From age 0 to 18, the full out-of-pocket share of medical costs is covered
Medical Expense Subsidy for Infants, Compulsory-Education Children, and High School-Age Children (Maru-Nyu / Maru-Ko / Maru-Sei) / Okutama Town
Medical Expense Subsidy for Infants, Compulsory-Education Children, and High School-Age Children (Maru-Nyu / Maru-Ko / Maru-Sei)Okutama TownAge 0 to 18
Until the end of the fiscal year they turn 18, medical costs are ¥0
Out-of-pocket share under health insurance¥0The full out-of-pocket share is covered
- Meal costs during a hospital stay and items not covered by insurance are excluded
For medical costs of children before elementary school (Maru-Nyu), elementary and junior high school students (Maru-Ko), and high school-age children (Maru-Sei), the town covers the full out-of-pocket share under health insurance. Under the Tokyo program, elementary, junior high, and high school-age children still pay up to ¥200 per outpatient visit, but Okutama Town states that it covers the full out-of-pocket share. Meal costs during a hospital stay and items not covered by insurance are excluded.
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 the town who are enrolled in medical insurance, from age 0 until the first March 31 after turning 18
Notes
If you see a doctor at a medical institution outside Tokyo, apply for a refund at the Child and Family Support Center or the Residents Division at the town office.