Kochi Prefecture34 municipalities

Of the 34 municipalities in Kochi Prefecture, 33 cover outpatient care through age 18, 34 have no income limit, and 34 charge no outpatient co-payment. Since last year, 7 have changed their conditions (as of April 1, 2025, Children and Families Agency survey).

In Kochi Prefecture, the municipalities that do not cover outpatient care through age 18 are Kochi City. With an income limit: none. With an outpatient co-payment: none.

Since last year, Kochi City, Nankoku City, Tosa City, Susaki City, Shimanto City, Kami City and Tano Town changed their conditions.

Child medical expense subsidy, national totals (as of April 1, 2025, Children and Families Agency survey)
Condition	Municipalities	Municipalities in survey	Share
Outpatient care covered through age 18	33	34	97.1%
No income limit	34	34	100.0%
No co-payment for outpatient care	34	34	100.0%
Changed since last year	7	34	20.6%

Filter by conditions

33 municipalities in Kochi Prefecture where child medical care is free through age 18 (no income limit, no co-payment)

Nankoku City, Konan City, Shimanto City, Tosa City, Kami City, Ino Town, Susaki City, Sukumo City, Aki City, Shimanto Town, Sakawa Town, Tosashimizu City, Muroto City, Kuroshio Town, Nakatosa Town, Tsuno Town, Ochi Town, Hidaka Village, Niyodogawa Town, Otsuki Town, Geisei Village, Tosa Town, Motoyama Town, Yusuhara Town, Otoyo Town, Nahari Town, Tano Town, Yasuda Town, Toyo Town, Mihara Village, Kitagawa Village, Umaji Village, Okawa Village

1 municipalities where outpatient coverage ends before age 18

Kochi City

0 municipalities with an income limit

None.

0 municipalities with an outpatient co-payment

None.

7 municipalities that changed their conditions since April 2024

Kochi City, Nankoku City, Shimanto City, Tosa City, Kami City, Susaki City, Tano Town

National survey values as of April 1, 2025. Later changes confirmed on official websites are noted on each municipality's page.

All 34 municipalities in Kochi Prefecture

Subsidy conditions as of April 1, 2025. Population from the resident register, 2024. Last checked September 24, 2026.

Child medical expense subsidy in the 34 municipalities of Kochi Prefecture (as of April 1, 2025, Children and Families Agency survey)
Municipality	Outpatient until	Inpatient until	Income limit (out / in)	Co-payment (outpatient)	Co-payment (inpatient)	Population	Changed
Kochi City	Age 15	Age 15	No	No	No	312,228	Yes
Nankoku City	Age 18	Age 18	No	No	No	45,979	Yes
Konan City	Age 18	Age 18	No	No	No	32,585	No
Shimanto City	Age 18	Age 18	No	No	No	31,424	Yes
Tosa City	Age 18	Age 18	No	No	No	25,646	Yes
Kami City	Age 18	Age 18	No	No	No	24,667	Yes
Ino Town	Age 18	Age 18	No	No	No	20,829	No
Susaki City	Age 18	Age 18	No	No	No	19,325	Yes
Sukumo City	Age 18	Age 18	No	No	No	18,394	No
Aki City	Age 18	Age 18	No	No	No	15,555	No
Shimanto Town	Age 18	Age 18	No	No	No	14,945	No
Sakawa Town	Age 18	Age 18	No	No	No	11,805	No
Tosashimizu City	Age 18	Age 18	No	No	No	11,591	No
Muroto City	Age 18	Age 18	No	No	No	11,273	No
Kuroshio Town	Age 18	Age 18	No	No	No	9,855	No
Nakatosa Town	Age 18	Age 18	No	No	No	5,774	No
Tsuno Town	Age 18	Age 18	No	No	No	5,184	No
Ochi Town	Age 18	Age 18	No	No	No	4,811	No
Hidaka Village	Age 18	Age 18	No	No	No	4,704	No
Niyodogawa Town	Age 18	Age 18	No	No	No	4,459	No
Otsuki Town	Age 18	Age 18	No	No	No	4,348	No
Geisei Village	Age 18	Age 18	No	No	No	3,570	No
Tosa Town	Age 18	Age 18	No	No	No	3,488	No
Motoyama Town	Age 18	Age 18	No	No	No	3,125	No
Yusuhara Town	Age 18	Age 18	No	No	No	3,084	No
Otoyo Town	Age 18	Age 18	No	No	No	2,961	No
Nahari Town	Age 18	Age 18	No	No	No	2,858	No
Tano Town	Age 22	Age 22	No	No	No	2,419	Yes
Yasuda Town	Age 18	Age 18	No	No	No	2,269	No
Toyo Town	Age 18	Age 18	No	No	No	2,059	No
Mihara Village	Age 18	Age 18	No	No	No	1,355	No
Kitagawa Village	Age 18	Age 18	No	No	No	1,177	No
Umaji Village	Age 18	Age 18	No	No	No	762	No
Okawa Village	Age 18	Age 18	No	No	No	355	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)