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Article 26Special health examinations for Subscribers of Other Insurers

第二十六条(他の保険者の加入者への特定健康診査等)

An Insurer may, if it does not hinder the implementation of Special health examinations, etc. for its Subscribers, provide Special health examinations or Specific Health Guidance pertaining to the Subscribers of other Insurers. In this case, the Insurer may, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, claim the expenses required for the Special health examinations or Specific Health Guidance from the person who received the Special health examinations or Specific Health Guidance.

保険者は、その加入者の特定健康診査等の実施に支障がない場合には、他の保険者の加入者に係る特定健康診査又は特定保健指導を行うことができる。この場合において、保険者は、当該特定健康診査又は特定保健指導を受けた者に対し、厚生労働省令で定めるところにより、当該特定健康診査又は特定保健指導に要する費用を請求することができる。

If an Insurer provides Special health examinations or Specific Health Guidance to a member of another Insurer pursuant to the provisions of the preceding paragraph, it must promptly send the records concerning the Special health examinations or Specific Health Guidance to the other Insurer which the member is currently enrolled in, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

保険者は、前項の規定により、他の保険者の加入者に対し特定健康診査又は特定保健指導を行つたときは、厚生労働省令で定めるところにより、当該特定健康診査又は特定保健指導に関する記録を、速やかに、その者が現に加入する当該他の保険者に送付しなければならない。

If a member of an Insurer receives Special health examinations or Specific Health Guidance provided by another Insurer pursuant to the provisions of paragraph (1) and pays the expenses thereof to the other Insurer, the Insurer pays a reasonable amount of money to the member as expenses required for the Special health examinations or Specific Health Guidance pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

保険者は、その加入者が、第一項の規定により、他の保険者が実施する特定健康診査又は特定保健指導を受け、その費用を当該他の保険者に支払つた場合には、当該加入者に対して、厚生労働省令で定めるところにより、当該特定健康診査又は特定保健指導に要する費用として相当な額を支給する。

Notwithstanding the provisions of paragraph (1) and the preceding paragraph, an Insurer may, upon consultation with other Insurers, specify otherwise with regard to the treatment of claims and payments of expenses for Special health examinations or Specific Health Guidance pertaining to the Subscribers of the other Insurers.

第一項及び前項の規定にかかわらず、保険者は他の保険者と協議して、当該他の保険者の加入者に係る特定健康診査又は特定保健指導の費用の請求及び支給の取扱いに関し、別段の定めをすることができる。

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