Children's medical costs: from elementary school to high school age, outpatient visits cost up to ¥200 each (no income limit)
Children's Medical Expense Subsidy (Maru-Nyu, Maru-Ko, Maru-Sei) / Tama City (Tokyo program)
Children's Medical Expense Subsidy (Maru-Nyu, Maru-Ko, Maru-Sei)Tama CityAges 0 to the end of the fiscal year of age 18No income limit
Children's medical costs: ¥0 co-payment before elementary school
Co-payment before elementary school¥0Elementary school to high school age: up to ¥200 per outpatient visit
- Insurance-covered medical costs are covered; use the medical certificate
The city issues medical certificates to children living in Tama City and subsidizes the co-payment for insurance-covered medical costs. Before elementary school, the full co-payment is subsidized; from elementary school to high school age, the amount minus ¥200 per outpatient visit (or the actual amount if under ¥200) is subsidized. Maru-Ko has no income limit (an income review is still done). The subsidy for high school-age children began in April 2023.
SIMULATOR
For one outpatient visit, elementary school to high school age, how much?
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 Tama City from age 0 until the first March 31 after turning 18
Notes
The ¥200 per outpatient visit is the same as the basic form of the Tokyo program.