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Specified Health Check-up

Eligibility

The guidance under our mutual aid system is available for individuals 40-74 years of age in the current fiscal year who are a PMAC member (including Voluntary Continued Insurance members) throughout the year (i.e., those who were not qualified/disqualified as our member or those whose dependents were not certified/decertified during the fiscal year) and their dependents. Those reaching age of 75 during the current fiscal year may take the guidance during the period before their 75th birthday.

Check-up items

(1) Items for basic check-up

Note:
The boxed items are subject to classification for Specified Health Guidance.

Item

Examination purpose

Standard questionnaire

Medication history, smoking history, history of disease, etc.

Examination of subjective/objective symptoms

Physical measurements
・Height
・Weight
BMI
Waist measurement

Diagnosis for obesity levels.
BMI=Weight (kg) / [Height (m)]2
Diagnosis to determine abdominal obesity.

Blood pressure
Systolic blood pressure (highest blood pressure)
Diastolic blood pressure (lowest blood pressure)

Diagnosis to determine hypertension.

Blood lipid test
TG (triglyceride) levels
・LDL cholesterol levels(Note1)
HDL cholesterol levels

Diagnosis to determine lipid abnormality.

Liver function test
・GOT (AST)
・GPT (ALT)
・γ-GTP (γ-GT)

Diagnosis to examine liver functions.

Blood glucose test
Fasting blood glucose levels(Note2) or HbA1c

Diagnosis to determine diabetes.

Urine test
・Glucose levels
・Protein levels

Diagnosis to determine diabetes.
Diagnosis to examine liver functions.

Under given conditions, the following test items may be substituted for those with an asterisk.

Note 1:
Non-HDL cholesterol levels

Note 2:
Casual blood glucose levels

(2) Items for detailed check-up

Item

Implementation requirements

Anemia test
・Hematocrit value
・Hemoglobin content (hemoglobin value)
・Red blood cell count

These tests will be conducted if they are assumed necessary by doctors based on given criteria.

Electrocardiogram
・12-lead electrocardiogram

These tests will be conducted if they are assumed necessary by doctors based on given criteria.

Fundoscopic examination

These tests will be conducted if they are assumed necessary by doctors based on given criteria.

Kidney function test
・Serum creatinine
・eGFR

These tests will be conducted if they are assumed necessary by doctors based on given criteria.

Implementation of Specified Health Check-up

Members

In accordance with the School Health and Safety Act, schools must implement an organizational medical check-up program regularly on an annual basis at their own expense. Your examination results will be sent to PMAC by your school as your Specified Health Check-up data.

Dependents

A Specified Health Check-up Voucher will be sent to you via school and member late June each year. Make a reservation with one of the medical institutions designated by PMAC. At the institution, you will be asked to present your Membership Card for Dependent and check-up voucher. The examination fee is free of charge as it is borne by PMAC.

Voluntary Continued Insurance Members and their Dependents

A Specified Health Check-up Voucher will be sent to the Voluntary Continued Insurance Member’s address late June every year. Make a reservation with one of the medical institutions designated by PMAC. At the institution, you will be asked to present your Membership Card or Membership Card for Dependent and check-up voucher. The examination fee is free of charge as it is borne by PMAC.

Points to note

  1. Members’ dependents, Voluntary Continued Insurance Members, and their dependents must choose a medical institution from the List of Designated Medical Institutions enclosed with a Specified Health Check-up Voucher or on our PMAC website. Alternatively, they may take a group medical examination held at our Garden Palace and other venues. Please make sure to make a booking for medical examination.
  2. The expenses for examinations for other than the basic check-up items (including items for detailed examination assumed necessary and implemented by doctors) must be borne by the examinee.
  3. Comprehensive health checkup system is an official alternative for Specified Medical Check-up. Please submit the examination results to us. Organizations providing medical insurance are required to appropriately promote activities for health and activities. Consequently, if you apply for subsidies for expenses for our comprehensive health checkup system, please make sure to submit an application form for the subsidies together with the examination results and the Standard Questionnaire.
    Please submit your examination results by referring to the Specified Health Check-up “Genki” Guide enclosed with a Specified Health Check-up Voucher or our PMAC website. Form for filling in the examination results is downloadable from our website. The guide also provides relevant information for Voluntary Continued Insurance Members and dependents. Please note that you cannot have a Comprehensive health checkup system with the voucher.
  4. If a member’s dependent, a Voluntary Continued Insurance Member, or their dependent underwent a Specified Health Check-up with their Specified Health Check-up Voucher, they do not have to send their examination results to us because they are sent directly by their medical institution. Please note that the voucher is valid for one use only per user during a fiscal year.

Classification

Based on the following criteria, the examination results submitted to PMAC are classified (categorized) into the three groups of healthcare advice, motivation support, and active support.

Classification criteria

Note1:

  • The crossed-out boxes in the smoking history column are those where the smoking history does not affect the classification.
  • For potential risks, refer to the criteria for Metabolic Syndrome. Note that potential risks exist if fasting blood glucose levels are 100mg/dl or more or HbA1c is 5.6% or higher.

Note2:
If you are receiving medical treatment under the care of a doctor for items of potential risk, you will be classified into the group for healthcare advice.

Notification of results

We provide you with a healthcare booklet QUPiO Plus customized based on your Specified Health Check-up results, which includes advice on personal lifestyle and other healthcare issues in addition to your examination results. The booklet is sent by mail to your school for members and to the home address for members’ dependents, Voluntary Continued Insurance Members, and their dependents.

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