From age 0 to the end of the fiscal year at 18, the full out-of-pocket medical cost is covered with no income limit
Medical Expense Subsidy for Children (Maru-Nyu / Maru-Ko / Maru-Sei) / Akishima City
Medical Expense Subsidy for Children (Maru-Nyu / Maru-Ko / Maru-Sei)Akishima CityAge 0 to 18No income limit
Out-of-pocket medical costs subsidized until the end of the fiscal year the child turns 18
Out-of-pocket share of insured careFully coveredUntil the end of the first fiscal year after turning 18
- Meal costs during a hospital stay, checkups, and vaccinations are not covered
- For care outside Tokyo, claim a refund later
When a child living in Akishima City, from age 0 until the end of the first fiscal year after turning 18, sees a doctor, the city covers the full out-of-pocket share under health insurance. There is no income limit. Full coverage of the out-of-pocket share for elementary, junior high, and high school students and similar started in October 2024. Meal costs during a hospital stay and items not covered by insurance, such as health checkups and vaccinations, are not covered. Amounts paid at medical institutions outside Tokyo can be claimed back later.
Nationality and residence status
The official page (checked in October 2026) sets no condition on nationality or residence status that we found. Eligibility follows the official conditions, not the language of this page; many programs require resident registration in the municipality.
Who is eligible
Children registered as residents of Akishima City from age 0 until the end of the first fiscal year after turning 18 (excluding those receiving public assistance, living in an institution, and similar)
Notes
Run with partial funding from a defense subsidy (subsidy for projects related to Yokota Air Base). The medical certificate is renewed every October 1.