No out-of-pocket medical costs from age 0 to 18 (including hospital meal costs)

For children living in Setagaya City from age 0 to the end of the fiscal year in which they turn 18, the city fully subsidizes the out-of-pocket cost of medical care using health insurance and meal costs during hospital stays. There is no income limit, and if you show the "infant medical certificate," "child medical certificate" or "high school student medical certificate" issued according to age at the medical institution's counter, there is no out-of-pocket cost (depending on your type of health insurance, a notice of eligibility certification may be issued instead of a medical certificate). The medical certificate is renewed every October, but no procedure is needed for renewal or when the certificate changes. Setagaya City also removes, with its own top-up, the out-of-pocket cost that existed in Tokyo's high school student medical subsidy, so it is free without a gap until 18.