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Home›Childbirth & Parenting›Child Medical Expense Subsidy (子ども医療費助成)

Child Medical Expense Subsidy (子ども医療費助成)

Your local municipality subsidizes out-of-pocket medical costs for children. Once the baby's health insurance card or Certificate of Qualification (資格確認書) arrives, apply as soon as possible to receive a 'Child Medical Certificate' (Kodomo Iryo-sho). Coverage age limits and benefit levels vary by municipality.

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Documents needed

✓Child's health insurance card or Certificate of Qualification (資格確認書) (after issued)
✓Guardian's ID
✓Guardian's My Number Card or Individual Number Notification Card
✓Guardian's Residence Card
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Steps

1

Once the child's health insurance card or Certificate of Qualification (資格確認書) arrives (or on the same day as birth registration), visit the relevant counter at your municipal office

2

Fill out and submit the 'Medical Expense Subsidy Application Form'

3

Receive the Child Medical Certificate (issued immediately or mailed later)

4

At future medical visits, show both the health insurance card or Certificate of Qualification and the medical certificate to receive the subsidy

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Important notes

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Coverage age varies by municipality (e.g., free through end of junior high, or free through end of high school). Most municipalities cover both outpatient and inpatient care

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Benefits typically start from the month of application — apply as early as possible

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You can usually handle this on the same day as birth registration and the child allowance application

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If you forget the medical certificate at an appointment, most municipalities allow you to claim reimbursement retroactively (償還払い)

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