Children’s Medical Expenses Subsidy System

In Japan, each local government has a Children’s Medical Expenses Subsidy System, which helps reduce medical expenses for children up to a certain age. When your child goes to the hospital, showing the medical certificate provided by the local government can help you reduce the medical costs. Below is more information about this subsidy system including how to obtain the medical certificate.

What Is The Children’s Medical Expenses Subsidy System?

The purpose of the Children’s Medical Expenses Subsidy System is to create an environment where it is easier to have children, by reducing the financial burden on the families. Most local governments offer “Infants’ Medical Expenses Subsidy (a.k.a. Maru-nyu)” which applies to infants, and “School-aged Children’s Medical Expenses Subsidy (a.k.a. Maru-ko)” which applies to children enrolled in elementary school and junior high school. Some governments also offer “High School Age Children’s Medical Expenses Subsidy (a.k.a. Maru-a-o)” which applies to high school age children.

Who Is Eligible For The Children’s Medical Expenses Subsidy System?

This subsidy system applies to families that have a resident registration with the local government and have public health insurance. The parent who is the main source of household income is eligible to receive the aid. The income limit for eligibility to receive the aid varies depending on the area.

How Much Can The Medical Expenses Be Reduced?

Reduction rates vary depending on the area. While medical expenses can become free in some areas, it may be only partially covered in other areas. Note that there are some expenses not covered by the subsidy system, including meal expenses during hospitalization, vaccination fees, and health examination costs. Check with your local government about copayment.

What Are The Necessary Procedures To Apply For The Children’s Medical Expenses Subsidy?

Application documents need to be submitted at the local government office in order to apply for the Children’s Medical Expenses Subsidy. The child’s public health insurance card and the parent’s identification document (such as my number card, driver’s license, or passport) are required when submitting the application document. Infant medical certificates are valid until March 31st after the child turns 6 years old. The school-aged child medical certificate will replace the infant medical certificate starting April 1st. There is no need to apply for a replacement as the government will send you the school-aged child medical certificate at the end of March if applicable.

Children see doctors often and the medical costs can get high. Parents eligible for this subsidy system are encouraged to apply to receive the aid.