If you have an epidural (pain-relief) delivery, Tokyo gives up to ¥100,000

Covers births on or after October 1, 2025. If you had planned an epidural delivery on or after October 1, 2025 but gave birth on or before September 30, 2025, you are also covered if this can be confirmed with Form No. 4 (certificate of due date, etc.).Covered anesthesia: epidural delivery using epidural anesthesia or combined spinal-epidural anesthesia.Covered costs: anesthesia procedure and management fees, anesthetic drug costs, and the costs of the series of medical procedures for the epidural delivery.Costs not covered: room charge differences, document fees and other costs not directly related to medical procedures, and costs covered by insurance (emergency cesarean section, etc.). Even if the delivery switched to an abnormal delivery, the self-paid amount charged before the switch may be covered if it can be confirmed with receipts and itemized statements. The subsidy is given only once per series of medical procedures for an epidural delivery (the same for multiple births). If you submitted the pregnancy notification and received the Maternal and Child Health Handbook from a municipality outside Tokyo and later moved your resident registration to Tokyo, you are not covered. For deliveries at 4 months of pregnancy or later ending in miscarriage or stillbirth, you may be covered if you attach a copy of the stillbirth certificate. Applications by mail are not accepted.Covered medical institutions: facilities on the list published by TMG (updated as needed).Requirements: pregnancy notification and Maternal and Child Health Handbook from a municipality in Tokyo, and continuous resident registration in Tokyo up to the time of application.Application: TMG online application form, within 1 year counting from the day after the birth date (strict).Required documents: resident record, receipt and itemized statement issued by the covered medical institution, the cover and first page of the Maternal and Child Health Handbook,certificate of all matters in the family register (if needed), copy of a bankbook, etc.Contact: Tokyo Metropolitan Government Epidural Delivery Cost Subsidy Call Center 0120-620-620.Relationship with municipal childbirth cost subsidies: if the municipality has its own childbirth cost subsidy, this subsidy amount may be subtracted in the municipality's calculation (handling differs by municipality).