Until the end of the fiscal year of age 18, the co-payment for insurance-covered care is subsidized (no income limit)
Medical Expense Subsidy for Children (Maru-Nyu, Maru-Ko, Maru-Sei) / Higashiyamato City
Medical Expense Subsidy for Children (Maru-Nyu, Maru-Ko, Maru-Sei)Higashiyamato CityAges 0 to 18No income limit
Medical co-payments subsidized until the end of the fiscal year of age 18
What is subsidizedYour co-paymentThe co-payment for insurance-covered care (meal costs, etc. excluded)
- Until the first March 31 on or after the 18th birthday
Children living in Higashiyamato City and enrolled in health insurance, from age 0 to high school age (the end of the fiscal year in which they turn 18), have the co-payment for insurance-covered care subsidized when they show the medical certificate. There is no income limit. Before elementary school, use the Maru-Nyu certificate; elementary and junior high school students use Maru-Ko; high school-age children use Maru-Sei, whether or not they attend high school. Items not covered by insurance, such as checkups and vaccinations, and meal costs during a hospital stay are excluded. If you see a doctor at a medical institution outside Tokyo, apply to the city afterward for a refund.
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
People with an address in Higashiyamato City raising a child enrolled in health insurance, until the first March 31 on or after the 18th birthday (excluding public assistance, placement in institutions, etc.)
Notes
If you apply within 30 days of the birth or move-in date, it is valid from the birth or move-in date. The medical certificate is valid from October 1 to September 30 of the following year.From April 1, 2026, the My Number health insurance card can be used as the medical certificate (at medical institutions in Tokyo that support PMH, etc.).