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| Gynecological examinations |
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1. Eligible persons |
(Female) insured persons aged 20 and older
Eligible persons may undergo gynecological examinations only once during the same fiscal year (April 1 through March 31 of the following year). Note that if you get the same examinations multiple times, you will no longer be eligible for the subsidy and must bear the entire cost of the examinations.
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2. Subsidy amount |
7,000 yen (total for both breast cancer screening and cervical cancer screening)
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3. Examination period |
| April 1 through March 31 of the following year |
4. Examination items |
Breast cancer screening (Multiple tests, such as palpation, ultrasound, and mammography, are available.)
Cervical cancer screening (Multiple tests, such as internal examination, cervical cytology, and ultrasound, are available.)
* Breast cancer screening must include an ultrasound or breast X-ray (mammography).
* Cervical cancer screening must include a physician-collected cervical cytology and internal examination. A transvaginal ultrasound also is eligible for the subsidy.
* Excludes tumor marker testing for breast or cervical cancer. |
| １．Examination at a contracted medical care institution |
5. Contracted medical care institutions |
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See the list of contracted medical care institutions (gynecological examinations).
You can use medical care institutions for which a single circle and “(payment of difference in amounts accepted)” is indicated in the “Gynecological examinations” column.
* If you are undergoing only gynecological examinations, use a medical care institution for which a single circle is indicated in the “Individual examinations available” column. |
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6. Examination costs |
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Pay at the medical care institution the portion of the costs beyond the subsidy amount of 7,000 yen on the date of the examination. Check with the medical care institution directly for the difference from the subsidy amount.
* Reexaminations, detailed examinations, and follow-up examinations are treated as insured medical consultations and treatment. |
7. How to apply for and get an examination |
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（１） |
Apply for an examination directly to your desired contracted medical care institution. Inform the institution that you are a Tokyo Securities Industry Health Insurance Society insured person and provide information such as your health insurance card code and number, name, gender, and date of birth. You do not need to notify the Health Insurance Society after this. Consent to and sign the Health Insurance Society’s document Handling of Personal Information and submit to the medical care institution before the examination. (Consent to Handling of Personal Information is required to undergo an examination.) |
（2） |
Get the examination as instructed by the contracted medical care institution. Pay the portion of the costs beyond 7,000 yen on the date of the examination.
Note that if you got breast cancer and cervical cancer screenings at a medical care institution which does not offer the option of paying only the difference from the subsidy amount or if you got these screenings at different medical institutions, pay the full amount of the costs up front, then apply for the subsidy in the same way as described in “2. Examination at another medical care institution.”
Apply at once if you got the screenings at multiple medical care institutions.
・ Subsidy applications for gynecological examinations are accepted only once during the same fiscal year.
・ You may also choose to apply for just breast cancer or cervical cancer screening, instead of both screenings.
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| ２．Examination at another medical care institution |
5. Examination costs |
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Pay the medical care institution directly.
You can apply for subsidy reimbursement (up to 7,000 yen total for both breast cancer and cervical cancer screenings) at a later date.
* Reexaminations, detailed examinations, and follow-up examinations are treated as insured medical consultations and treatment. |
6. How to apply for and get an examination |
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（１） |
Consent to the Health Insurance Society’s Privacy Policy and apply directly to your desired medical care institution. You do not need to notify the Health Insurance Society after this. |
（２） |
Pay all examination costs to the medical care institution on the date of the examination. Be sure to obtain a receipt. |
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7. Applying for the subsidy |
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（１） |
After you have received the examination results, etc., submit the following documents to the Health Insurance Society (Health Management Department): |
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Subsidization Application (for individual applications) |
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Receipt (original) (clearly indicating a description of the charge such as “Gynecological examination charge,” the examinee’s name, and the date of the examination) |
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Copy of the notice of examination results (copy of the page showing the date of the examination, the examinee’s name, and the results) |
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（２） |
The Health Insurance Society will pay the subsidy after reviewing and making a decision on the application. |
（３） |
The Health Insurance Society will pay the subsidy after reviewing and making a decision on the application. |
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The subsidy may be paid through bank transfer. If you request payment by bank transfer, payment may be made only to an account in the name of the insured person. |
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The subsidy for gynecological examinations may be paid no more than once per fiscal year. You may apply for the subsidy for both breast cancer screening and cervical cancer screening or for just one of these. You may apply for the subsidy only once per fiscal year even if each of these screenings was administered on a separate date or at different medical care institutions. Be sure to apply once for both screenings together in such a case. |
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Note that costs treated as those of insured medical consultations and treatment and costs remaining after payment of the difference in amounts at a contracted medical care institution are not eligible for subsidy reimbursement. |
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Other information
Some municipalities provide (gynecological) cancer screening roughly once every two years. Check with your municipality and take advantage of such screening if available.
* Copayments incurred for such screening also are eligible for the subsidy.
| Voluntarily and Continuously Insured Persons |
Voluntarily and Continuously Insured Persons should read the Health Checkup Information pamphlet. |
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Click here for the application form
Subsidization Application
