Medical co-payments for ages 0 to 18 are now ¥0 (from October 2026, no ¥200 per outpatient visit for elementary to high school age)
Children's Medical Expense Subsidy (Maru-Nyu, Maru-Ko, Maru-Sei) / Kunitachi City
Children's Medical Expense Subsidy (Maru-Nyu, Maru-Ko, Maru-Sei)Kunitachi CityAges 0 to 18
No medical co-payment until age 18
Co-payment for insurance-covered care¥0From October 2026, no ¥200 per outpatient visit either
- Meal costs during a hospital stay are also subsidized
- Items not covered by insurance are excluded
When children living in Kunitachi City from age 0 until the first March 31 after turning 18 see a doctor, the city subsidizes the health insurance co-payment. Meal costs during a hospital stay (standard meal costs) are also covered. Until now, elementary and junior high school students (Maru-Ko) and high school-age children (Maru-Sei) paid ¥200 per outpatient visit at the counter, but from care on October 1, 2026, this charge was removed under the city's own program. Preschool children (Maru-Nyu) have always had no co-payment. Items not covered by insurance are excluded. Amounts paid at medical institutions outside Tokyo, etc. can be refunded by applying afterward.
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 Kunitachi City enrolled in health insurance, from age 0 until the first March 31 after turning 18 (excluding those on public assistance, placed in institutions, etc.)
Notes
Payment at the counter: Maru-Nyu has no co-payment. Maru-Ko and Maru-Sei: ¥200 per outpatient visit for care until September 30, 2026; no co-payment from care on October 1 (insurance-covered care only).