Out-of-pocket medical costs covered from birth to the equivalent of high school graduation
Medical Expense Subsidy for Children (Maru-Nyu, Maru-Ko, Maru-Sei medical certificates) / Suginami City
Medical Expense Subsidy for Children (Maru-Nyu, Maru-Ko, Maru-Sei medical certificates)Suginami CityAges 0-18
Out-of-pocket medical costs covered until the equivalent of high school graduation
Out-of-pocket share of insured careFully coveredUntil the first March 31 after turning 18
- No payment at the counter at medical institutions in Tokyo
- Care outside Tokyo is reimbursed later
When a child registered as a resident of Suginami City sees a doctor, the city pays the out-of-pocket share of insured medical care. Eligible children are from birth until the first March 31 after turning 18. Depending on age, one of 3 medical certificates is issued: Maru-Nyu (infants and young children), Maru-Ko (compulsory school age), or Maru-Sei (high school students, etc.). At medical institutions in Tokyo, if you show the medical certificate together with your health insurance card, you do not pay the out-of-pocket share at the counter. If you see a doctor outside Tokyo or forget to show the certificate, apply for reimbursement later with the 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 registered as residents of Suginami City, from age 0 until the first March 31 after turning 18
Notes
The Maru-Sei certificate covers the period from April 1 after turning 15 until March 31 after turning 18.For whether there is an income limit, contact the children's medical expense subsidy office.