Up to ¥50,000 for costs left after Tokyo's fertility treatment subsidy (expanded from October 2026)

Suginami City covers the out-of-pocket costs that remain even after receiving the Tokyo Metropolitan Government's fertility treatment subsidy. The program was expanded from October 1, 2026. For treatment started on or after April 1, 2026 with Tokyo's approval decision on or after October 1, 2026, the out-of-pocket cost of insured IVF and intracytoplasmic sperm injection is covered in addition to advanced medical care (senshin iryō) costs, and you can receive the amount left after deducting Tokyo's subsidy and the High-Cost Medical Expense Benefit, etc., up to ¥50,000. For treatment started on or after April 1, 2026 with Tokyo's approval decision on or before September 30, and for treatment started on or before March 31, 2026 with Tokyo's approval decision on or after April 1, the actual cost of advanced medical care minus Tokyo's subsidy is covered up to ¥50,000. For treatment started on or before March 31, 2026 with the approval decision also on or before March 31, 50% of the actual cost is covered, up to ¥35,000. Eligible people are those within 1 year of Tokyo's subsidy approval decision, where at the time of applying to the city either spouse (including common-law partners) is registered as a resident of Suginami City. Applications are made online, with separate forms depending on the treatment start date.