Child medical expense subsidy

Of the 1,740 municipalities in the national survey, 1,585 cover outpatient care through age 18 and 1,691 have no income limit. Since last year, 233 have changed their conditions. (As of April 1, 2025, Children and Families Agency survey.)

1,216 municipalities (69.8%) meet all three conditions: coverage through age 18 for both outpatient and inpatient care, no income limit, and no co-payment. 49 still have an income limit, 46 set different age limits for outpatient and inpatient care, and 95 differ on co-payment.

The child medical expense subsidy is a municipal program that pays all or part of the patient's share of a child's medical bills. Three things differ by municipality: the age limit, whether there is a parental income limit, and whether a co-payment is charged at the counter. Some municipalities set different conditions for outpatient and inpatient care.

The FY2025 national survey lists 1,740 municipalities (the summary sheet's 1,741 includes a duplicated row). For Yoshino Town (Nara) the previous year's values are shown separately.

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

Nationwide

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	1,585	1,740	91.1%
Inpatient care covered through age 18	1,616	1,740	92.9%
No income limit	1,691	1,740	97.2%
No co-payment for outpatient care	1,319	1,740	75.8%

Outpatient care: how far coverage extends

Outpatient care: how far coverage extends
Covered until	Municipalities	Share (%)
Until school entry	9	0.5
Age 12	1	0.1
Age 15	145	8.3
Age 18	1,575	90.5
Age 20	4	0.2
Age 22	6	0.3

Frequently asked questions

Up to what age do most municipalities cover child medical expenses?

Of the 1,740 municipalities in the national survey, outpatient care is covered through age 18 in 1,575 (90.5%), through age 15 in 145, until school entry in 9, through age 12 in 1, through age 20 in 4 and through age 22 in 6 (as of April 1, 2025).

How many municipalities make medical care free through high school age?

1,216 municipalities cover both outpatient and inpatient care through age 18 with no income limit and no co-payment. Looking at the age limit alone, 1,586 municipalities cover both outpatient and inpatient care through age 18 or beyond.

Municipalities where child medical care is free through age 18 (no income limit, no co-payment)

Which municipalities apply an income limit?

49 municipalities apply an income limit to outpatient or inpatient care. 48 municipalities removed the outpatient income limit between April 2024 and April 2025.

Municipalities with an income limit on the child medical expense subsidy

What share of medical costs do children pay in Japan?

Under public health insurance, children pay 20% before entering elementary school and 30% from elementary school onward. The child medical expense subsidy is a municipal program that pays all or part of this share. The age limit and conditions differ by municipality.

Browse by prefecture

Browse by prefecture
Prefecture	Municipalities	Outpatient care covered through age 18	No income limit	No co-payment for outpatient care	Changed since last year
Hokkaido	179	150	153	141	27
Aomori Prefecture	40	40	40	40	6
Iwate Prefecture	33	33	32	26	5
Miyagi Prefecture	35	34	35	34	1
Akita Prefecture	25	25	25	23	2
Yamagata Prefecture	35	35	35	35	0
Fukushima Prefecture	59	59	59	59	2
Ibaraki Prefecture	44	44	44	15	3
Tochigi Prefecture	25	25	25	25	0
Gunma Prefecture	35	35	35	34	1
Saitama Prefecture	63	63	63	63	12
Chiba Prefecture	54	54	54	17	5
Tokyo	62	62	58	44	9
Kanagawa Prefecture	33	31	32	31	6
Niigata Prefecture	30	30	30	11	4
Toyama Prefecture	15	14	15	15	1
Ishikawa Prefecture	19	18	19	18	0
Fukui Prefecture	17	16	17	15	2
Yamanashi Prefecture	27	27	27	27	0
Nagano Prefecture	77	77	77	42	19
Gifu Prefecture	42	39	42	42	11
Shizuoka Prefecture	35	35	35	31	3
Aichi Prefecture	54	48	54	53	15
Mie Prefecture	29	16	25	29	12
Shiga Prefecture	19	19	19	13	0
Kyoto Prefecture	26	19	25	8	3
Osaka Prefecture	43	43	43	1	3
Hyogo Prefecture	41	31	32	34	7
Nara Prefecture	39	38	38	16	3
Wakayama Prefecture	30	29	30	30	4
Tottori Prefecture	19	19	19	19	0
Shimane Prefecture	19	19	19	15	9
Okayama Prefecture	27	24	27	26	1
Hiroshima Prefecture	23	19	21	1	5
Yamaguchi Prefecture	19	16	18	18	7
Tokushima Prefecture	24	24	24	16	0
Kagawa Prefecture	17	17	17	17	0
Ehime Prefecture	20	20	20	20	1
Kochi Prefecture	34	33	34	34	7
Fukuoka Prefecture	60	31	60	19	15
Saga Prefecture	20	19	20	4	5
Nagasaki Prefecture	21	21	21	1	1
Kumamoto Prefecture	45	45	45	43	0
Oita Prefecture	18	17	18	13	0
Miyazaki Prefecture	26	11	26	17	3
Kagoshima Prefecture	43	37	43	43	9
Okinawa Prefecture	41	24	41	41	4

