Out-of-pocket costs left after the Tokyo fertility treatment subsidy covered up to ¥50,000 per cycle (expanded from October 2026)

Nakano City subsidizes the treatment cost remaining after the Tokyo fertility treatment cost subsidy, up to ¥50,000 per treatment cycle. For treatment started on or after April 1, 2026, the scope of the subsidy expanded from October 1, 2026. Covered is the amount after subtracting the Tokyo subsidy from the cost of insured IVF and advanced medical care carried out with it, or from the cost of insured-only treatment without advanced medical care. If a High-Cost Medical Expense Benefit or additional benefit was paid, that amount is subtracted. Applications for this portion opened on October 1. For treatment started by March 31, 2026, as before, the amount after subtracting the Tokyo subsidy from the cost of advanced medical care is covered. Apply by mail to the Child-Rearing Support Section, Child Medical Subsidy Unit, within 1 year of the date of Tokyo's approval decision. Payment takes about 3 months.