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Aikawa Town: child medical expense subsidy

Kanagawa Prefecture

In Aikawa Town, Kanagawa Prefecture, 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 Kanagawa Prefecture, 31 of 33 municipalities cover outpatient care through age 18, and Aikawa Town is one of them.

Aikawa Town is one of 30 municipalities in Kanagawa Prefecture 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
39,377(Resident register, 2024)
Share under 15
10.6%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Aikawa 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 Aikawa 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 Aikawa 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 Aikawa Town apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Aikawa 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 Aikawa 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 Aikawa Town compare with other municipalities in Kanagawa Prefecture?

In Kanagawa Prefecture, 31 of 33 municipalities cover outpatient care through age 18, and Aikawa Town is one of them.

Aikawa Town is one of 30 municipalities in Kanagawa Prefecture 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 Aikawa 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 Aikawa Town

Aikawa Town had 0 children on the nursery waiting list as of April 1, 2026 (528 applicants, 516 enrolled; 0 waiting a year earlier). After-school clubs had 24 children waiting as of May 1, 2026 (preliminary; 195 registered).

Nursery and after-school club waiting lists in Aikawa Town
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants528Apr 1, 2026
Children enrolled in nurseries516Apr 1, 2026
After-school club waiting list24May 1, 2026 (prelim.)
After-school club registrations195May 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 Aikawa Town

Aikawa Town has 22 urban parks (99.5 ha), or 25.5 m² per resident (Rank 1 of 33 in the prefecture). It has 1 libraries, 2 community centers, 6 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: Aikawa Town
ItemValueRank in prefectureAs of
Urban parks22Rank 22 of 33 in the prefectureMar 31, 2025
Urban park area99.5 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)25.5 m²Rank 1 of 33 in the prefectureMar 31, 2025
Libraries1Rank 10 of 33 in the prefecture2021
Community centers2—2021
Nursery schools6Rank 16 of 33 in the prefecture2023
Kindergartens3—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 Aikawa Town

PopulationResident register, 2024
39,377Rank 21 of 33 in the prefecture2024
Share under 15
10.6%Rank 23 of 33 in the prefecture2020 census
Share 65 and over
30.0%2020 census
Share of foreign residents
7.1%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
+155Rank 6 of 33 in the prefecture2024
Births per 1,000 residents
3.6Rank 25 of 33 in the prefecture2023
Nursery schools
62023
Nursery schools per 1,000 children under 15
1.42Rank 16 of 33 in the prefecture2023
Kindergartens
32024
Elementary schools
62024
Doctors per 10,000 residents
6.1Rank 31 of 33 in the prefecture2022
Clinics per 10,000 residents
5.32023
General hospitals
12023
Owner-occupied homes
66.0%2023
Floor area per dwelling
92.1 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.97Rank 8 of 33 in the prefecture2022
Restaurants
1172021

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 Kanagawa Prefecture

Compare with similar-sized municipalities in Kanagawa Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Aikawa Town39,377Age 18NoNo / No0
Zushi City57,827Age 18NoNo / No4
Samukawa Town48,997Age 18NoNo / No2
Minamiashigara City40,164Age 18NoNo / No0
Miura City39,842Age 18NoNo / No0
Hayama Town31,813Age 18NoNo / No7
Oiso Town31,757Age 18NoNo / No2
Ninomiya Town27,415Age 18NoNo / No0
Yugawara Town23,183Age 18NoNo / No0

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

All 33 municipalities in Kanagawa Prefecture

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