Tokyo ▸ Fertility treatment & egg freezing ▸ Tokyo Metropolitan Government Fertility Treatment Cost Subsidy Program
● FERTILITY TREATMENT & EGG FREEZING
If you have IVF, Tokyo gives up to ¥150,000 per cycle
Tokyo Metropolitan Government Fertility Treatment Cost Subsidy Program / Tokyo Metropolitan Government (TMG)
Tokyo Metropolitan Government Fertility Treatment Cost Subsidy ProgramTokyoWife under 43 on the treatment start date
Up to ¥150,000 from Tokyo per IVF cycle
Per IVF/ICSI cycleUp to ¥150,000The cost of advanced medical care used together is also covered
Up to 6 times until age 39, up to 3 times at ages 40–42
Amounts paid by the High-Cost Medical Expense Benefit and similar are subtracted
For treatment started on or after April 1, 2026Kosodate Tokyo
When a legally married or common-law married couple receives IVF or ICSI under health insurance, the Tokyo Metropolitan Government (TMG) subsidizes up to ¥150,000 per cycle toward the out-of-pocket cost. If advanced medical care (senshin iryō) such as the SEET method, time-lapse imaging or PGT-A is used together with it, that cost is also covered.
For treatment started on or after April 1, 2026, the coverage was expanded to this extent. Before that, only the cost of advanced medical care was covered when advanced medical care was used; now you can receive the subsidy even if you do not use any advanced medical care. If a High-Cost Medical Expense Benefit or an additional benefit from your health insurance is paid, that amount is subtracted in the calculation.
The requirements are: (1) the wife is under 43 on the treatment start date, (2) at least one of the couple is registered as a resident of Tokyo from the treatment start date to the application date, and (3) treatment is received at a covered medical institution. The number of subsidies is up to 6 if the wife is 39 or younger on the treatment start date, and up to 3 if she is 40 to 42 (the same limit as the number of IVF cycles under health insurance). The application deadline is the end of the fiscal year (March 31) that includes the day the treatment ended. For treatment that ended in January–March, if you cannot make it in time, the deadline can be extended to June 30 of the same year. As a rule, applications are made online (for treatment on or after April 1, 2026, applications open on October 1, 2026).
SIMULATOR
What is the most you can get back?
The number of Tokyo subsidies is the same as the number of insurance-covered treatments (6 or 3, depending on the wife's age on the treatment start date).
Wife's age at the start of treatment
When the first IVF or ICSI began
Number of times used so far
Number of Tokyo subsidies received so far (including the advanced medical care subsidy since FY2022 (April 2022–March 2023))
times
In your case, for future treatment
Up to 900,000 yen
may be paid back by the Tokyo Metropolitan Government. 6 times left × up to ¥150,000 per time.
─ Breakdown ─
Maximum number of times
Started by age 39 (wife) → up to 6 times
6 times
Times already used
The number you entered
0 times
Times remaining
Maximum − used
6 times
Maximum subsidy per time
Tokyo's maximum amount
150,000 yen
6 times × 150,000 = 900,000 yen
The amount above is the theoretical maximum. The actual subsidy may be less than ¥150,000, depending on your out-of-pocket cost for each treatment. Under the new system (treatment starting April 2026 or later), it is the lower of "out-of-pocket cost for insurance-covered treatment + advanced medical care costs − High-Cost Medical Expense Benefit − additional benefits" and ¥150,000. Under the old system (treatment starting by March 2026), it is the lower of "advanced medical care costs × 70%" and ¥150,000. For an official decision, contact the Maternal and Child Medical Subsidy Section, Maternal and Child Health Support Division, 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
The program name has been "Tokyo Metropolitan Government Fertility Treatment Cost Subsidy Program" since April 2026.For treatment up to March 31, 2026, it was named the "Tokyo Metropolitan Government Specified Fertility Treatment Cost (Advanced Medical Care) Subsidy Program."Treatment on or after April 1, 2026: covers IVF and ICSI under health insurance, and the cost of advanced medical care carried out together with them.The limit is ¥150,000 per cycle, and the advanced medical care portion is not multiplied by 7/10.Even without advanced medical care, the out-of-pocket cost of insured treatment alone is covered.Male infertility treatment under health insurance within the series of treatments is also covered. Cases in which treatment was stopped without reaching egg retrieval or fertilization, for example because sperm could not be collected, are also covered.If a High-Cost Medical Expense Benefit and an additional benefit are paid, the subsidy is given after subtracting those amounts.Treatment up to March 31, 2026: 7/10 of the advanced medical care cost, up to ¥150,000 per cycle.Covered advanced medical care: SEET method, time-lapse, endometrial scratching, PICSI, ERA/ERPeak,uterine microbiome tests (EMMA/ALICE/flora), IMSI, two-step embryo transfer, physiological sperm selection using a membrane structure,PGT-A, etc.Limit on number: up to 6 times if the wife is 39 or younger, up to 3 times if 40 to 42.Requirements: legal or common-law marriage; at least one of the couple registered as a resident of Tokyo from the treatment start date to the application date;wife under 43; treatment at a covered medical institution.Application deadline: March 31 at the end of the fiscal year that includes the treatment end date (the online submission date or postmark counts).If treatment ended in January–March and you cannot submit by March 31, you can apply until June 30 of the same year.FY2026 (April 2026–March 2027) special rule: couples who started treatment on or after April 1, 2026, at least one of whom was registered as a resident of Tokyo on the first day of a cycle, whose treatment ended by September 30, 2026, and who moved out of Tokyo after the treatment ended and by October 1, 2026, can also apply before the deadline.
Applications for treatment on or after April 1, 2026 open on October 1, 2026. Application form: https://logoform.jp/form/tmgform/1729876 (cannot be accessed until applications open).
Application form for treatment up to March 31, 2026: https://logoform.jp/form/tmgform/682134