Tokyo subsidy foradvanced fertility treatment (¥150,000/cycle)

Strict requirement. The age boundary is calculated at the day the specific treatment cycle began, not at application. Note Japan's overall infertility-treatment ecosystem treats the wife's age as the gating variable.

Wife under 40 at first claim: up to 6 cycles per child. Wife 40–42 at first claim: up to 3 cycles per child. The "per child" reset means the cycle counter goes back to zero if you have one child and decide to try for a second — you get another full set of subsidies.

Either spouse must have Tokyo resident registration continuously from treatment start through application. Common-law (事実婚) is accepted with documentation (jusho-hyo with "妻(未届)" notation, or sworn statement).

The treating clinic must be on Tokyo's designated facility list. Most major fertility clinics in Tokyo are listed.

Eligible if you have Tokyo resident registration. The subsidy attaches to residence, not nationality. Documents required for foreign applicants: residence card (在留カード), and standard supporting documents.

Treatment cycles begun before age requirement; cycles at non-designated clinics; non-residents of Tokyo at the time of treatment.

• SEET method — embryo culture supernatant transfer
• Time-lapse embryo monitoring — continuous embryo development imaging
• Endometrial scratch — minor scratching of endometrium to improve implantation
• PICSI — physiological intracytoplasmic sperm injection (sperm selection by hyaluronic acid binding)
• ERA / ERPeak — endometrial receptivity timing analysis
• EMMA / ALICE / Flora — endometrial microbiome analysis
• IMSI — intracytoplasmic morphologically selected sperm injection
• Two-stage embryo transfer — sequential embryo transfer protocol
• Membrane structure-based physiological sperm selection
• PGT-A — preimplantation genetic testing for aneuploidy

From R8.4, also: the underlying insured IVF/ICSI procedures themselves.

Treatments completed in April–March of a given fiscal year must be submitted by March 31 of that same year. Treatments completed in January–March can be extended to June 30 of that year. Strict deadline; late submissions are not accepted.

For treatments started on or after April 1, 2026, the application window opens October 1, 2026. Tokyo will publish the new application forms and detailed procedures by then.

• Application form (request from Tokyo Welfare Bureau or download)
• Treatment certification form (signed by your clinic)
• Receipts (and itemized bills for advanced procedures)
• Marriage certificate (or common-law statement)
• Resident registration (jusho-hyo)
• Bank info for reimbursement

Apply for Tokyo's subsidy first; once you receive the Tokyo decision letter (交付決定通知書), you can then apply to Minato for the additional top-up. Minato deducts the Tokyo amount from total costs and reimburses up to ¥300,000 more.

Tokyo's published rules use the language of "married couple" (法律婚 or 事実婚 with documented relationship). Same-sex partnerships have not been explicitly covered as of R7. Contact the Tokyo Welfare Bureau (03-5320-4362) for case-by-case guidance.

Each cycle counts separately. As long as you remain under the lifetime cycle limit (6 or 3 depending on your age at first claim), each new cycle qualifies for a new ¥150,000 cap.

No. Pre-R8.4 treatments use the pre-reform rules (7/10 cost-share, advanced procedures only). The new rules apply only to treatments starting April 1, 2026 and later.

Only clinics on Tokyo's designated facility list qualify. Treatments at non-listed clinics, including those in other prefectures, are not covered. Most major Tokyo fertility clinics are designated; your clinic can confirm.

Bring your residence card (在留カード) and a Japanese translation of your marriage certificate from your home country (if applicable). Tokyo Welfare Bureau accepts applications in Japanese only; if you need help, the Minato Ward International Center (港区国際化推進担当, +81-3-3578-2046) or your fertility clinic's administrative staff can usually help.