Notice of Inagi City Specific Infertility Treatment Medical Expenses Subsidy Program

In Inagi City, we provide subsidies for infertility treatment costs that are not covered by medical insurance for women under the age of 45 at the start of treatment (no limit on the number of times).

1. Eligible Applicants (Those who meet all of the following requirements)

1. From the start date of treatment to the end date of treatment, both spouses must have their Certificate of Residence within Inagi City (including common-law marriages)
2. Those who have been diagnosed by a doctor as having no prospects of pregnancy or very little chance with treatments other than in vitro fertilization or intracytoplasmic sperm injection.
3. Those whose treatment start date is on or after April 1, 2022, and whose age on the first day of the start date is under 45 years old

Please note that assistance for the costs related to infertility treatment cannot be provided in the following cases.

1. In the case of infertility treatment using sperm, eggs, and embryos provided by third parties other than couples (including common-law marriages)
2. In the case of infertility treatment by a surrogate mother
3. In the case of infertility treatment using a surrogate mother
4. In the case of receiving infertility treatment by methods not covered by "health insurance" and "advanced medical care" (regardless of whether health insurance applies)

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2. Eligible Treatments and Grant Amounts

Assistance will be provided for a series of infertility treatments that fall under either (1) or (2) below, which are covered by health insurance and include advanced medical treatments such as (in vitro fertilization) and (intracytoplasmic sperm injection).

(1) Advanced medical care (not covered by health insurance) used in conjunction with medical insurance applicable treatments

For those who fall under the applicable age and number of subsidies (Note 1) for medical insurance coverage for infertility treatment, a subsidy of up to 30,000 yen per instance (Note 2) will be provided when receiving "advanced medical care (not covered by medical insurance)" (if the advanced medical expenses are less than 30,000 yen, the subsidy will be up to that amount).

• (Note 1) Medical insurance coverage allows for up to 6 treatments per child if the woman's age at the start of treatment is under 40 years, and up to 3 treatments per child if the woman's age is between 40 and under 43 years.
• (Note 2) The counting method for one time is based on the Tokyo Metropolitan Specific Infertility Treatment Cost (Advanced Medical Care) Subsidy Program (only (1)).

(2) [Private Medical Treatment] (Unlimited Sessions, Under 45 Years Old)

For those who exceed the age and frequency limits for infertility treatment covered by health insurance mentioned above (1), a subsidy of up to 30,000 yen per session will be provided for "self-funded medical treatment" and "advanced medical care (if implemented)" (unlimited number of times).

• Note: A series of infertility treatments refers to the process of infertility treatment from "egg retrieval" or "thawing of embryos for frozen embryo transfer" to "confirmation of pregnancy" and so on.
• Note: You cannot apply for the above (1) and (2) simultaneously for a single treatment.

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3. Medical Institutions

(1) Advanced Medical Care

Medical institutions that have notified or been approved as providers of "advanced medical care" that can be used in conjunction with insured medical treatment
Note: Since the medical institutions that can be used in conjunction with insurance-covered medical treatment vary depending on the medical technology, please check with the medical institution you are currently visiting in advance.

(2) Private Medical Treatment

Registered Facilities of the Japan Society of Obstetrics and Gynecology

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4. Application Procedures

(1) Eligible Persons and Submission Documents

List

Eligibility	Submitted Documents
All Members (1) Application for [Advanced Medical Care] (2) Application under [Self-Pay Medical Treatment]	Application Form for Subsidy of Specific Infertility Treatment Medical Expenses in Inagi City (Advanced Medical Care Infertility Treatment Medical Expenses) (Form No. 1) Certificate of Specific Infertility Treatment Medical Examination in Inagi City, completed by the attending physician (Advanced Medical Treatment, Infertility Treatment, etc. Medical Expenses) (Form No. 2) or A copy of the certificate of receipt for the specified infertility treatment cost (advanced medical care) subsidy project submitted to Tokyo Metropolis (only submit when covered by medical insurance) Inagi City Specific Infertility Treatment Medical Expenses Subsidy Claim Form (Advanced Medical Treatment, Infertility Treatment, etc. Medical Expenses) (Form No. 4)
(1) Application for [Advanced Medical Care]	Copy of the Notification of Approval for Subsidy for Specific Infertility Treatment Costs (Advanced Medical Care) Issued by Tokyo Metropolis
(2) [Self-Pay Medical Treatment] at the time of first application or (2) [Self-Paid Medical Treatment] For the second and subsequent applications, when there is a change in marital status since the previous application	Legal Marriage (Cohabitation with either spouse as the head of household) …5.Certificate of Residence Note: Not required if the "Subsidy Eligibility Confirmation" section B. in the Application Form is checked. Legal marriage (other than the above a (living separately within the city, each spouse being the head of their own household, etc.)) …6.Complete Family Register Certificate (Original) Common-Law Marriage …7.Complete family register certificates (originals) for each spouse, anda written statement signed by each spouse (note) Note: An optional form that includes the statements "The two people are in a de facto marriage relationship" and "There is an intention to acknowledge the child born as a result of treatment"

