Medical expenses subsidy system for mentally and physically disabled persons (children) (maru disability)

When people with severe physical or mental disabilities receive medical treatment at a hospital or clinic, we will subsidize part of the insurance copayment that they pay at the counter.
From January 1, 2019, people who hold a Class 1 Mental Health and Welfare Card will be eligible for the Tokyo Metropolitan Medical Expense Subsidy System for Persons with Physical and Mental Disabilities (Marushou).
In order to receive the Marushou benefit, you must apply to the ward, city, town or village in which you are registered as a resident.

Those who live in Tokyo and fall under items 1 to 3
1. Those with a Class 1 or Class 2 Physical Disability Certificate (including Class 3 internal disability)
2. Those who have received the Love Diary 1st or 2nd time
3. Those with a Class 1 Mental Health and Welfare Certificate

Those who fall under any of the following are not eligible.

1 Those who exceed the income limit standard amount
2 Those without health insurance
3 Those receiving welfare benefits or support payments for Japanese nationals left in China, etc.
4 Those who are admitted to a facility where medical expenses are covered by public funds
5 Those who are insured under medical care for the elderly and are subject to resident tax.
6 Those who did not apply for disability status until the day before they reached the age of 65 or older (such as those who did not have an address in Tokyo, were receiving welfare, or were in a facility whose medical expenses were covered by public funds) (Excluding those who were unable to apply for disability before the age of 65 because of the above.)
7 People who become eligible for the subsidy for the first time after turning 65 years of age or older, etc.

If this system cannot be used at the medical institution counter due to reasons such as receiving treatment at a medical institution outside of Tokyo or receiving treatment after application until certification, please enter the patient's name and medical score. Please apply for reimbursement by attaching the receipt.

Disability Welfare Section, Disability Welfare Section (Counter 3, 2nd floor, City Hall)
Telephone extension 226
Fax 042-378-5677
Available dates and times: 8:30 a.m. to 5:00 p.m. on business days (excluding public holidays)