Tokunoshima Town: child medical expense subsidy
In Tokunoshima Town, Kagoshima Prefecture, the child medical expense subsidy covers both outpatient and inpatient care until school entry (age 6). 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.
Of the 43 municipalities in Kagoshima Prefecture, only Tokunoshima Town (1) cover outpatient care to Until school entry. The other 37 cover it through age 18.
Tokunoshima Town does not meet coverage through age 18 of the three conditions (coverage through age 18, no income limit, no co-payment). In Kagoshima Prefecture, 37 of 43 municipalities meet all three.
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)
- Until school entry(April 1, 2025)
- Covered until (Inpatient)
- Until school entry(April 1, 2025)
- Income limit
- No(April 1, 2025)
- Co-payment
- No(April 1, 2025)
- Coverage through age 18
- No (both to Until school entry)(April 1, 2025)
- Population
- 9,844(Resident register, 2024)
- Share under 15
- 15.1%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Tokunoshima Town.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered until | Until school entry until school entry (age 6) | Until school entry until school entry (age 6) |
| Income limitchanged | No | No |
| Co-paymentchanged | No | No |
Changed since last year
- Income limit
- Yes / Yes → No / No
- Co-payment
- Yes / Yes → No / No
Changes from last year (as of April 1, 2024) to this year (as of April 1, 2025).
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 Tokunoshima Town subsidize child medical expenses?
Both outpatient and inpatient care are covered until school entry (age 6) (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 Tokunoshima Town?
No. Outpatient care is covered until school entry (age 6) and inpatient care until school entry (age 6).
Does Tokunoshima Town apply an income limit?
No (as of April 1, 2025).
There was one as of April 1, 2024, but it had been removed as of April 1, 2025.
Do the conditions differ between outpatient and inpatient care in Tokunoshima Town?
No. Both are covered until school entry (age 6); income limit: no; co-payment: no.
Has Tokunoshima Town changed its conditions since last year?
Yes. Compared with April 1, 2024, the following changed: Income limit, Co-payment. See the rows marked "changed" in the table above.
How does Tokunoshima Town compare with other municipalities in Kagoshima Prefecture?
Of the 43 municipalities in Kagoshima Prefecture, only Tokunoshima Town (1) cover outpatient care to Until school entry. The other 37 cover it through age 18.
Tokunoshima Town does not meet coverage through age 18 of the three conditions (coverage through age 18, no income limit, no co-payment). In Kagoshima Prefecture, 37 of 43 municipalities meet all three.
If I move out of Tokunoshima 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.
Municipalities of similar size in Kagoshima Prefecture: Kimotsuki Town, Tarumizu City, Osaki Town, Yakushima Town, Nagashima Town, Yusui Town, Setochi Town, Nakatane Town
Nursery and after-school club waiting lists in Tokunoshima Town
Tokunoshima Town had 0 children on the nursery waiting list as of April 1, 2026 (320 applicants, 306 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 171 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 0 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 0 | Apr 1, 2025 |
| Nursery applicants | 320 | Apr 1, 2026 |
| Children enrolled in nurseries | 306 | Apr 1, 2026 |
| After-school club waiting list | 0 | May 1, 2026 (prelim.) |
| After-school club registrations | 171 | May 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 Tokunoshima Town
Tokunoshima Town has 2 urban parks (34.3 ha), or 49.0 m² per resident (Rank 4 of 43 in the prefecture). It has 1 libraries, 1 community centers, 3 nursery schools and 8 elementary schools.
Urban parks: MLIT inventory as of March 31, 2025. Libraries and community centers: e-Stat, 2021. Nursery and elementary schools: e-Stat.
| Item | Value | Rank in prefecture | As of |
|---|---|---|---|
| Urban parks | 2 | Rank 31 of 43 in the prefecture | Mar 31, 2025 |
| Urban park area | 34.3 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 49.0 m² | Rank 4 of 43 in the prefecture | Mar 31, 2025 |
| Libraries | 1 | Rank 13 of 43 in the prefecture | 2021 |
| Community centers | 1 | — | 2021 |
| Nursery schools | 3 | Rank 22 of 43 in the prefecture | 2023 |
| Kindergartens | 5 | — | 2024 |
| Elementary schools | 8 | — | 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 Tokunoshima Town
- PopulationResident register, 2024
- 9,844Rank 24 of 43 in the prefecture2024
- Share under 15
- 15.1%Rank 5 of 43 in the prefecture2020 census
- Share 65 and over
- 33.2%2020 census
- Share of foreign residents
- 0.4%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- -149Rank 40 of 43 in the prefecture2024
- Births per 1,000 residents
- 8.8Rank 1 of 43 in the prefecture2023
- Nursery schools
- 32023
- Nursery schools per 1,000 children under 15
- 1.96Rank 22 of 43 in the prefecture2023
- Kindergartens
- 52024
- Elementary schools
- 82024
- Doctors per 10,000 residents
- 19.3Rank 16 of 43 in the prefecture2022
- Clinics per 10,000 residents
- 4.12023
- General hospitals
- 22023
- Owner-occupied homes
- —2023
- Floor area per dwelling
- —2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.23Rank 27 of 43 in the prefecture2022
- Restaurants
- 982021
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 Kagoshima Prefecture
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Tokunoshima Town | 9,844 | Until school entry | No | No / No | 0 |
| Kimotsuki Town | 13,587 | Age 18 | No | No / No | 0 |
| Tarumizu City | 12,973 | Age 18 | No | No / No | 0 |
| Osaki Town | 11,914 | Age 18 | No | No / No | 0 |
| Yakushima Town | 11,326 | Age 18 | No | No / No | 0 |
| Nagashima Town | 9,399 | Age 18 | No | No / No | 0 |
| Yusui Town | 8,294 | Age 18 | No | No / No | 0 |
| Setochi Town | 8,084 | Age 18 | No | No / No | 0 |
| Nakatane Town | 7,102 | Age 18 | No | No / No | 0 |
Outpatient age limit, income limit and co-payment are the national survey values as of April 1, 2025.
Page updated: . You may quote this table. Please credit Machishirabe and the original survey.