Ranking
What is compared: The maximum per treatment cycle of the subsidy that municipalities add on top of Tokyo's fertility treatment subsidy (for treatment started in or after April 2026; for municipalities whose pages do not mention how treatment from April is handled, the maximum they currently publish) Unit: yen/cycle
How we compare, and notes
The figures were checked on each municipality's official page around October 11, 2026. "See notes" marks places where the official page has not caught up with the latest revision, or where different conditions make a like-for-like comparison impossible; details are in each municipality's entry. Kodaira City not yet covered. Before applying, always check the official page.
Details and sources
1Minato City¥300,000/cycleChecked on official page
The city subsidizes advanced medical care not covered by insurance, and private (non-insured) treatment where the whole treatment is paid out of pocket, each up to ¥300,000 per cycle. For advanced medical care, the amount after deducting Tokyo's subsidy is covered. The city's page says nothing about treatment from April 2026.
2Chuo City¥100,000/fiscal yearChecked on official page
For treatment started on or after April 1, 2026, the city subsidizes the cost of insured IVF and ICSI and advanced medical care, minus Tokyo's subsidy, up to ¥100,000 per fiscal year, for 6 fiscal years in total. The maximum is per fiscal year, not per cycle. Applications open on October 1, 2026.
2Fussa City¥100,000/cycleChecked on official page
From treatment started on or after April 1, 2026, the city subsidizes up to ¥100,000 per cycle of the combined out-of-pocket cost of insured IVF and ICSI and advanced medical care, excluding Tokyo's subsidy (before that, ¥50,000 for advanced medical care only).
4Adachi City¥50,000/cycleChecked on official page
For people who received Tokyo's fertility treatment subsidy decision, the city subsidizes the cost of advanced medical care paid privately together with insured treatment, up to ¥50,000 per cycle. For treatment started on or after April 1, 2026, applications are planned to open in November, and the application method is to be published on the city's page during November. Whether the insured portion will also be covered for treatment from April is not yet stated on the city's page.
4Arakawa City¥50,000/cycleChecked on official page
The city subsidizes the cost of advanced medical care done with insured treatment, minus the subsidy approved by Tokyo, up to ¥50,000 per cycle. The city's page says nothing about treatment from April 2026.
4Chiyoda City¥50,000/cycleChecked on official page
For insured IVF and ICSI started on or after April 1, 2026, and advanced medical care done with it, the city subsidizes the cost minus Tokyo's subsidy, up to ¥50,000 per cycle. The number of subsidized cycles follows Tokyo's.
4Katsushika City¥50,000/cycleChecked on official page
The city subsidizes the cost of advanced medical care done with insured treatment, minus Tokyo's subsidy, up to ¥50,000 per cycle. The city's page says nothing about treatment from April 2026.
4Koto City¥50,000/cycleChecked on official page
For treatment started on or after April 1, 2026, the city subsidizes the cost of insured IVF and ICSI and advanced medical care, minus Tokyo's subsidy decision amount and similar, up to ¥50,000 per cycle. The insured portion is also covered.
4Meguro City¥50,000/cycleChecked on official page
For people who received Tokyo's specific fertility treatment (advanced medical care) subsidy, the city compares the amount after Tokyo's subsidy with ¥50,000 and pays the lower one. The city's page says nothing about treatment from April 2026.
4Nakano City¥50,000/cycleChecked on official page
For treatment started on or after April 1, 2026, the city subsidizes the total cost of the insured and advanced medical care portions, minus the subsidy approved by Tokyo, up to ¥50,000 per cycle. Applications open on October 1, 2026.
4Suginami City¥50,000/cycleChecked on official page
From October 1, 2026, for treatment started on or after April 1, the city covers the out-of-pocket cost of insured IVF and ICSI in addition to advanced medical care costs, with a maximum of ¥50,000.
4Taito City¥50,000/cycleChecked on official page
For treatment started on or after April 1, 2026, the city pays ¥50,000 when the costs covered by Tokyo's subsidy exceed ¥200,000 and the out-of-pocket cost for advanced medical care exceeds ¥50,000. Applications for this open on March 1, 2027.
4Akiruno City¥50,000/cycleChecked on official page
The city subsidizes the cost of advanced medical care done together with insured IVF and ICSI, minus Tokyo's subsidy, up to ¥50,000 per treatment cycle. The city's page says nothing about Tokyo changing its subsidy for treatment started from April 2026.
4Fuchu City¥50,000/cycleChecked on official page
For treatment started on or after April 1, 2026, the city subsidizes up to ¥50,000 per cycle of the total cost of insured IVF and ICSI and advanced medical care, minus Tokyo's subsidy, the High-Cost Medical Expense Benefit and additional benefits.
