.
In addition, consultation is possible, but after 75 years old can receive the contents as Yokohama-shi Health Checkups until the day before of birthday when consultation becomes 75 years old of specific medical examination when we arrive toward 74 years old.
About medical system for elder senior citizens member "Yokohama-shi Health Checkups" 75 years or older

We carry out specific medical checkup in the following item to find lifestyle-related diseases such as high blood pressure, dyslipidemia, diabetes due to accumulation of the 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]
ContentsPurposes 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 the 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 set.
(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, quantity of Hb, 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 to person who judged doctor to be necessary.

Examination of 2 electrocardiography
In the 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 the inspection for the shrinkage period.

3 examinations of the fundus
In the result of specific medical checkup of the year concerned, we perform in where blood pressure or blood sugar 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 the results of specific medical checkup in last year when we do not correspond to a mentioned above, neither i in the result of specific medical checkup of the year concerned.

About contents of medical questionnaire
NumberQuestion itemAnswer column
1Are you taking medicine lowering blood pressure now?1.Yes, 2, no.
2Are you taking medicine lowering insulin injection or blood sugar now?1.Yes, 2, no.
3Are you taking medicine lowering cholesterol and neutral fat now?1.Yes, 2, no.
4You were told to suffer from stroke (cerebral hemorrhage, cerebral infarction) by doctor, and have you been treated?1.Yes, 2, no.
5You were told to suffer from heart disease (angina, myocardial infarction) by doctor, and have you been treated?1.Yes, 2, no.
6You are told that chronic kidney disease and renal failure take by doctor, and do you receive treatment (artificial dialysis)?1.Yes, 2, no.
7From doctor, has it been said to be anemia?1.Yes, 2, no.
8

Are you smoking cigarette habitually now?
※We breathe recently for one month and point to 100 or more or case breathing more than six months in total so far "to be breathing habitually now".

1.Yes, 2, no.
9Does the weight increase 10 kg or more since 20 years old?1.Yes, 2, no.
10Do you carry out exercise sweaty lightly 30 minutes or more once more than one year more than two days a week?1.Yes, 2, no.
11Do you carry out walk or equal physical activity in the everyday life more than one hour a day?1.Yes, 2, no.
12Is speed to walk in comparison with the same sex of about the same age fast?1.Yes, 2, no.
13Which does state when we chew meal and eat fulfill?

1.Anything gets caught and can eat
2.We chew tooth and the gums, and there is curious part including laying upon and may be hard to bite
3.We can hardly chew

14Is speed to eat in comparison with people fast?1.Fast 2 is usually late 3
15Is there that we have dinner within two hours before going to bed three times a week or more?1.Yes, 2, no.
16Do you take in eating between meal and sweet drink other than three meals of lunch evening in the morning?

1.2 to have days sometimes.
3.We hardly take in

17Is there that we pull breakfast more than three times in week?1.Yes, 2, no.
18How much is frequency to drink liquor (sake, shochu, beer, Western liquor)?

1.2 to have days sometimes.
3.We hardly drink (we cannot drink)

19

On day to drink, how much quantity do you drink?
※Eyes of sake 1 go (180 ml) are lower: 500 ml of beer, shochu (25 degrees) 110 ml, whiskey double one cup (60 ml), wine two cups (240 ml)

1.We do not drink and are less than 1 go
2.1~2 gomiman
3.2~3 gomiman
4.3 go or more

20Do you get rest by sleep enough?1.Yes, 2, no.
21Are you going to improve lifestyles such as exercise or the eating habits?

1.We do not intend to be improved
2.We intend to be improved (almost less than six months)
3.We intend to be improved soon (almost less than one month) and begin little by little
4.We have already worked on improvement (under six months)
5.We have already worked on improvement (more than six months)

22If there are any opportunities to receive health instruction about improvement of lifestyle, do you use?

1.Yes, 2, no.

Person who took out Yokohama-shi National Health Insurance 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 wish to receive 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.

Person who becomes 75 years old this year (2019)

Because it shifts to medical system for elder senior citizens after 75-year-old birthday and cannot receive specific medical checkup, we send out consultation ticket to consultation ticket to invite 75 years old birthday to on after July 1 when we can find consultation period from simultaneous grant (May).
Person reaching 75-year-old birthday by June 30 applies to Yokohama-shi kenshin dial or 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

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

By trend of new coronavirus infectious disease, we may suspend medical examination. Please refer to consultation planned medical institution for consultation planned person beforehand.

When you are consulted, please be careful about the following points.
Please wear 1 mask.
Please refrain from consultation without overdoing it at the time of 2 poor physical condition.

New coronavirus infectious disease measures (citizen's all of you)
The number of outbreak situation data, consultation of positive patient in Yokohama-shi
About new coronavirus infectious disease (Ministry of Health, Labour and Welfare homepage) (the outside site)
Material (PDF: 974KB) about general infectious disease measures

Q
We become 75 years old within 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?
A

As employee health insurance turns from past National Health Insurance into medical system for elder senior citizens when we reach 75-year-old birthday, we can receive specific medical checkup until the day before on birthday.
Because we become a target of Yokohama-shi Health Checkups when we turn into medical system for elder senior citizens, we send out consultation ticket to consultation ticket to invite 75 years old birthday to after July 1 when we can secure consultation period from simultaneous grant (May).
Person reaching 75-year-old birthday by June 30 applies to Yokohama-shi kenshin dial or ward office Insurance and Pension Division National Health Insurance Section of ward to live, and please receive grant of consultation ticket.
[reference about medical examination of people 75 years or older]
Dial (TEL045-664-2606) for exclusive use of Yokohama-shi kenshin
Health and Social Welfare Bureau health business section (TEL045-671-2453)
Or it is each ward Health and Welfare Center Health and Welfare Division

Q
We are using specific health instruction now. Can you receive specific medical checkup this year?
A

Person using specific health instruction consults specific medical checkup after specific health instruction now and, based on medical examination result of 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, 2021) even if it is past consultation encouragement period.

Q
We were going to receive specific medical examination in end of the fiscal year, but we have a lot of reservations and cannot have a medical examination. Even if it is past expiration date, can you receive specific medical examination?
A

Medical examination consultation after it is past expiration date of 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.

Q
Is there supporting business of clinical survey expense?
A

Because specific health instruction was carried out, as for the supporting business of clinical survey expense that we carried out in Yokohama-shi National Health Insurance, it was abolished specific medical checkup from 2008. 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: 045-663-4469
(from Monday through Saturday, 8:30 a.m. to 5:15 p.m., it is excluded for celebration holiday and New Year holidays)

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Health and Social Welfare Bureau life Welfare Division Insurance and Pension Division

Telephone: 045-671-4067

Telephone: 045-671-4067

Fax: 045-664-0403

E-Mail address [email protected]

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