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Geisei Village: child medical expense subsidy

Kochi Prefecture

In Geisei Village, Kochi 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 Kochi Prefecture, 33 of 34 municipalities cover outpatient care through age 18, and Geisei Village is one of them.

Geisei Village is one of 33 municipalities in Kochi 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
3,570(Resident register, 2024)
Share under 15
10.8%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Geisei Village.

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 Geisei Village 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 Geisei Village?

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 Geisei Village apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Geisei Village?

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 Geisei Village 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 Geisei Village compare with other municipalities in Kochi Prefecture?

In Kochi Prefecture, 33 of 34 municipalities cover outpatient care through age 18, and Geisei Village is one of them.

Geisei Village is one of 33 municipalities in Kochi 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 Geisei Village, 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 Geisei Village

Geisei Village had 0 children on the nursery waiting list as of April 1, 2026 (51 applicants, 51 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 36 registered).

Nursery and after-school club waiting lists in Geisei Village
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants51Apr 1, 2026
Children enrolled in nurseries51Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations36May 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 Geisei Village

Geisei Village has 0 urban parks (0.0 ha), or 0.0 m² per resident (Rank 27 of 34 in the prefecture). It has 1 libraries, 0 community centers, 1 nursery schools and 1 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: Geisei Village
ItemValueRank in prefectureAs of
Urban parks0Rank 27 of 34 in the prefectureMar 31, 2025
Urban park area0.0 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)0.0 m²Rank 27 of 34 in the prefectureMar 31, 2025
Libraries1Rank 6 of 34 in the prefecture2021
Community centers0—2021
Nursery schools1Rank 24 of 34 in the prefecture2023
Kindergartens1—2024
Elementary schools1—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 Geisei Village

PopulationResident register, 2024
3,570Rank 22 of 34 in the prefecture2024
Share under 15
10.8%Rank 8 of 34 in the prefecture2020 census
Share 65 and over
40.3%2020 census
Share of foreign residents
2.0%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
+40Rank 2 of 34 in the prefecture2024
Births per 1,000 residents
3.4Rank 19 of 34 in the prefecture2023
Nursery schools
12023
Nursery schools per 1,000 children under 15
2.51Rank 24 of 34 in the prefecture2023
Kindergartens
12024
Elementary schools
12024
Doctors per 10,000 residents
25.2Rank 8 of 34 in the prefecture2022
Clinics per 10,000 residents
8.42023
General hospitals
12023
Owner-occupied homes
—2023
Floor area per dwelling
—2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.23Rank 14 of 34 in the prefecture2022
Restaurants
92021

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 Kochi Prefecture

Compare with similar-sized municipalities in Kochi Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Geisei Village3,570Age 18NoNo / No0
Ochi Town4,811Age 18NoNo / No0
Hidaka Village4,704Age 18NoNo / No0
Niyodogawa Town4,459Age 18NoNo / No0
Otsuki Town4,348Age 18NoNo / No0
Tosa Town3,488Age 18NoNo / No0
Motoyama Town3,125Age 18NoNo / No0
Yusuhara Town3,084Age 18NoNo / No0
Otoyo Town2,961Age 18NoNo / No0

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

All 34 municipalities in Kochi Prefecture

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