● RAISING CHILDREN

No out-of-pocket medical costs from age 0 to the end of March of high-school age; hospital meals and orthotic devices are also covered

Medical Expense Subsidy for Children / Shibuya City
Medical Expense Subsidy for ChildrenShibuya CityAges 0–18No income limit
Until the end of the fiscal year the child turns 18, medical costs are ¥0
Out-of-pocket cost for insured treatment¥0Hospital meals and orthotic devices are also covered
  • At medical institutions in Tokyo, show the certificate and pay nothing at the counter
  • For hospital meal costs, apply for a refund later
Apply within 14 days of the birth or moving inKosodate Tokyo

For children living in Shibuya City from age 0 to the first March 31 after turning 18, the city fully subsidizes the out-of-pocket cost of insured treatment. There is no income limit for parents. Three things are covered: the out-of-pocket cost of insured treatment (hospital stays, outpatient visits, pharmacies, etc.), the out-of-pocket meal cost during hospital stays, and orthotic devices such as therapeutic eyeglasses for which a health insurance benefit has been decided. Medical certificates are divided by age: Maru-Nyu (age 0 to the end of the fiscal year of age 6), Maru-Ko (April 1 of age 6 to the end of the fiscal year of age 15), and Maru-Sei (April 1 of age 15 to the end of the fiscal year of age 18, whether or not attending high school). At medical institutions in Tokyo, if you show your My Number health insurance card (or health insurance card) and the medical certificate, you do not pay any out-of-pocket cost at the counter. For care at medical institutions outside Tokyo, apply for a refund with the original receipt.

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 Shibuya City from age 0 to the first March 31 after turning 18

Notes

You need to apply for the medical certificate to be issued. If you apply within 14 days of the birth or moving in, the subsidy goes back to the date of the birth or moving in. After that, it applies from the day you apply.For hospital meal costs, pay first at the counter and later apply for a refund with the original receipt.Things not covered by health insurance, such as vaccinations, health checkups and room charge differences for hospital stays, are not covered.Children receiving public assistance, children not enrolled in Japanese health insurance, children placed in child welfare facilities by official placement, and children placed with foster parents are not covered.The medical certificate is valid until September 30 each year, and the new certificate is mailed in late September. No renewal procedure is needed.Contact: Child-Rearing Benefits Unit (03-3463-2558).
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