Medical costs for single-parent households reduced to a 10% co-payment (free if everyone in the household is tax-exempt)
Medical Expense Subsidy for Single-Parent Households (Maru-Oya) / Hachioji City (Tokyo program)
Medical Expense Subsidy for Single-Parent Households (Maru-Oya)Hachioji CitySingle-parent householdsIncome limit applies
Medical costs for single-parent households at a 10% co-payment
Outpatient limit
Hospital stay limit
Free if everyone is tax-exempt; 10% co-payment if anyone is taxable
The city subsidizes part of the medical costs of parents and children in single-parent households raising a child until the end of the fiscal year in which they turn 18 (under 20 if they have certain disabilities). If the applicant and those with a duty of support are all tax-exempt, the co-payment for insurance-covered care is free; if anyone is taxable, the co-payment is 10%. The limit for the 10% co-payment is ¥18,000 a month and ¥144,000 a year for outpatient care, and ¥57,600 a month for hospital stays. Meal costs during a hospital stay are not covered, and there is an income limit.
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
Single-parent households, etc. raising a child until the first March 31 after turning 18 (under 20 if they have certain disabilities) (income limit applies)
Notes
Children covered by Maru-Nyu, Maru-Ko or Maru-Sei continue to use their respective medical certificates (Maru-Nyu children use Maru-Nyu whether taxable or not). The income limit follows a table based on the number of dependents (e.g., ¥2,160,000 for an applicant with 0 dependents).The annual limit is calculated per person from August 1 to July 31 of the following year.Contact: Child-Rearing Support Division, Children and Family Department 042-620-7368