Note: Application Forms 1 to 4 are distributed at the Parent and Child Comprehensive Support Center or can be downloaded from below. Additionally, when applying by mail, please enclose the document submission checklist (for advanced medical infertility treatment medical expenses, etc.).

(2) Application Period

(1) Apply for [Advanced Medical Care]

The date of the approval decision for the Tokyo Metropolitan Government's specific infertility treatment (advanced medical care) subsidy is	Application Deadline to the City (Must Arrive)
From April 1 to December 31	Until March 31 of the following year
From January 1 to March 31	Until June 30 of the same year

(2) Apply for [Private Medical Treatment]

Date of Treatment Completion	Application Deadline to the City (Must Arrive)
From April 1 to December 31	Until March 31 of the following year
From January 1 to March 31	Until June 30 of the same year

(3) Application Destination

Parent and Child Comprehensive Support Center window (from 8:30 AM to 12:00 PM and from 1:00 PM to 5:00 PM on open days) or by mail

• Note: Please bring something that shows the transfer account details when you come to the counter.
• Note: Mailing address Postal Code 206-0804 Momura 112-1, Inagi City Parent and Child Comprehensive Support Center

(4) Application Form / Invoice Format

• Application Form for Subsidy for Medical Expenses for Specific Infertility Treatment in Inagi City (Advanced Medical Infertility Treatment Medical Expenses) (Form No. 1) (PDF 303.7KB)
• Application Form for Subsidy for Specific Infertility Treatment Medical Expenses (Advanced Medical Infertility Treatment Medical Expenses) (Form No. 1) Example of Filling Out (PDF 420.0KB)
• Certificate of Eligibility for the Inagi City Specific Infertility Treatment Medical Expenses Subsidy Program (Advanced Medical Infertility Treatment Medical Expenses) (Form No. 2) (PDF 140.0KB)
• Certificate of Eligibility for the Inagi City Specific Infertility Treatment Medical Expenses Subsidy Program (Advanced Medical Infertility Treatment Medical Expenses) (Form No. 2) Example (PDF 273.3KB)
• Inagi City Specific Infertility Treatment Medical Expenses Subsidy Claim Form (Advanced Medical Infertility Treatment Medical Expenses) (Form No. 4) (PDF 105.5KB)
• Example of the Inagi City Specific Infertility Treatment Medical Expenses Subsidy Claim Form (Advanced Medical Infertility Treatment Medical Expenses) (Form No. 4) (PDF 215.1KB)
• Submission Document Checklist for Inagi City Specific Infertility Treatment Subsidy (Advanced Medical Infertility Treatment Medical Expenses) (PDF 112.5KB)
• Application for Specific Infertility Treatment Subsidy in Inagi City (Advanced Medical Infertility Treatment Medical Expenses) Declaration of Common-Law Marriage (Example) (PDF 260.9KB)

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5. Information Leaflet on Specific Infertility Treatments

• Notice of Inagi City Specific Infertility Treatment Medical Expenses Subsidy Project (PDF 381.2KB)
• Frequently Asked Questions (PDF 332.8KB)

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6. Tokyo Specific Infertility Treatment Expenses (Advanced Medical Care) Subsidy

This is the page for Tokyo Metropolitan Government's subsidy for specific infertility treatment costs (advanced medical care). Those who wish to receive subsidies for the advanced medical care portion combined with treatments covered by medical insurance are requested to apply to the Tokyo Metropolitan Government first. After applying, once you receive the approval decision notice from Tokyo Metropolitan Government, please apply for the specific infertility treatment cost subsidy from Inagi City.

• Tokyo Metropolitan Specific Infertility Treatment Expenses (Advanced Medical Care) Subsidy Page(External Link)

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