Up to ¥50,000 per treatment on top of Tokyo's fertility treatment subsidy

For the costs of "advanced medical care" (senshin iryō) (time-lapse imaging, PICSI, ERA, etc.) carried out together with insured IVF or intracytoplasmic sperm injection, the city adds up to ¥50,000 per treatment for Adachi City residents who received the Tokyo Metropolitan Government's subsidy. Tokyo's approval decision is a prerequisite, and you need a copy of Tokyo's approval decision notice to apply. The application deadline is within 1 year of the date you received the approval decision for Tokyo's Specified Fertility Treatment (Advanced Medical Care) Subsidy Program. The underlying Tokyo subsidy changed for treatment started on or after April 1, 2026. The costs of insured IVF and intracytoplasmic sperm injection, and of advanced medical care carried out together, are now covered, up to ¥150,000 per treatment. The calculation of multiplying advanced medical care costs by 7/10 was abolished. For treatment started by March 31, 2026, the previous rule applies: 7/10 of the advanced medical care cost, up to ¥150,000 per treatment. For treatment started on or after April 1, 2026, Tokyo began accepting applications on October 1, 2026. The city's top-up applications are scheduled to start in November 2026, and the application method and required documents are scheduled to be announced on the city's page during November. The city is currently accepting applications for treatment started by March 31, 2026. Requirements are that either spouse is registered as a resident of Adachi City on the application date, and that you have not received a similar subsidy from another municipality for the same treatment.