No medical co-payment through junior high school. High school-age children pay up to ¥200 per outpatient visit
Medical Expense Subsidy for Infants, Compulsory-Education-Age Children and High School-Age Children (Maru-Nyu, Maru-Ko, Maru-Sei) / Ome City
Medical Expense Subsidy for Infants, Compulsory-Education-Age Children and High School-Age Children (Maru-Nyu, Maru-Ko, Maru-Sei)Ome CityAges 0 to 18
¥0 medical costs through junior high school
Co-payment for insurance-covered care through junior high school¥0High school-age children pay up to ¥200 per outpatient visit
- Meal costs during a hospital stay and items not covered by insurance are excluded
- Apply within 30 days from the day after birth or moving in
Children living in Ome City have the health insurance co-payment subsidized when they show the medical certificate. Before elementary school (Maru-Nyu) and elementary and junior high school students (Maru-Ko) have no co-payment. The ¥200 per outpatient visit for Maru-Ko was removed in October 2022. High school-age children (Maru-Sei) can see a doctor with a charge of ¥200 per outpatient visit. The income limit for Maru-Sei was abolished on April 1, 2025. Meal costs during a hospital stay and items not covered by health insurance, such as checkups and vaccinations, 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
People with an address in Ome City raising a child enrolled in health insurance, from age 0 until the first March 31 on or after the 18th birthday (excluding public assistance, placement in institutions and foster care)
When to apply
Apply to the Child Development Division and receive the medical certificate. If you apply within 30 days from the day after the birth or move-in date, the certificate can be used from the birth or move-in date.
Notes
Every year in late September, a medical certificate valid from October to the end of September of the following year is mailed.When the child enters elementary school, Maru-Nyu switches to Maru-Ko automatically.At medical institutions outside Tokyo, pay the co-payment first, then bring the receipt to the Child Development Division to apply for a refund. You are advised to apply within 6 months of the date of care.Children on public assistance, in institutions, or in foster care are not eligible.