National Health Insurance Specific Health Checkup/Specific Health Guidance

●National Health Insurance specific medical checkup of 2021 was finished on Wednesday, November 30.
●Specific health guidance for FY2022 is being implemented. (The first interview must be completed by March 31, 2023.)

Notice of end of health checkup

The Itabashi Ward National Health Insurance Specific Health Checkup for 2022 will end on November 30 (Wednesday).

[Reception until November 10] Apply by phone Health (examination) application window: 03-3579-2319
[Reception until November 30] Apply at the health promotion section health (examination) application counter Ward Office South Building 3F No. 21
*Please bring something that can confirm your identity (health insurance card, driver's license, My Number card, etc.).

2021 Itabashi City National Health Insurance Specific Health Checkups and Specific Health Guidance

Itabashi Ward conducts specific health checkups for people between the ages of 40 and 74 who are enrolled in the Itabashi Ward National Health Insurance to prevent lifestyle-related diseases.
This project aims to maintain and improve the health of residents and to reduce future medical expenses.

What is metabolic syndrome (visceral fat syndrome)?

Visceral fat obesity is a condition in which various diseases are more likely to occur. If left untreated, it can lead to arteriosclerosis, which can lead to diabetes, heart disease, and stroke.

Mechanism of Specific Health Checkup/Specific Health Guidance

After undergoing a specific health checkup, we provide specific health guidance to help improve lifestyle habits based on the results.
(Please refer to page 5 of the attached file "Medical Examination Information Booklet" [Flow of Specific Medical Examination/Health Guidance])

Specific health checkup

Target audience

Those who correspond to all of the following 1 and 2

  1. 40 to 74 years old (born from June 1, 1947 to March 31, 1983)
  2. Itabashi Ward National Health Insurance insured persons who have not had any changes such as joining, withdrawal, moving in, or moving out during the fiscal year (from April 2, 2022 to March 31, 2023)

But person corresponding to next does not become a target of specific medical checkup.

  • A. Pregnant women (those who are pregnant and within one year after giving birth)
  • b.Those who have been continuously hospitalized in a hospital or clinic for 6 months or longer.
  • C. Those who live in the following facilities (*) excludes community-based specific facilities
    • Support facility for people with disabilities
    • Special elderly nursing home
    • Designated Nursing Care Welfare Facility
    • Nursing care facility for the elderly
    • Designated long-term care medical facility
    • Among serviced housing for the elderly, facilities equivalent to fee-based nursing homes
    • Paid Nursing Home (*)
    • Low cost nursing home (*)
    • Nursing home for the elderly specified by the Elderly Welfare Law (*)
  • D. Those who are eligible for health checkups conducted by their employers

Note: If your health insurance changes in the middle of the fiscal year and you are unable to undergo a specific health checkup provided by your health insurance or a health checkup provided by your employer, you may be able to undergo a general health checkup for residents of the ward. I have.

In addition, people between the ages of 35 and 39 may be able to undergo a ward general health checkup. To maintain and improve your health, start seeing a doctor while you are young.

For more details, please see page of "ward resident general medical examination".

cost

free
Note: However, there will be a charge for examinations or treatments other than those specified.
Note: Of the examinations that can be taken at the same time (only those who are eligible), stomach cancer risk examinations are charged (500 yen).

Consultation period

June 1 (Wednesday) to November 30 (Wednesday), 2022
Note: You can have a medical examination once during the period.
Note: The consultation period may be extended. If it is extended, we will inform you on our homepage.

How to see a doctor

"Specific health checkup ticket" When "Health Insurance Card (Itabashi Ward National Health Insurance Card)" Please bring it with you to the doctor.
Note: Please see the attached file "List of medical institutions" and "Corrections to the list of medical institutions" for information on non-consultation days and appointments. We will update the errata list of implementation medical institutions as needed.
Note: It is expected that it will be very crowded as the examination deadline approaches. Please see a doctor as soon as possible.

consultation ticket

We will send a "specific health checkup ticket", "information booklet" and "implementation medical institution list" to target person in the end of May.
Note: Please see the attached file "Sample Ticket" (the upper left margin is the address column. The central part is the consultation ticket (divided into 6)). From 2013, it will be a sticker format, and for those who are eligible, we will print and send a checkup ticket for colorectal cancer, hepatitis virus, prostate cancer, and stomach cancer risk checkup at the same time. When you visit the clinic, please do not remove the ticket from the cardboard and bring it with you. In addition, only two consultation tickets for specific health checkups are printed, but you can only have one checkup.
Note: Please note that even if you receive a consultation ticket, those who do not fall under the above "eligible persons" will not be able to have a consultation.
Note: For those who withdrew from the Itabashi City National Health Insurance in the middle of the fiscal year, please inquire with the newly enrolled health insurance.
Note: Depending on the date of subscription to the Itabashi City National Health Insurance or the date of notification, the delivery of the consultation ticket may be delayed or may not be covered.

Inspection content

[Basic inspection items]

  1. Medical interview, body measurement (height, weight, BMI, waist circumference)
  2. blood pressure measurement
  3. consultation
  4. Urinalysis (sugar, protein)
  5. blood
    1. Lipids: triglycerides, HDL cholesterol, LDL cholesterol
    2. Liver function: GOT, GPT, γ-GTP
    3. Blood glucose: fasting or random blood glucose and hemoglobin A1c

[Detailed inspection items]
Under certain criteria, it will be carried out when the doctor judges it necessary.

