The co-payment for insurance-covered care for parents and children in single-parent households is subsidized (income limit applies)
Medical Expense Subsidy for Single-Parent Households, etc. (Maru-Oya medical certificate) / Higashiyamato City
Medical Expense Subsidy for Single-Parent Households, etc. (Maru-Oya medical certificate)Higashiyamato CitySingle-parent households, etc.Income limit applies
Medical costs subsidized for parents and children in single-parent households
For households exempt from resident tax, the subsidy coversYour co-paymentFor taxable households, minus a partial charge
- For taxable households, the outpatient partial charge is up to ¥18,000 a month
When parents in single-parent households and their children until the end of the fiscal year in which they turn 18 (under 20 if they have certain disabilities) see a doctor, the city subsidizes the co-payment for insurance-covered care. Depending on whether the applicant and those with a duty of support are taxable or exempt from resident tax, part of the co-payment may remain. There is an income limit. From April 2026, at medical institutions in Tokyo that support PMH, you can use the My Number health insurance card and no longer need to show the medical certificate.
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
Fathers, mothers or guardians in single-parent households, etc. living in Higashiyamato City below the income limit, and children until the first March 31 on or after the 18th birthday (under 20 if they have certain disabilities)
Notes
Income limit (0 dependents): applicant ¥2,080,000; persons with a duty of support, spouse, etc. ¥2,360,000.Standard meal costs and standard living costs during a hospital stay are excluded. If the applicant is the mother or father, 80% of child support received is added to income.