Healthcare Business

Specific Health Checkups/Specific Health Guidance

The HGST Health Insurance Association provides insured persons and dependents from age 40 to age 74 with Specific Health Checkups and Specific Health Guidance. The focus of the health checkup is on metabolic syndrome (visceral fat obesity), and its aim is the prevention and improvement of lifestyle diseases. If an examination indicates that an insured person has metabolic syndrome, or pre-metabolic syndrome, a public health nurse, dietitian, or other medical professional provides guidance on how to review and improve their lifestyle.
Please undergo a specific health checkup once each year to look over the condition of your health and prevent lifestyle diseases.

Prevention of Lifestyle Diseases

Improving the lifestyles of people who have metabolic syndrome or pre-metabolic syndrome, which are deeply associated with the onset of illness, is essential to preventing lifestyle diseases.
Because of this, specific health checkups and specific health guidance focus on metabolic syndrome and include:

  1. A physical examination to identify individuals who require health guidance
  2. Health guidance to help individuals improve their lifestyles

Please actively take advantage of health checkups and health guidance as a good opportunity for insured persons and dependents to consider health and lifestyle.

Lifestyle diseases

Diagnosis Criteria for Metabolic Syndrome

Abdominal girth (at navel) Men: 85 cm or more; Women: 90 cm or more
At least two of the three items
described on the right
  1. Blood glucose: Fasting blood glucose of 110 mg/dl or higher
  2. Lipids: Neutral fat of 150 mg/dl or higher or HDL cholesterol lower than 40 mg/dl
  3. Blood pressure: Systolic blood pressure of 130 mmHg or higher, or diastolic blood pressure of 85 mmHg or higher

*The selection process of individuals for specific health guidance includes BMI and a questionnaire (smoking and medication history) in addition to the above as well as a blood glucose standard of 100 mg/dl (fasting) or hemoglobin that has an A1c of 5.6% or higher.

Post-examination Specific Health Guidance

Insured persons and dependents age 40 or older undergo healthcare guidance to prevent lifestyle diseases which focuses on metabolic syndrome. (Every two years for insured persons and dependents age 40, 42, 44 and so on.)
The risk of lifestyle disease is assessed based on the results of a comprehensive medical examination. The individuals who receive health guidance are divided into three levels. The HGST Health Insurance Association continually collects and stores data about health checkups and healthcare guidance. The use of this data enables the health insurance association to implement effective and efficient health checkups and healthcare guidance.
Insured persons and dependents can use this information to not only prevent illness and promote health but also as an opportunity to create a healthier lifestyle.

Post-examination Specific Health Guidance

Level of Healthcare Guidance

Informational Level

Eligible candidates All individuals undergoing health checkups
Support period Once per year (when receiving the examination results)
Description Provide information on how to interpret examination results, basic knowledge about lifestyle diseases, and other information that gives insured persons and dependents an opportunity to review their lifestyle.
Types of individuals who
receive information
Mr. A who is under no risks other than abdominal girth
Mr. A’s abdominal girth at 87 cm exceeds the standard level, but his blood glucose, lipids, and blood pressure are all within the standard range. The physician determined he currently has a low risk of metabolic syndrome.

Motivational Support Level

Eligible candidates Individuals who need to improve their lifestyles and also require support to help make decisions to do so
Support period Once as a general rule
Description Individuals create their own action plan to improve their lifestyle under the guidance of physicians, public health nurses, and dietitians. An advisor evaluates the progress of each individual after three months.
Types of individuals who
need motivational support
Mr. B whose abdominal girth and blood pressure both exceed the standard
Mr. B has been diagnosed with pre-metabolic syndrome because he has an abdominal girth of 90 cm and systolic blood pressure of 140 mmHg.
Ms. C whose abdominal girth is within the standard range but whose degree of obesity and neutral fat level exceeded the standard
Ms. C has an abdominal girth within the standard range at 85 cm. However, she has been diagnosed with pre-metabolic syndrome because her BMI is 25 and her neutral fat level is 160 mg/dl at 154 cm tall and 60 kg.

Proactive Support Level

Eligible candidates Individuals who need to improve their lifestyle and also require ongoing detailed assistance
Support period Three months
Description An adviser intervenes and provides regular, ongoing support to enable the individual to independently and continually put the action plan which he/she has created into practice. An advisor evaluates the progress of each individual after three months.
Types of individuals who
need proactive support
Mr. D who is a smoker and has an abdominal girth and blood glucose level both exceeding the standard
Mr. D has been diagnosed with a metabolic syndrome because he has an abdominal girth of 89 cm, a fasting blood glucose level of 120 mg/dl, and a history of smoking.
Ms. E whose abdominal girth is within the standard range but whose degree of obesity, blood glucose level, neutral fat level, and blood pressure exceeded the standard
Even though her abdominal girth is within the standard range at 88 cm, Ms. E has been diagnosed with the need to improve her lifestyle because her BMI is 27, her hemoglobin has an A1c of 5.8%, her neutral fat level is 165 mg/dl, and her diastolic blood pressure is 90 mmHg at 158 cm tall and 67 kg.

*The HGST Health Insurance Association provides guidance to individuals designated as a candidate eligible for motivational or proactive support.

Implementation Plans for Specific Health Checkups and Other Medical Services

  • Implementation Plans for Specific Health Checkups and Other Medical Services
    (Third Period)
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