Hiroshima Prefecture23 municipalities
Of the 23 municipalities in Hiroshima Prefecture, 19 cover outpatient care through age 18, 21 have no income limit, and 1 charge no outpatient co-payment. Since last year, 5 have changed their conditions (as of April 1, 2025, Children and Families Agency survey).
Since last year, Hiroshima City, Higashihiroshima City, Hatsukaichi City, Fuchu Town and Kumano Town changed their conditions.
| Condition | Municipalities | Municipalities in survey | Share |
|---|---|---|---|
| Outpatient care covered through age 18 | 19 | 23 | 82.6% |
| No income limit | 21 | 23 | 91.3% |
| No co-payment for outpatient care | 1 | 23 | 4.3% |
| Changed since last year | 5 | 23 | 21.7% |
1 municipalities in Hiroshima Prefecture where child medical care is free through age 18 (no income limit, no co-payment)
4 municipalities where outpatient coverage ends before age 18
2 municipalities with an income limit
22 municipalities with an outpatient co-payment
Hiroshima City, Fukuyama City, Kure City, Higashihiroshima City, Onomichi City, Hatsukaichi City, Mihara City, Fuchu Town, Miyoshi City, Fuchu City, Shobara City, Kaita Town, Akitakata City, Otake City, Kumano Town, Takehara City, Etajima City, Kitahiroshima Town, Sera Town, Saka Town, Osakikamijima Town, Akiota Town
5 municipalities that changed their conditions since April 2024
Hiroshima City, Higashihiroshima City, Hatsukaichi City, Fuchu Town, Kumano Town
National survey values as of April 1, 2025. Later changes confirmed on official websites are noted on each municipality's page.
All 23 municipalities in Hiroshima Prefecture
Subsidy conditions as of April 1, 2025. Population from the resident register, 2024. Last checked September 24, 2026.
| Municipality | Outpatient until | Inpatient until | Income limit (out / in) | Co-payment (outpatient) | Co-payment (inpatient) | Population | Changed |
|---|---|---|---|---|---|---|---|
| Hiroshima City | Age 15 | Age 15 | Yes | Yes | No | 1,173,543 | Yes |
| Fukuyama City | Age 15 | Age 15 | No | Yes | Yes | 455,028 | No |
| Kure City | Age 18 | Age 18 | No | Yes | Yes | 201,242 | No |
| Higashihiroshima City | Age 18 | Age 18 | No | Yes | Yes | 190,911 | Yes |
| Onomichi City | Age 18 | Age 18 | No | Yes | Yes | 126,396 | No |
| Hatsukaichi City | Age 18 | Age 18 | No | Yes | Yes | 115,451 | Yes |
| Mihara City | Age 18 | Age 18 | No | Yes | Yes | 87,075 | No |
| Fuchu Town | Age 15 | Age 15 | No | Yes | Yes | 52,074 | Yes |
| Miyoshi City | Age 18 | Age 18 | No | Yes | Yes | 47,904 | No |
| Fuchu City | Age 18 | Age 18 | No | Yes | Yes | 35,105 | No |
| Shobara City | Age 18 | Age 18 | No | Yes | Yes | 31,198 | No |
| Kaita Town | Age 15 | Age 15 | Yes | Yes | Yes | 30,810 | No |
| Akitakata City | Age 18 | Age 18 | No | Yes | Yes | 26,041 | No |
| Otake City | Age 18 | Age 18 | No | Yes | Yes | 25,353 | No |
| Kumano Town | Age 18 | Age 18 | No | Yes | Yes | 23,475 | Yes |
| Takehara City | Age 18 | Age 18 | No | Yes | Yes | 22,557 | No |
| Etajima City | Age 18 | Age 18 | No | Yes | Yes | 20,690 | No |
| Kitahiroshima Town | Age 18 | Age 18 | No | Yes | Yes | 16,953 | No |
| Sera Town | Age 18 | Age 18 | No | Yes | Yes | 14,519 | No |
| Saka Town | Age 18 | Age 18 | No | Yes | Yes | 12,498 | No |
| Jinsekikogen Town | Age 18 | Age 18 | No | No | No | 7,802 | No |
| Osakikamijima Town | Age 18 | Age 18 | No | Yes | Yes | 6,779 | No |
| Akiota Town | Age 18 | Age 18 | No | Yes | Yes | 5,367 | No |
Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)