High school-age children are also covered by the medical expense subsidy. Outpatient visits up to ¥200 each
Medical Expense Subsidy for High School-Age Children (Maru-Sei) / Tokyo Metropolitan Government (carried out by the municipality)
Medical Expense Subsidy for High School-Age Children (Maru-Sei)TokyoHigh-school age
High school-age children are also covered by the medical expense subsidy. Outpatient visits up to ¥200 each
Cost per outpatient visitUp to ¥200Hospital stays cost only meals; no cost for dispensing
- It does not matter whether the child attends high school
- Some municipalities have no cost at the counter
This Tokyo program extends the medical expense subsidy to high-school age. It runs from the first April 1 after the day following the child's 15th birthday until the first March 31 on or after their 18th birthday. It does not matter whether the child attends high school.
The cost is up to ¥200 per outpatient visit, and for hospital stays only the standard meal cost. There is no cost for dispensing or home-visit nursing.
The scope of the subsidy differs by municipality, and some have no cost at the counter. Together with Maru-Nyu and Maru-Ko, children are covered without a gap from age 0 to 18.
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
From the first April 1 after the day following the 15th birthday to the first March 31 on or after the 18th birthday
Notes
Covered: the high school period (from the first April 1 after the day following the 15th birthday tothe first March 31 on or after the 18th birthday). It does not matter whether the child is enrolled in high school. Started April 2023.Out-of-pocket cost: up to ¥200 per outpatient visit; for hospital stays, only the standard meal cost during hospitalization.No cost for dispensing and home-visit nursing.The scope of the subsidy differs by municipality, and some municipalities have no cost at the counter.Application: apply at the city or ward office or town or village office and receive a Maru-Sei medical certificate.