Medical costs subsidized until the end of the fiscal year the child turns 18 (from elementary school, you pay up to ¥200 per outpatient visit; no income limit)
Medical Expense Subsidy for Infants, Compulsory-Education Children, and High School-Age Children (Maru-Nyu / Maru-Ko / Maru-Sei) / Kiyose City
Medical Expense Subsidy for Infants, Compulsory-Education Children, and High School-Age Children (Maru-Nyu / Maru-Ko / Maru-Sei)Kiyose CityAge 0 to 18No income limit
Medical costs subsidized until the end of the fiscal year the child turns 18
Outpatient visits from elementary school to high school ageUp to ¥200 per visitNo counter payment before elementary school
- No cost for hospital stays, dispensing, and home-visit nursing
- Meal costs during a hospital stay and costs outside insurance are not covered
For children living in Kiyose City from age 0 to high school age (the end of the fiscal year they turn 18), the out-of-pocket share of insured care is subsidized when you show the medical certificate (iryōshō). Before elementary school (Maru-Nyu), there is no payment at the counter. From elementary school to high school age (Maru-Ko / Maru-Sei), you pay up to ¥200 per visit only for outpatient care; hospital stays, pharmacy dispensing, and home-visit nursing cost nothing. The income limit for elementary school and older was removed in October 2024. Items not covered by insurance, such as checkups and vaccinations, and meal costs during a hospital stay are not covered.
SIMULATOR
How much for one outpatient visit from elementary school to high school age?
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 Kiyose City raising a child enrolled in health insurance until the first March 31 on or after the day the child turns 18 (excluding public assistance, residence in an institution, and similar)
Notes
The city's FAQ (FAQ 1003177) also states that outpatient care under Maru-Ko and Maru-Sei has an out-of-pocket charge of ¥200 per visit.Eligibility for Maru-Ko and Maru-Sei starts on the date the application form is submitted (for mail, the date it is received).