Cash benefits (subsidy for medical expenses such as out-of-town consultations, glasses for low vision, assistive devices, full payment, etc.)

This page is intended for:

1 Those who visited a medical institution outside Tokyo and were unable to use their medical card
2 Those who visited a medical institution etc. before the issuance of a medical certificate due to procedures such as birth or moving in.
3 Those who visited a medical institution in Tokyo that does not support the medical expense subsidy system
4 Those who paid for the cost of healing equipment (glasses for low vision, assistive devices, etc.)
5 Those who have paid the full amount (100%) of their medical expenses
6 Those who have a National Health Insurance card from outside Tokyo
7 Those who have paid out-of-pocket costs under other medical expense subsidy systems
8 Those who were unable to present their medical ID to a medical institution due to unavoidable reasons

Note: Items not covered by health insurance (medical examinations, vaccinations, treatments not covered by insurance, etc.) are not covered.
Note: If your child becomes ill or injured at school, kindergarten, nursery school, etc., you may be eligible for benefits based on the Japan Sports Promotion Center Act. Please check with the school in advance.
Note: If you are injured due to someone else's actions (traffic accident, etc.), separate procedures will be required.

The amount covered by the subsidy will be refunded for the self-pay portion of insurance medical treatment paid at a medical institution within the eligibility period of the medical certificate.
Please fill out the application form and attach the required documents.

1Recommended for those who are busy submitting documents by mail or who find it difficult to come to the office.
However, we are not responsible for postal accidents. Please use specific records, simple registered mail, etc. based on your own judgment. Please note that submitted documents cannot be returned.

2 Recommended for those who have questions about procedures at the Child-rearing Support Division (Counter No. 5 on the 2nd floor of the main office) and those who are unsure about how to fill out the form.
However, you may have to wait during busy hours.

Recommended for people in the neighborhood who submit to 3 branch offices (Hirao branch office, Wakabadai branch office).
However, the branch office only accepts documents. We are unable to answer any questions.

If you have had a medical examination outside of Tokyo, or have had a medical examination before issuing a medical certificate (if you have paid 20% or 30% of the medical expenses)

If you only used your health insurance card when making payments at a medical institution, etc., please submit this.
1 Medical Assistance Payment Application Form (PDF: 122KB) (Click here for a sample (PDF: 254KB) )
Note: Please apply separately for inpatient and outpatient care.
2. Receipt (original)
3. Maru-Nyuu/Kid/Ao-Minami Medical Care Certificate (original if applying at the counter. Copy if submitting by mail)
4. Cash card or bankbook (original if applying at the counter. Copy if submitting by mail)
Note: Only for those who wish to change their account Note: In the case of Japan Post Bank, a passbook
5. Medical certificates, etc. from other systems (originals if applying at the counter. Copies if submitting by mail)
Note: Only for those who qualify (Limit Amount Applicable Certificate, Chronic Child Medical Care Certificate, etc.)

If you bear the cost of eyeglasses, assistive devices, etc. for amblyopia

If you have purchased glasses or other assistive devices for low vision based on a doctor's diagnosis, please submit this form.
1 Medical Assistance Payment Application Form (PDF: 122KB) (Click here for a sample (PDF: 254KB) )
2. Receipt (original in principle. If already submitted to the insurer, a copy is acceptable.)
3. Maru-Nyuu/Kid/Ao-Minami Medical Care Certificate (original if applying at the counter. Copy if submitting by mail)
4. Health insurance association payment decision notice (original)
Note: Subsidy procedures will be carried out at the city hall after the health insurance association's procedures.
5. Doctor's instructions or medical certificate (original in principle. If already submitted to the insurer, a copy is acceptable.)
6. Cash card or bankbook (original if applying at the counter; copy if submitting by mail)
Note: Only for those who wish to change their account Note: In the case of Japan Post Bank, a passbook

If you pay all medical expenses (100%)

If you did not use either your health insurance card or medical card when making a payment at a medical institution, please submit this.
1 Medical Assistance Payment Application Form (PDF: 122KB) (Click here for a sample (PDF: 254KB) )
Note: Please apply separately for inpatient and outpatient care.
2. Receipt (original in principle. If already submitted to the insurer, a copy is acceptable.)
3. Maru-Nyuu/Kid/Ao-Minami Medical Care Certificate (original if applying at the counter. Copy if submitting by mail)
4. Health insurance association payment decision notice (original)
Note: Subsidy procedures will be carried out at the city hall after the health insurance association's procedures.
5. Cash card or bankbook (original if applying at the counter. Copy if submitting by mail)
Note: Only for those who wish to change their account Note: In the case of Japan Post Bank, a passbook
6. Medical certificates, etc. from other systems (originals if applying at the counter. Copies if submitting by mail)
Note: Only for those who are eligible (Children's Chronic Medical Care Certificate, etc.)

If you fall under high-cost medical expenses

If you are eligible for high-cost medical care, please submit this form.

If the same insured person (dependent) incurs more than a certain amount of medical expenses (total amount for the same household) in the same medical department within the same month, 70% of the cost will be covered. is a system in which the health insurance association subsidizes medical expenses at a later date.
The subsidy system for children's medical expenses subsidizes the difference after deducting the amount borne by the health insurance association from the medical expenses covered by insurance. (For Maruko and Maru Ao, 200 yen is excluded for each hospital visit.) If you are eligible for high-cost medical care benefits, please apply for payment of high-cost medical care benefits at the health insurance association. For details on how to apply, please contact your health insurance association.
After completing the procedures, submit the following documents to the city office and apply for medical expenses for the difference.

1 Medical Assistance Payment Application Form (PDF: 122KB) (Click here for a sample (PDF: 254KB) )
Note: Please apply separately for inpatient and outpatient care.
2. Receipt (original in principle. If already submitted to the insurer, a copy is acceptable.)
3. Medical certificate (original if applying at the counter. Copy if submitting by mail)
4. Health insurance association payment decision notice (original)
Note: Subsidy procedures will be carried out at the city hall after the health insurance association's procedures.
5. Cash card or bankbook (original if applying at the counter. Copy if submitting by mail)
Note: Only for those who wish to change their account Note: In the case of Japan Post Bank, a passbook
6. Medical certificates, etc. from other systems (originals if applying at the counter. Copies if submitting by mail)
Note: Only for those who qualify (Limit Amount Applicable Certificate, Chronic Child Medical Care Certificate, etc.)

Notes on returning receipts

If the full amount is subsidized, receipts cannot be returned. Please take a copy if necessary.
Please let us know if you would like to use receipts with copayments for final tax returns.