● FERTILITY TREATMENT & EGG FREEZING

If a couple has fertility tests, Tokyo gives up to ¥50,000

Tokyo Metropolitan Government Fertility Testing Subsidy Program / Tokyo Metropolitan Government (TMG)
Tokyo Metropolitan Government Fertility Testing Subsidy ProgramTokyoWife under 40
Up to ¥50,000 from Tokyo for a couple's fertility tests
Once per coupleUp to ¥50,000Toward the total cost of fertility tests and general fertility treatment
  • Both partners must have the tests
  • IVF and ICSI are covered by a separate subsidy
As a rule, apply through Tokyo's online application formKosodate Tokyo

For couples in which the wife is under 40 on the test start date, when they receive fertility tests and general fertility treatment (timing guidance, drug therapy, artificial insemination), the Tokyo Metropolitan Government subsidizes up to ¥50,000 of the total cost.

The requirements are: (1) a legally married or common-law married couple, (2) both partners received the covered tests at an insured medical institution during the subsidy period (= the wife only or the husband only is not covered), (3) at least one of the couple has been continuously registered as a resident of Tokyo from the test start date to the application date, and (4) the wife is under 40 on the test start date.

The subsidy is given only once per couple. IVF and ICSI are not covered by this program; they are covered by the separate "Tokyo Metropolitan Government Specified Fertility Treatment Cost (Advanced Medical Care) Subsidy Program.""General fertility treatment" covers timing guidance, drug therapy and artificial insemination.

The application deadline is within 2 years of the test start date if testing started on or after April 2, 2024, and within 1 year if it started before that. As a rule, you apply through the Tokyo Metropolitan Government's online application form.

How much subsidy in your case?

Enter the actual cost of testing and treatment; the subsidy is decided by comparing it with the ¥50,000 limit.

Total actual cost of testing and treatment Both partners combined, out-of-pocket cost after insurance
yen
Based on your receipts, enter the total for both partners' testing and general fertility treatment (timed intercourse guidance, medication therapy, artificial insemination).
In your case, the Tokyo Metropolitan Government pays
50,000 yen
as the fertility testing subsidy (up to ¥50,000).
─ Breakdown ─
Total actual cost The value you entered
60,000 yen
Subsidy limit Once only per couple
50,000 yen
min(60,000, 50,000) = 50,000 yen
The amount above is an estimate. In practice, the Tokyo Metropolitan Government decides the amount based on the certificate of medical consultation filled in by the medical institution (you do not need to submit receipts). Costs not directly related to testing or treatment, such as meals during a hospital stay, private room charges, and document fees, are not covered. IVF and ICSI, testing or treatment involving a third party, and screening-purpose tests such as a bridal check are also not covered. For details, contact the Children and Child-rearing Support Department, Bureau of Social Welfare, Tokyo Metropolitan Government (03-5320-4362).

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.

Notes

Covered: fertility tests and general fertility treatment (timing guidance, drug therapy, artificial insemination).IVF and ICSI are not covered (see the separate Specified Fertility Treatment Cost Subsidy).Amount: up to ¥50,000, once per couple.Requirements: (1) legal or common-law marriage, (2) both partners received the covered tests, (3) at least one of the couple continuously registered as a resident of Tokyo from the test start date to the application date, (4) the wife is under 40 on the test start date.Common-law marriage: proof is required either by the resident record showing "husband (unregistered)" / "wife (unregistered)" or by a written declaration.Application deadline: within 2 years of the test start date for testing started on or after April 2, 2024;within 1 year for testing started before that. Where to apply: as a rule online (online form: https://logoform.jp/form/tmgform/682129). For applications by mail, the TMG Bureau of Social Welfare, Children and Child-Rearing Support Division (03-5320-4362).End condition: the subsidy period for this program ends when pregnancy is confirmed or you move on to specified fertility treatment within 1 year of the test start date.
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