4Hino City¥50,000/cycleChecked on official page
The city subsidizes the cost of advanced medical care received together with insured IVF and ICSI, minus Tokyo's subsidy, up to ¥50,000 per treatment cycle. It is for people who received approval of Tokyo's advanced medical care subsidy on or after April 1, 2026.
4Hinode Town¥50,000Checked on official page
The town subsidizes the cost of advanced medical care done together with insured IVF and ICSI, minus Tokyo's subsidy, up to ¥50,000. The town's page says "up to ¥50,000" and does not state clearly whether this is per cycle.
4Ome City¥50,000/cycleChecked on official page
For people who received Tokyo's specific fertility treatment (advanced medical care) subsidy decision, the city subsidizes up to ¥50,000 of the advanced medical care cost minus Tokyo's subsidy. The city's page says nothing about treatment started from April 2026.
18Higashiyamato City¥30,000/cycleChecked on official page
If you have received approval of Tokyo's fertility treatment subsidy and costs exceed Tokyo's subsidy, for insured IVF and ICSI started on or after April 1, 2026 (including advanced medical care done with it), the city subsidizes the remainder after Tokyo's subsidy up to ¥30,000.
18Inagi City¥30,000/cycleChecked on official page
For treatment started on or after April 1, 2026, the city subsidizes up to ¥30,000 per cycle of the out-of-pocket cost of insured IVF and ICSI and advanced medical care, minus Tokyo's subsidy. Private treatment beyond the insurance limits on cycles and age (under 45) is also subsidized up to ¥30,000 per cycle, with no limit on the number of cycles.
18Komae City¥30,000Checked on official page
From FY2026, for people approved for Tokyo's specific fertility treatment (advanced medical care) subsidy or fertility treatment subsidy, the city adds up to ¥30,000 toward the cost remaining after Tokyo's subsidy. It is for people who received Tokyo's approval decision on or after April 1, 2026, and ends when the budget runs out.
−Bunkyo CityUnder reviewSee notes
For treatment started on or after April 1, 2026, the city plans to revise its program and says details will be announced on the city's page once decided. For treatment started by March 31, the maximum was ¥50,000 per cycle for advanced medical care and ¥100,000 per cycle for the out-of-pocket cost of the whole treatment.
−Edogawa CityNo city top-upNo program (checked on official page)
The city's page says "Edogawa City does not provide a top-up subsidy for the Tokyo Fertility Treatment Subsidy Program".
−Itabashi CityNo city top-upNo program (checked on official page)
The city's page says "Itabashi City does not provide a top-up subsidy for advanced medical care". You apply directly to Tokyo's subsidy.
−Kita CityUnder considerationSee notes
The city's current subsidy covers treatment started by March 31, 2026. The city's program for treatment started on or after April 1 is under consideration and will be announced on the city's page once decided. For treatment by March 31, it was up to ¥50,000 per cycle for advanced medical care.
−Nerima CityUnder considerationSee notes
Current applications cover treatment started between April 1, 2025 and March 31, 2026. The city says its program for treatment started on or after April 1 is under consideration. For treatment by March 31, it was up to ¥50,000 per cycle for advanced medical care.
−Ota CityUnder reviewSee notes
For treatment started on or after April 1, 2026, the city is considering revising its subsidy in response to Tokyo's changes, and asks you to contact the Health Promotion Division before applying. For earlier treatment, it was up to ¥50,000 per cycle for advanced medical care.
−Setagaya CityNo information on the city's pageSee notes
The city's former page on its specific fertility treatment subsidy can no longer be opened, and the list on the city's pregnancy page has no information on fertility treatment subsidies (fertility consultations are offered as an online pre-pregnancy consultation service). It also does not say there is no top-up.
−Shibuya CityUnder reviewSee notes
For treatment started on or after April 1, 2026, the city says it will subsidize people who still have out-of-pocket costs after Tokyo's subsidy; details will be posted on the city's page in December 2026, and applications are planned to open in January 2027. For treatment started by March 31, it was up to ¥100,000 per cycle for the combined out-of-pocket cost of insured treatment and advanced medical care.
−Shinagawa CityUnder reviewSee notes
For treatment started on or after April 1, 2026, the city says details will be decided once the supplementary budget submitted to the second regular council session of 2026 (until July 9) is passed, but the city's page is still the version updated on June 19. It says claims cannot be made with the current certificate. For earlier treatment, the city subsidized the out-of-pocket cost of the insured portion of assisted reproductive treatment up to ¥50,000 per cycle.
−Shinjuku CityNo information on the city's pageSee notes
The city's website has no information on a city subsidy added on top of Tokyo's fertility treatment subsidy. It also does not say there is no top-up. Specialist fertility consultations are held at the Women's Health Support Center in the Yotsuya Health Center.
−Sumida CityNo city top-upNo program (checked on official page)
On the city's page, the specific fertility treatment subsidy is presented as a Tokyo program, and inquiries and applications go to Tokyo. There is no information on a city top-up.
