TokyoDisability
Tokyo Disability Medical Subsidy (Maru-Shō)
心身障害者医療費助成制度（マル障）
In short: For Tokyo residents with severe disabilities: insured medical co-pays are reduced to 10% with caps (free if resident-tax exempt). Income limit applies; you must first qualify before 65.Tokyo residents with: physical disability certificate grade 1–2 (grade 3 also for certain internal disabilities such as heart, kidney, respiratory, bladder/rectum, small intestine, HIV immune, liver); Ai-no-Techō grade 1–2; or mental health certificate grade 1.(Source: www.fukushi.metro.tokyo.lg.jp, verified on 2026-10-15)
Validity: Income limits for 1 Sep 2026 – 31 Aug 2027 (2025 income), per Tokyo page checked 2026-10-15. Verified on 2026-10-15. Official source: https://www.fukushi.metro.tokyo.lg.jp/seikatsu/josei/marusyo
Who qualifies
- Tokyo residents with: physical disability certificate grade 1–2 (grade 3 also for certain internal disabilities such as heart, kidney, respiratory, bladder/rectum, small intestine, HIV immune, liver); Ai-no-Techō grade 1–2; or mental health certificate grade 1. [official source · verified on 2026-10-15]
- Not eligible: income above the limit; on public assistance or Chinese-returnee support; first meeting the criteria at 65 or older; not applying before turning 65 (with exceptions); Late-Stage Elderly insurance members who pay resident tax. [official source · verified on 2026-10-15]
Conditions by topic
| Age | Must qualify and apply before 65. [official source · verified on 2026-10-15] |
|---|---|
| Income | Own income below ¥3,758,000 (0 dependants) etc. [official source · verified on 2026-10-15] |
| Household | Not stated in the sources we checked — confirm with the office. |
| Child age | Not stated in the sources we checked — confirm with the office. |
| Residence in Japan | Not stated in the sources we checked — confirm with the office. |
| Residence in Tokyo / municipality | Address in Tokyo. [official source · verified on 2026-10-15] |
| Work / insurance type | Not stated in the sources we checked — confirm with the office. |
| Disability | Certificate grades as listed. [official source · verified on 2026-10-15] |
Residence status
Not stated in the official sources we checked — unknown.
Not stated on the official page — confirm with your municipality.
Where to apply
- Apply at the Maru-Shō counter of the municipality where you are registered. [official source · verified on 2026-10-15]
Find addresses in the office finder.
Deadlines
- Applications Jan–Aug are judged on income from two years before; Sep–Dec on the previous year. Certificates are renewed each September. [official source · verified on 2026-10-15]
Documents
Not yet verified from an official source.
Key details
- Income limit (own income; head of household if under 20): ¥3,758,000 with 0 dependants, ¥4,138,000 with 1, ¥4,518,000 with 2, ¥4,898,000 with 3, ¥5,278,000 with 4, ¥5,658,000 with 5, +¥380,000 each further dependant. [official source · verified on 2026-10-15]
- Resident-tax payers pay the Maru-Shō co-payment; resident-tax-exempt people pay only hospital meal/living charges. Outpatient costs over ¥144,000 a year (Aug–Jul) are refunded. [official source · verified on 2026-10-15]
Phone / counter phrases
すみません、心身障害者医療費助成（マル障）について伺いたいのですが、対象になるか、何を持っていけばよいか教えていただけますか。
Hello. I would like to ask about the disability medical subsidy (Maru-Shō). Am I eligible, and what documents should I bring?
すみません、もう少しゆっくり話していただけますか。
Sumimasen, mō sukoshi yukkuri hanashite itadakemasu ka.
Sorry, could you please speak a little more slowly?
Generic phrases for practical help, not official wording.