Children's medical costs; from elementary school to high school age, outpatient visits cost up to ¥200 each (no income limit)
Medical Expense Subsidy for Compulsory-Education Children (Maru-Ko) and High School-Age Children (Maru-Sei) / Machida City (Tokyo program)
Medical Expense Subsidy for Compulsory-Education Children (Maru-Ko) and High School-Age Children (Maru-Sei)Machida CityUntil the end of the fiscal year at 18No income limit
Outpatient visits from elementary school to high school age, up to ¥200 each
Outpatient cost¥200 per visitFor hospital stays and similar, the full out-of-pocket share is covered
For medical costs of elementary and junior high school students (Maru-Ko) and high school-age children (Maru-Sei), the city subsidizes the out-of-pocket share of insured care. For hospital stays and similar, the full out-of-pocket share is covered; for outpatient visits, the amount above ¥200 per visit is covered, so you pay ¥200 per outpatient visit. The income limit was removed for Maru-Ko from April 2021 and for Maru-Sei from April 2025.
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
Children living in Machida City from elementary school to high school age (until the first March 31 after turning 18)
Notes
The ¥200 per outpatient visit is the same as the basic form of the Tokyo program.