−Toshima CityNo city top-upNo program (checked on official page)
The "Toshima City Specific Fertility Treatment Subsidy" has ended, and the city's page links to information on Tokyo's subsidy.
−Akishima CityUnder considerationSee notes
For treatment started on or after April 1, 2026, the city is considering its program in response to the expansion of Tokyo's subsidy and says details will be announced once decided. For treatment started by March 31, the maximum was ¥30,000 per cycle as a top-up to Tokyo's advanced medical care subsidy.
−Chofu CityNo information on a city top-upSee notes
The city's infertility and recurrent pregnancy loss page only presents Tokyo's subsidy; there is no information on a city top-up.
−Hachioji CityNoneNo program (checked on official page)
The city's page only presents Tokyo's specific fertility treatment subsidy; there is no information on a city top-up. Because Hachioji City has its own public health center, its public health center handles the subsidy for recurrent pregnancy loss tests (up to ¥50,000).
−Hamura CityNoneNo program (checked on official page)
The city's official website has no information on a city top-up to Tokyo's fertility treatment subsidy. The city's former specific fertility treatment subsidy was abolished in March 2025 (city's list of subsidy expenditures, FY2024).
−Higashikurume CityNo city top-upNo program (checked on official page)
The city's page presents Tokyo's subsidy programs for fertility tests, recurrent pregnancy loss tests and specific fertility treatment (advanced medical care); there is no information on a city top-up.
−Higashimurayama CityNoneNo program (checked on official page)
The city's page only presents Tokyo's fertility treatment subsidy; there is no information on a city top-up.
−Hinohara VillageNoneNo program (checked on official page)
The village's child-rearing support information introduces Tokyo's recurrent pregnancy loss test subsidy and others; there is no information on a village top-up to Tokyo's fertility treatment subsidy.
−Kiyose CityNoneNo program (checked on official page)
The only IVF, ICSI and similar subsidy presented on the city's page is Tokyo's program; there is no city top-up. The city's own subsidy is for recurrent pregnancy loss treatment costs (up to ¥300,000 once per fiscal year).
−Koganei CityNoneNo program (checked on official page)
The city's page on fertility tests, fertility treatment and recurrent pregnancy loss tests only presents Tokyo's subsidies and consultation services; there is no information on a city top-up.
−Kokubunji CityNo information on a city top-upSee notes
The city's pregnancy and childbirth page (after the website update in March 2026) has no information on a top-up to Tokyo's fertility treatment subsidy. The page for the city's former specific fertility treatment subsidy can no longer be opened.
−Kunitachi CityNoneNo program (checked on official page)
The city's specific fertility treatment subsidy was a top-up to Tokyo's former program (specific fertility treatment subsidy), which has stopped taking new applications, and the city's subsidy has already closed. Tokyo's advanced medical care subsidy was never covered by this city subsidy. There is no information on a city subsidy added on top of Tokyo's current subsidy.
−Machida CityNoneNo program (checked on official page)
The Machida Child-Rearing Site only presents Tokyo's subsidies for specific fertility treatment (advanced medical care), fertility tests and recurrent pregnancy loss tests; there is no information on a city top-up.
−Mitaka CityNo city top-upNo program (checked on official page)
The city's page presents consultations on infertility and recurrent pregnancy loss and Tokyo's subsidies; there is no information on a city top-up.
−Mizuho TownNoneNo program (checked on official page)
The town's official website presents Tokyo's subsidies for infertility and recurrent pregnancy loss; there is no information on a town top-up.
−Musashimurayama CityNoneNo program (checked on official page)
The city's page presents only Tokyo's program as the subsidy for IVF, ICSI and similar; there is no information on a city top-up.
−Musashino CityNo city top-upNo program (checked on official page)
The city's page presents Tokyo's program as the fertility treatment subsidy; there is no information on a city top-up.
−Nishitokyo CityNo city top-upNo program (checked on official page)
The city's page presents Tokyo's subsidy programs for fertility tests, fertility treatment costs and recurrent pregnancy loss tests; there is no information on a city top-up.
−Okutama TownCannot be comparedSee notes
The town's fertility treatment subsidy (the amount after deducting other subsidies, up to ¥150,000 per year) was one of the town's "Children and Child-Rearing Support Promotion Projects". That program ended in FY2026, and the list of its successor, the "Children Support Projects", does not include a fertility treatment subsidy.
−Tachikawa CityNoneNo program (checked on official page)
The city's fertility test and fertility treatment page only presents Tokyo's subsidies and consultation services; there is no information on a city top-up.
−Tama CityNoneNo program (checked on official page)
The city's page only presents Tokyo's subsidies for specific fertility treatment (advanced medical care), fertility tests and recurrent pregnancy loss tests; there is no information on a city top-up.