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Mihara Village: child medical expense subsidy

Kochi Prefecture

In Mihara 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 Mihara Village is one of them.

Mihara 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
1,355(Resident register, 2024)
Share under 15
7.2%(2020 census)

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

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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 Mihara 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 Mihara 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 Mihara Village apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Mihara 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 Mihara 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 Mihara Village compare with other municipalities in Kochi Prefecture?

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

Mihara 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 Mihara 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 Mihara Village

Mihara Village had 0 children on the nursery waiting list as of April 1, 2026 (22 applicants, 22 enrolled; 0 waiting a year earlier). Mihara Village does not run after-school clubs (as of May 1, 2026, preliminary).

Nursery and after-school club waiting lists in Mihara Village
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants22Apr 1, 2026
Children enrolled in nurseries22Apr 1, 2026
After-school club waiting list—May 1, 2026 (prelim.)
After-school club registrations—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 Mihara Village

Mihara Village has 0 urban parks (0.0 ha), or 0.0 m² per resident (Rank 34 of 34 in the prefecture). It has 0 libraries, 1 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: Mihara Village
ItemValueRank in prefectureAs of
Urban parks0Rank 34 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 34 of 34 in the prefectureMar 31, 2025
Libraries0Rank 34 of 34 in the prefecture2021
Community centers1—2021
Nursery schools1Rank 6 of 34 in the prefecture2023
Kindergartens0—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 Mihara Village

PopulationResident register, 2024
1,355Rank 31 of 34 in the prefecture2024
Share under 15
7.2%Rank 30 of 34 in the prefecture2020 census
Share 65 and over
47.0%2020 census
Share of foreign residents
0.9%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-20Rank 31 of 34 in the prefecture2024
Births per 1,000 residents
3.0Rank 26 of 34 in the prefecture2023
Nursery schools
12023
Nursery schools per 1,000 children under 15
9.62Rank 6 of 34 in the prefecture2023
Kindergartens
02024
Elementary schools
12024
Doctors per 10,000 residents
7.4Rank 26 of 34 in the prefecture2022
Clinics per 10,000 residents
14.82023
General hospitals
02023
Owner-occupied homes
—2023
Floor area per dwelling
—2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.12Rank 34 of 34 in the prefecture2022
Restaurants
42021

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
Mihara Village1,355Age 18NoNo / No0
Nahari Town2,858Age 18NoNo / No0
Tano Town2,419Age 22NoNo / No0
Yasuda Town2,269Age 18NoNo / No0
Toyo Town2,059Age 18NoNo / No0
Kitagawa Village1,177Age 18NoNo / No0
Umaji Village762Age 18NoNo / No0
Okawa Village355Age 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.