Kochi City: child medical expense subsidy
In Kochi City, 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 15 (end of junior high school). 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 34 municipalities in Kochi Prefecture, only Kochi City (1) cover outpatient care to Age 15. The other 33 cover it through age 18.
Kochi City does not meet coverage through age 18 of the three conditions (coverage through age 18, no income limit, no co-payment). In Kochi Prefecture, 33 of 34 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)
- Age 15(April 1, 2025)
- Covered until (Inpatient)
- Age 15(April 1, 2025)
- Income limit
- No(April 1, 2025)
- Co-payment
- No(April 1, 2025)
- Coverage through age 18
- No (both to Age 15)(April 1, 2025)
- Population
- 312,228(Resident register, 2024)
- Share under 15
- 11.7%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Kochi City.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered untilchanged | Age 15 through the end of the fiscal year in which the child turns 15 (end of junior high school) | Age 15 through the end of the fiscal year in which the child turns 15 (end of junior high school) |
| Income limit | No | No |
| Co-payment | No | No |
Changed since last year
- Outpatient · Covered until
- Age 12 → Age 15
- Inpatient · Covered until
- Age 12 → Age 15
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 Kochi City subsidize child medical expenses?
Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 15 (end of junior high school) (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 Kochi City?
No. Outpatient care is covered through the end of the fiscal year in which the child turns 15 (end of junior high school) and inpatient care through the end of the fiscal year in which the child turns 15 (end of junior high school).
Does Kochi City apply an income limit?
No (as of April 1, 2025).
Do the conditions differ between outpatient and inpatient care in Kochi City?
No. Both are covered through the end of the fiscal year in which the child turns 15 (end of junior high school); income limit: no; co-payment: no.
Has Kochi City changed its conditions since last year?
Yes. Compared with April 1, 2024, the following changed: outpatient age limit, inpatient age limit. See the rows marked "changed" in the table above.
How does Kochi City compare with other municipalities in Kochi Prefecture?
Of the 34 municipalities in Kochi Prefecture, only Kochi City (1) cover outpatient care to Age 15. The other 33 cover it through age 18.
Kochi City does not meet coverage through age 18 of the three conditions (coverage through age 18, no income limit, no co-payment). In Kochi Prefecture, 33 of 34 municipalities meet all three.
If I move out of Kochi City, 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 Kochi Prefecture: Nankoku City, Konan City, Shimanto City, Tosa City
Nursery and after-school club waiting lists in Kochi City
Kochi City had 6 children on the nursery waiting list as of April 1, 2026 (8,324 applicants, 8,310 enrolled; 9 waiting a year earlier). After-school clubs had 48 children waiting as of May 1, 2026 (preliminary; 3,972 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 6 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 9 | Apr 1, 2025 |
| Nursery applicants | 8,324 | Apr 1, 2026 |
| Children enrolled in nurseries | 8,310 | Apr 1, 2026 |
| After-school club waiting list | 48 | May 1, 2026 (prelim.) |
| After-school club registrations | 3,972 | 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 Kochi City
Kochi City has 710 urban parks (281.4 ha), or 8.9 m² per resident (Rank 10 of 34 in the prefecture). It has 8 libraries, 40 community centers, 88 nursery schools and 41 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 | 710 | Rank 1 of 34 in the prefecture | Mar 31, 2025 |
| Urban park area | 281.4 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 8.9 m² | Rank 10 of 34 in the prefecture | Mar 31, 2025 |
| Libraries | 8 | Rank 23 of 34 in the prefecture | 2021 |
| Community centers | 40 | — | 2021 |
| Nursery schools | 88 | Rank 27 of 34 in the prefecture | 2023 |
| Kindergartens | 18 | — | 2024 |
| Elementary schools | 41 | — | 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 Kochi City
- PopulationResident register, 2024
- 312,228Rank 1 of 34 in the prefecture2024
- Share under 15
- 11.7%Rank 4 of 34 in the prefecture2020 census
- Share 65 and over
- 29.4%2020 census
- Share of foreign residents
- 0.5%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- -1,710Rank 18 of 34 in the prefecture2024
- Births per 1,000 residents
- 5.7Rank 4 of 34 in the prefecture2023
- Nursery schools
- 882023
- Nursery schools per 1,000 children under 15
- 2.31Rank 27 of 34 in the prefecture2023
- Kindergartens
- 182024
- Elementary schools
- 412024
- Doctors per 10,000 residents
- 41.1Rank 5 of 34 in the prefecture2022
- Clinics per 10,000 residents
- 7.82023
- General hospitals
- 522023
- Owner-occupied homes
- 56.8%2023
- Floor area per dwelling
- 86.9 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.64Rank 1 of 34 in the prefecture2022
- Restaurants
- 1,9082021
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
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Kochi City | 312,228 | Age 15 | No | No / No | 6 |
| Nankoku City | 45,979 | Age 18 | No | No / No | 0 |
| Konan City | 32,585 | Age 18 | No | No / No | 0 |
| Shimanto City | 31,424 | Age 18 | No | No / No | 0 |
| Tosa City | 25,646 | 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.