Follow-up medical examination expenses is paid to a worker, based on their claim, where the worker has, in their most recent medical examination conducted pursuant to the provisions of Article 66, paragraph (1) of the Industrial Health and Safety Act (Act No. 57 of 1972) or a medical examination pertaining to the medical examination conducted pursuant to the provisions of the proviso to paragraph (5) of that Article (hereinafter referred to as an "initial medical examination" in this paragraph), undergone blood pressure tests or blood tests or other tests concerning physical conditions related to the occurrence of a cerebrovascular disease or heart disease caused in the course of their duties, which are specified by Order of the Ministry of Health, Labour and Welfare, and the worker who has undergone these tests is diagnosed as those showing abnormalities for all items of the medical test (excluding workers who, based on the results of the initial medical examination or for other reasons, obviously have symptoms of cerebrovascular disease or heart disease).
二次健康診断等給付は、労働安全衛生法（昭和四十七年法律第五十七号）第六十六条第一項の規定による健康診断又は当該健康診断に係る同条第五項ただし書の規定による健康診断のうち、直近のもの（以下この項において「一次健康診断」という。）において、血圧検査、血液検査その他業務上の事由による脳血管疾患及び心臓疾患の発生にかかわる身体の状態に関する検査であつて、厚生労働省令で定めるものが行われた場合において、当該検査を受けた労働者がそのいずれの項目にも異常の所見があると診断されたときに、当該労働者（当該一次健康診断の結果その他の事情により既に脳血管疾患又は心臓疾患の症状を有すると認められるものを除く。）に対し、その請求に基づいて行う。
The coverage of follow-up medical examination is as follows:
二次健康診断等給付の範囲は、次のとおりとする。
a medical examination conducted by a doctor who carries out the medical test (excluding the tests prescribed in the preceding paragraph) specified by Order of the Ministry of Health, Labour and Welfare which are necessary to understand the conditions of the blood vessels in the brain and the heart (limited to once per fiscal year; hereinafter referred to as a "follow-up medical examination" in this Section); and
脳血管及び心臓の状態を把握するために必要な検査（前項に規定する検査を除く。）であつて厚生労働省令で定めるものを行う医師による健康診断（一年度につき一回に限る。以下この節において「二次健康診断」という。）
health guidance given by a doctor or public health nurse by having an interview based on the results of the follow-up medical examination in order to prevent the occurrence of a cerebrovascular disease and heart disease (limited to once per follow-up medical examination; hereinafter referred to as "specific health guidance" in the following paragraph)
With regard to workers who, based on the results of a follow-up medical examination or for other reasons, obviously have symptoms of a cerebrovascular disease or heart disease, the government does not give specific health guidance pertaining to the follow-up medical examination.