Until the end of the fiscal year the child turns 18, no out-of-pocket cost for insured medical care (no income limit)
Medical Expense Subsidy for Infants (Maru-Nyu), Compulsory-Education Children (Maru-Ko), and High School-Age Children (Maru-Sei) / Higashimurayama City
Medical Expense Subsidy for Infants (Maru-Nyu), Compulsory-Education Children (Maru-Ko), and High School-Age Children (Maru-Sei)Higashimurayama CityNo income limitMedical certificate application required
Until the end of the fiscal year the child turns 18, out-of-pocket medical costs are ¥0
Out-of-pocket share of insured care¥0From age 0 to the end of the fiscal year at 18
- From April 2026, the ¥200 per outpatient visit was also removed
- Meal costs during a hospital stay, vaccinations, and similar are not covered
Children living in Higashimurayama City from age 0 to the end of the fiscal year they turn 18 can see a doctor without paying the out-of-pocket cost for insured care and medicine if they show the medical certificate (iryōshō). From April 2026, the ¥200 per outpatient visit that applied from elementary school to high school age was removed. The income limit was removed for infants in October 2009, for elementary and junior high school students in April 2024, and for high school-age children in October 2025. Meal costs during a hospital stay and items not covered by insurance, such as vaccinations and checkups, are not covered. If you see a doctor at a medical institution outside Tokyo, pay first and apply to the city 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 with an address in Higashimurayama City from age 0 until the first March 31 on or after the day they turn 18 (must be enrolled in health insurance; excluding public assistance, placement in an institution, and similar)
Notes
You must apply for a medical certificate. If you apply within 1 month of the birth or moving in, it is valid from the date of birth or moving in.The income limit for Maru-Ko was removed on April 1, 2024, for Maru-Sei in October 2025, and for Maru-Nyu on October 1, 2009.