Medical costs for ages 0 to 18 subsidized with no income limit (outpatient visits up to ¥200 each from elementary school to high school age)
Infant Medical Expense Subsidy (Maru-Nyu), Medical Expense Subsidy for Compulsory-Education-Age Children (Maru-Ko), and Medical Expense Subsidy for High School-Age Children (Maru-Sei) / Koganei City
Infant Medical Expense Subsidy (Maru-Nyu), Medical Expense Subsidy for Compulsory-Education-Age Children (Maru-Ko), and Medical Expense Subsidy for High School-Age Children (Maru-Sei)Koganei CityAges 0 to 18No income limit
Medical costs subsidized until age 18
Outpatient cost, elementary school to high school ageUp to ¥200/visitNo co-payment for hospital stays and dispensing. No payment at the counter for infants
The city subsidizes the co-payment for insurance-covered medical care for children living in Koganei City, with no income limit. For elementary and junior high school students (Maru-Ko) and high school-age children (Maru-Sei), there is a co-payment of up to ¥200 per outpatient visit; hospital stays, dispensing and home nursing have no co-payment. Meal costs during a hospital stay and items not covered by insurance, such as vaccinations and checkups, are excluded. Amounts paid outside Tokyo, etc. can be refunded by applying afterward.
SIMULATOR
For one outpatient visit, elementary school to high school age, how much?
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
Children with an address in Koganei City from age 0 until the first March 31 after turning 18 (enrolled in Japanese medical insurance and not receiving public assistance, Maru-Oya, etc.)
Notes
Maru-Nyu, Maru-Ko and Maru-Sei have no income limit. Maru-Nyu has no payment at the counter; Maru-Ko and Maru-Sei have ¥200 per outpatient visit (maximum).