No out-of-pocket medical costs from age 0 to 18
- Until the first March 31 after turning 18
- Hospital meal costs are also covered by a cash subsidy
For children living in Chiyoda City from age 0 to the first March 31 after turning 18, the city fully subsidizes the out-of-pocket cost (usually 30% or 20%) when they receive insured treatment at a medical institution. There is no income limit.
If you show the "child medical certificate" together with your health insurance card at the medical institution's counter, there is no out-of-pocket cost (= nothing to pay at the counter). If you receive care outside Tokyo or forget to show the certificate, pay the out-of-pocket cost first, then apply to the city later with the receipt to get a refund.
Insured treatment (consultations, medication, procedures, tests, hospital stays, surgery, etc.) is covered. Non-insured treatment, room charge differences, health checkups, vaccinations and similar are not covered. Meal costs during hospital stays have been covered by a cash subsidy for treatment on or after April 1, 2025.