Children’s Medical Subsidy Program乳 ) and “Maruko”(○子 )“Maruao”(○青 ))(“Marunyu” (○Those children who hold resident registration in Ota City aged between 0 and Junior high school age
are provided with subsidies to cover medical expenses (self-pay portion of medical expenses
covered by the Japanese public health insurance program) and the cost of meals incurred duringhospitalization. *There is no income requirement in this program.
1. Period of children’s medical subsidy program乳 ) for infants will be provided to eligible children from age 0 until they(1) Medical certificate “Marunyu”( ○enter elementary school (until the first March 31st after they turn 6 years of age).
子 ) for children will be provided to eligible children from April 1 after they(2) Medical certificate “Maruko” ( ○turn 6 years of age until completion of junior high school education (the first March 31st after they turn 15years of age.)青 ) for children aged between 15 years old and 18 years old, starting the(3) Medical certificate “maruao” ( ○first April 1 after turning 15 until the first March 31 after turning 18
2. Eligibility(1) The child / infant must hold resident registration in Ota City.
(2) The child / infant must be enrolled in the Japanese public health insurance program.
*As a general rule, the applicant must be a guardian living together with the child and who is a breadwinner
Please contact us if you wish other person to be the guardian* Please note that the children’s medical subsidy program will not be available for those children (1) whose
household receives public assistance, (2) who are raised by foster parents or placed in a group home and(3) who are placed in a child welfare institution upon administrative measures (except those children whovisit a child welfare institution on a day-care basis and those who are placed in a child welfare institution
on a contract basis).
3. Notes for application
Please submit an application in person or by mail to the Children’s Medical Care Counter, Childcare Support
Division of Ota City Office.
Please submit an application in person or by mail or electronic application to the Children’s Medical CareSection.
* Electronic application through computers and smartphones are available.
Please search with the word ぴったりサービス
A proxy letter will be required for proxy applications that are filed at the Children’s Medical Care Section ‘s
counter by someone who is not a member of the applicant’s (beneficiary’s) household. Even a spouse of theapplicant (beneficiary), he/she needs a proxy letter if he/she does not share the same household.
For those filing an application by mail, the date on which the application reached the Children’s Medical Care
Section will be regarded as the date of application.
Notifications related to move-in and childbirth are also accepted through Ota City branch offices.
(1) The applicant must be a guardian (parent) of the child and the main income earner of the household.
(2) Required items① Application form for medical certificate for children / infants② A photocopy of the child’s health insurance certificate (that can be submitted later)③ Identification verification material (Send a photocopy in case of submission by postal mail)Issuance of medical certificates for children / infants
A medical certificate for children / infants can be provided on the date of filing the application if it is filed inperson to the Children’s Medical Care Counter together with all the required items. Please note that thisservice will not be available in Ota City branch offices.
For those filing an application by mail, we will send a medical certificate for children / infants by mail to theirhome address after a week or so. Please note that some children may not be provided with a medical
certificate for children / infants depending on the type of health insurance program of which they holdmembership. In this case, we will issue a notification that certifies that the child meets the eligibility
requirements for the children’s medical subsidy program.
4. Date of eligibility
As a general rule, the qualification starts from the first day of the month of application.
Those filing an application within 6 months following the date of childbirth or moving into Ota City will begin
receiving children’s medical subsidies from the date of the event. Those filing an application after 6 months
following the date of the event, will begin receiving children’s medical subsidies from the first day of the monthin which the application is filed.

5. How to use the medical certificate for children / infants(1) Your child can receive medical treatment in a medical institution, etc. in Tokyo that is designated for thechildren’s medical subsidy program, without paying the self-pay portion of the medical expenses covered by
the Japanese public health insurance program by showing the child’s medical certificate together with theirhealth insurance certificate at the reception.
(2) If your child receives medical treatment in a medical institution, etc. in Tokyo that is not designated for theprogram or is outside Tokyo, please show the health insurance certificate (card) and make a payment forthe self-pay portion upfront. Please make sure you keep the receipt for reimbursement application.
(3) If your child is hospitalized in a medical institution, etc. in Tokyo that is designated for the program, please
make a payment for the cost of meals upfront. Please make sure you keep the receipt for reimbursement
application.
* In case of above (2) and (3), reimbursement application is available as stated in the following 6.
6. Reimbursement of medical fees
(1)How to apply
Please file an application for reimbursement in person to the Children’s Medical Care Counter of theChildcare Support Division.
*The application is not available in Ota City branch offices. Please also note that we will not take any
responsibility for postal accident such as loss of mail.
(2) Required items
I. Application form for children’s medical subsidy program. *The application form is downloadable at Ota
city’s official website. If you wish to receive the application form by mail to your address, please contact
the Children’s Medical Care Section.
II. Original receipt*the following details are required: (i) name of the patient, (ii) date of medical care, (iii) number of
insurance points for medical care covered by Japanese public health insurance program, (iv) self-pay
portion of expenses covered by Japanese public health insurance program etc. (v) date of receiving
payments乳 ) or “Maruko” ( ○子 ) or “Maruao”
III. Health insurance certificate and medical certificate “Marunyu”( ○青 ) of the child( ○IV. Bank account held by the parent whose name is stated in the child’s medical certificate (Please notethat the bank account transfer service may not be available in some financial institutions.)(3) Notice
I. Expenses incurred due to healthcare services that are not covered by the Japanese public healthinsurance program will not be reimbursed
Examples: health checkups, vaccinations, room upgrade charges, medical treatment of injuries caused
by a traffic accident, etc. for which a third party is responsible, medical services that are eligible for thebenefit program of Japan Sports Promotion Center etc.
II. The application needs to be filed within 5 years from the following day on which the medical fee is paid.
III. Those who made a full payment of medical expenses, who made a payment of therapeutic orthosis orwhose medical expenses are eligible for high-cost medical expense benefit program, are asked to apply
for reimbursement from the health insurance program, etc. of which the child holds membership first.
The medical expenses are not be reimbursed if it cannot be covered by the health insurance due toexpiration of application period to the health insurance. For more details such as required items andperiod of application, please contact the Children’s Medical Care Section as there might be more
requirements other than those stated above (2) depending on the application.

◇All the application forms are available from the Children’s Medical Care Counter, Childcare Support Division◇If you wish to receive the application form by mail to your address, please contact the Children’s Medical Care
Section in advance.
◇All the application forms are available at the Ota City office’s official website at http://www.city.ota.tokyo.jp/ .
Inquiries:
Children’s Medical Care Section, Childcare Support Division, Child and Family Department of Ota City Office
Address: Main Building 3rd Floor, Ota City Office, 5-13-14 Kamata, Ota-Ku, Tokyo 144-8621
Tel: 03-5744-1275 (direct line)