  1. electro-cardiogram
  2. fundus
  3. anemia (red blood cell count, hemoglobin content, hematocrit)
  4. creatinine

[Additional inspection items]
In Itabashi Ward, in addition to [basic inspection items] and [detailed inspection items], everyone can have the following inspection items. However, some or all may be omitted at the discretion of the doctor.

  1. [electro-cardiogram]
  2. [Fundus]
  3. chest x-ray
  4. Urinalysis (occult blood)
  5. blood
    1. Anemia, etc.: [red blood cell count], [hemoglobin level], [hematocrit], white blood cell count, platelet count
    2. Renal function: [creatinine]
    3. Gout: uric acid

Note: Items in [ ] will not be added if they are carried out as detailed inspection items.

Explanation of results

Please be sure to receive an explanation of the medical examination results from the doctor who consulted you by the end of the month following the examination date.

About self-medication and the income tax deduction system

Self-medication is defined by WHO as “taking responsibility for one’s own health and self-care for minor medical ailments”. Maintain your health by managing your own health on a daily basis, such as moderate exercise, sufficient sleep, and a balanced diet. It is very important to undergo a specific medical examination every year to check your health condition.

It is also effective to make good use of OTC medicines (drugs sold at pharmacies, etc.). From January 2017 to December 31, 2026, there is a self-medication tax system (special exception for medical expense deductions) for the purchase of OTC drugs.

For the self-medication tax system, please check the website of the National Tax Agency or the Ministry of Health, Labor and Welfare (see link below).

Please keep the results of each health examination in a safe place, as they will be required when applying for the self-medication tax system.

others

If health examinations are conducted at the workplace based on the Industrial Safety and Health Act and other laws and regulations, that will take precedence. In addition, if you have undergone a complete medical checkup that includes all of the items to be examined in a health checkup or specific medical checkup at your workplace, etc., you will be considered to have undergone a specific medical checkup (you will be responsible for the cost of the complete medical checkup). , Please submit a copy of the health checkup results to the National Health Insurance Specific Health Checkup Section, National Health Insurance and Pension Division, Itabashi Ward Office (Ward Office South Building 2nd floor [20] window). Depending on the results of the health checkup, you may be eligible for specific health guidance.

Specific health guidance

Based on the results of the specific medical checkup, those who are judged to need to improve their lifestyle habits and are subject to specific health guidance can receive specific health guidance provided by the ward free of charge.
In specific health guidance, specialists (doctors, public health nurses, registered dietitians, etc.) are required so that the target person can understand their own health condition and continuously make voluntary efforts to improve their lifestyle habits. We will provide support such as presentation of information and advice. The period is about 3 months. Those who are taking medications related to blood pressure, blood sugar, and lipids are not eligible. Please seek guidance from your family doctor.

Target audience

Subjects are selected based on the results of the specific health checkup, with waist circumference and BMI above a certain level, blood pressure, blood sugar level, triglyceride or HDL cholesterol, and number of risks due to smoking history. will be We will inform the target audience.

Implementation method

Depending on the results of the specific health checkup, either 1 or 2 below entrusted by Itabashi Ward will carry out.

  1. Medical institution …We will guide you to the medical institution where you had your medical checkup.
    Note: Please see the attached file "List of specific health guidance implementation medical institutions".
  2. Private business operator: If the medical institution does not carry out the examination, the medical institution will distribute a specific health guidance pamphlet of the private business operator when explaining the results of the medical examination. In addition, at a later date, we will send you information on specific health guidance from a private business operator, and we recommend that you use it by phone. Application is required for use.

(FY2020 contractor: ALSOK Anshin Care Support Co., Ltd.)
(Note) In order to use the specific medical examination guidance, it is necessary to complete the initial interview by March 31, 2023.

"Itabashi Ward National Health Insurance Third Phase Specific Health Checkup Implementation Plan"

This plan was formulated by the city, which is the medical insurer, to implement "specific health checkups" and "specific health guidance" based on the "Law Concerning Securing Medical Care for the Elderly." We establish about target value or implementation method of consultation rate, specific health guidance implementation rate.
The 3rd Implementation Plan was formulated in an integrated manner with the 2nd Implementation Plan for Health Projects (Data Health Plan), and the name of the plan was changed to the 2023 Itabashi National Health Insurance Health Project Plan.
Please see below for "Itabashi Ward National Health Insurance Health Business Plan 2023".

Regarding information inquiries and provision between insurers of copies of records of specific health checkups and specific health guidance

On February 20, 2021, a ministerial ordinance was enacted to partially revise the standards for implementing specific health checkups and specific health guidance. It is no longer necessary to obtain the consent of the individual when taking over a copy of the If you do not wish to provide it, you can make a request from the subscriber.
Itabashi Ward does not currently require the former insurer to provide a copy of records such as medical examination results, so there is no need to make a request to Itabashi Ward. If you are switching from Itabashi Ward, you will need to apply to the new insurer. Please contact your new insurer for details.

It will be possible to view health checkup information, etc. on Mynaportal.

Those who have applied to use their My Number Card as a health insurance card will be able to view information such as health checkups. (For details, see the Mynaportal website.)

Using this system, we plan to register data according to the schedule below so that you can view the results of medical examinations that you have undergone since 2020.

  • Registration completed for 2020 health checkup
  • For medical checkup implementation after 2021 By the end of the month three months after the month in which medical examination results are explainedto be enrolled in

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About this page inquiry

Health Ikigai Department National Health Insurance and Pension Division
2-66-1 Itabashi, Itabashi-ku, Tokyo 173-8501
Phone: 03-3579-2328 Fax: 03-3579-2425
Please use the dedicated form for inquiries to the National Health Insurance and Pension Division, Health Ikigai Department.

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