The city adds up to ¥50,000 per cycle toward IVF and ICSI costs, separately from the Tokyo subsidy
- Apply within 1 year from the date of Tokyo's subsidy decision
For couples (including common-law marriage) approved for the Tokyo fertility treatment cost subsidy, the city subsidizes the remainder after subtracting the Tokyo subsidy, up to ¥50,000 per treatment cycle (amounts under ¥10 are rounded down).
For treatment started on or after April 1, 2026, the out-of-pocket cost of IVF and ICSI under health insurance and the cost of advanced medical care carried out together are covered. If a High-Cost Medical Expense Benefit or an additional benefit from health insurance is paid, that amount is subtracted. For treatment started by March 31, 2026, only the cost of advanced medical care is covered.
The condition is that at least one of the couple keeps an address in the city from the treatment start date to the application date(for treatment started on or after April 1, 2026 and ended by September 30, if you had an address in the city until the end date, you can apply even if you have moved out at the time of application). Attach a copy of Tokyo's approval decision notice and other documents and apply through the city's portal site.
You can apply for 1 year from the date of Tokyo's subsidy decision. Check the city's official page for details such as required documents.