Medical costs fully covered from age 0 through high school age (Maru-Nyu, Maru-Ko, Maru-Sei)
- Checkups, vaccinations, and hospital meals are not covered
- For care outside Tokyo, claim from the city later
When a child living in Itabashi City receives insured care at a medical institution, Itabashi City fully covers the out-of-pocket share (usually 20% or 30%). Eligible children are from birth until the first March 31 after the day they turn 18. There is no income limit. There are 3 medical certificates depending on age: infants and young children get the "Infant Medical Certificate (Maru-Nyu)," elementary and junior high students get the "Child Medical Certificate (Maru-Ko)," and high school age get the "High School Student Medical Certificate (Maru-Sei)."It is issued when you apply at birth or when moving in, and if you show it at the counter of a medical institution, your share becomes ¥0 on the spot. For medical institutions outside Tokyo, you pay your share first and then claim it from the city (reimbursement). Health checkup fees, vaccination fees, document fees, medicine container costs, and the standard share of hospital meal costs (meal charges) are not covered.