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Biei Town: child medical expense subsidy

Hokkaido

In Biei Town, Hokkaido, the child medical expense subsidy covers both outpatient and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age). Income limit: none. Co-payment: none. (As of April 1, 2025, Children and Families Agency survey.) There is no out-of-pocket charge for insured care, so it is effectively free.

In Hokkaido, 150 of 179 municipalities cover outpatient care through age 18, and Biei Town is one of them.

Biei Town is one of 124 municipalities in Hokkaido that meet all three conditions: coverage through age 18 for both outpatient and inpatient care, no income limit, and no co-payment.

Municipalities call this program by different names (小児医療費助成, こども医療費助成, 乳幼児医療費助成, 子育て支援医療). This site uses the national survey's term, "child medical expense subsidy".

Covered until (Outpatient)
Age 18(April 1, 2025)
Covered until (Inpatient)
Age 18(April 1, 2025)
Income limit
No(April 1, 2025)
Co-payment
No(April 1, 2025)
Coverage through age 18
Yes(April 1, 2025)
Population
9,283(Resident register, 2024)
Share under 15
9.6%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Biei Town.

Official websiteFilter by conditions

Child medical expense subsidy

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilAge 18
through the end of the fiscal year in which the child turns 18 (end of high-school age)
Age 18
through the end of the fiscal year in which the child turns 18 (end of high-school age)
Income limitNoNo
Co-paymentNoNo

No change since April 1, 2024

Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) (As of April 1, 2025). Last checked September 24, 2026

The national survey records conditions as of April 1 and is published in December. Some municipalities have expanded coverage since then. Confirm the current conditions on the municipality's official website.

Frequently asked questions

Until what age does Biei Town subsidize child medical expenses?

Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (as of April 1, 2025).

There is no out-of-pocket charge for insured care, so it is effectively free.

Are high school students covered in Biei Town?

Yes. Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (the end of the third year of high school).

Does Biei Town apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Biei Town?

No. Both are covered through the end of the fiscal year in which the child turns 18 (end of high-school age); income limit: no; co-payment: no.

Has Biei Town changed its conditions since last year?

No. The national surveys as of April 1, 2024 and April 1, 2025 record the same conditions.

How does Biei Town compare with other municipalities in Hokkaido?

In Hokkaido, 150 of 179 municipalities cover outpatient care through age 18, and Biei Town is one of them.

Biei Town is one of 124 municipalities in Hokkaido that meet all three conditions: coverage through age 18 for both outpatient and inpatient care, no income limit, and no co-payment.

If I move out of Biei Town, do the same conditions apply?

No. The subsidy is run by the municipality you live in, so the new municipality's conditions apply. Check its page on this site, and confirm the procedure on that municipality's official website.

Nursery and after-school club waiting lists in Biei Town

Biei Town had 0 children on the nursery waiting list as of April 1, 2026 (169 applicants, 169 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 158 registered).

Nursery and after-school club waiting lists in Biei Town
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants169Apr 1, 2026
Children enrolled in nurseries169Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations158May 1, 2026 (prelim.)

"Waiting" follows the national definition: applicants not enrolled, excluding those on parental leave, those who want only a specific facility, and those who have paused their job search. Zero does not guarantee a place at a preferred facility. After-school club figures are preliminary and may be revised.

Source: Children and Families Agency, Summary of Nursery Care Status (April 1, 2026) / Children and Families Agency, Status of After-School Clubs (May 1, 2026, preliminary)

Parks, libraries, community centers and nursery schools in Biei Town

Biei Town has 30 urban parks (54.8 ha), or 78.3 m² per resident (Rank 28 of 179 in Hokkaido). It has 1 libraries, 15 community centers, 1 nursery schools and 6 elementary schools.

Urban parks: MLIT inventory as of March 31, 2025. Libraries and community centers: e-Stat, 2021. Nursery and elementary schools: e-Stat.

Places for children: Biei Town
ItemValueRank in prefectureAs of
Urban parks30Rank 31 of 179 in HokkaidoMar 31, 2025
Urban park area54.8 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)78.3 m²Rank 28 of 179 in HokkaidoMar 31, 2025
Libraries1Rank 62 of 179 in Hokkaido2021
Community centers15—2021
Nursery schools1Rank 125 of 179 in Hokkaido2023
Kindergartens0—2024
Elementary schools6—2024

Source: MLIT, Inventory of Urban Parks (end of FY2024, as of March 31, 2025) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)

Population, share of children, net migration and doctors in Biei Town

PopulationResident register, 2024
9,283Rank 56 of 179 in Hokkaido2024
Share under 15
9.6%Rank 104 of 179 in Hokkaido2020 census
Share 65 and over
38.8%2020 census
Share of foreign residents
0.9%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-2Rank 18 of 179 in Hokkaido2024
Births per 1,000 residents
3.8Rank 116 of 179 in Hokkaido2023
Nursery schools
12023
Nursery schools per 1,000 children under 15
1.08Rank 125 of 179 in Hokkaido2023
Kindergartens
02024
Elementary schools
62024
Doctors per 10,000 residents
6.5Rank 118 of 179 in Hokkaido2022
Clinics per 10,000 residents
3.22023
General hospitals
12023
Owner-occupied homes
—2023
Floor area per dwelling
—2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.21Rank 104 of 179 in Hokkaido2022
Restaurants
462021

Source: e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)

"—" means e-Stat has no value for this item (the Housing and Land Survey does not cover towns and villages).

Compare with similar-sized municipalities in Hokkaido

Compare with similar-sized municipalities in Hokkaido
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Biei Town9,283Age 18NoNo / No0
Shari Town10,513Age 18NoNo / No0
Naganuma Town9,937Age 18NoNo / No0
Higashikagura Town9,775Age 18NoNo / No0
Kamifurano Town9,706Age 18NoNo / No0
Shimizu Town8,755Age 18NoNo / No0
Higashikawa Town8,673Age 18NoNo / No0
Akabira City8,464Age 18NoNo / No0
Akkeshi Town8,195Age 18NoNo / No0

Outpatient age limit, income limit and co-payment are the national survey values as of April 1, 2025.

All 179 municipalities in Hokkaido

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Page updated: . You may quote this table. Please credit Machishirabe and the original survey.