Until your child starts elementary school, Tokyo and your municipality cover the out-of-pocket medical costs
Medical Expense Subsidy for Infants (Maru-Nyu) / Tokyo Metropolitan Government (carried out by the municipality)
Medical Expense Subsidy for Infants (Maru-Nyu)TokyoUntil the end of the fiscal year the child turns 6
Out-of-pocket medical costs before school age are subsidized
- FirstApply to the municipality and receive the medical certificate
- At each visitShow your insurance card and the medical certificate at the counter
- Covered periodUntil the end of the fiscal year the child turns 6
This Tokyo program subsidizes the health insurance out-of-pocket cost when an infant or young child before compulsory schooling sees a medical institution. It covers children until the first March 31 after they turn 6.
At the counter, show the "Maru-Nyu medical certificate" issued by the municipality together with your health insurance card. The standard meal cost during hospitalization is not covered by the TMG subsidy, but some municipalities subsidize it on their own.
Details such as residency requirements differ by municipality, so check your municipality's page to see what is actually free.
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
Infants and young children until the first March 31 on or after the day they turn 6
Notes
Covered: infants and young children until the first March 31 on or after the day they turn 6 (before compulsory schooling).What is subsidized: the out-of-pocket cost under each type of medical insurance, such as National Health Insurance and health insurance.The standard meal cost during hospitalization is excluded, but some municipalities subsidize it.Application: apply at the city or ward office or town or village office and receive a Maru-Nyu medical certificate.Residency requirements and other details differ by municipality.