233 municipalities that changed their conditions between April 2024 and April 2025

Between last year (as of April 1, 2024) and this year (as of April 1, 2025), 137 municipalities raised the outpatient age limit, 48 removed the outpatient income limit, and 58 removed the outpatient co-payment.

Changes from last year (as of April 1, 2024) to this year (as of April 1, 2025).

48 municipalities that removed the outpatient income limit

48 municipalities that removed the outpatient income limit
Prefecture	Municipality	Outpatient until	Inpatient until	Income limit (out / in)	Co-payment (outpatient)	Co-payment (inpatient)	Population	Changed
Hokkaido	Muroran City	Age 18	Age 18	No	Yes	Yes	74,855	Yes
Hokkaido	Iwamizawa City	Age 18	Age 18	No	No	No	74,204	Yes
Hokkaido	Tomakomai City	Age 18	Age 18	No	Yes	Yes	165,590	Yes
Hokkaido	Ebetsu City	Age 15	Age 15	No	Yes	Yes	118,055	Yes
Hokkaido	Mombetsu City	Age 18	Age 18	No	Yes	Yes	19,760	Yes
Hokkaido	Noboribetsu City	Age 18	Age 18	No	Yes	Yes	43,615	Yes
Hokkaido	Date City	Age 18	Age 18	No	Yes	Yes	31,208	Yes
Hokkaido	Tobetsu Town	Age 18	Age 18	No	Yes	No	15,113	Yes
Hokkaido	Kikonai Town	Age 18	Age 18	No	No	No	3,528	Yes
Hokkaido	Kyogoku Town	Age 18	Age 18	No	No	No	2,776	Yes
Hokkaido	Bihoro Town	Age 18	Age 18	No	No	No	17,329	Yes
Hokkaido	Okoppe Town	Age 18	Age 18	No	Yes	Yes	3,495	Yes
Hokkaido	Shiraoi Town	Age 18	Age 18	No	No	No	15,095	Yes
Hokkaido	Teshikaga Town	Age 18	Age 18	No	No	No	6,432	Yes
Aomori	Aomori City	Age 18	Age 18	No	No	No	263,512	Yes
Iwate	Tono City	Age 18	Age 18	No	No	No	23,930	Yes
Iwate	Ichinohe Town	Age 18	Age 18	No	No	No	10,603	Yes
Akita	Akita City	Age 18	Age 18	No	Yes	Yes	293,729	Yes
Akita	Odate City	Age 18	Age 18	No	Yes	Yes	65,492	Yes
Ibaraki	Sakai Town	Age 20	Age 20	No	No	No	24,769	Yes
Tokyo	Ome City	Age 18	Age 18	No	Yes	No	129,105	Yes
Tokyo	Machida City	Age 18	Age 18	No	Yes	No	430,170	Yes
Tokyo	Kodaira City	Age 18	Age 18	No	Yes	No	196,799	Yes
Tokyo	Higashiyamato City	Age 18	Age 18	No	No	No	84,996	Yes
Tokyo	Kiyose City	Age 18	Age 18	No	Yes	No	75,011	Yes
Tokyo	Musashimurayama City	Age 18	Age 18	No	No	No	70,696	Yes
Tokyo	Aogashima Village	Age 18	Age 18	No	Yes	No	160	Yes
Mie	Tsu City	Age 15	Age 15	No	No	No	268,388	Yes
Mie	Ise City	Age 15	Age 15	No	No	No	118,849	Yes
Mie	Matsusaka City	Age 18	Age 18	No	No	No	156,026	Yes
Mie	Kumano City	Age 18	Age 18	No	No	No	14,981	Yes
Mie	Shima City	Age 18	Age 18	No	No	No	44,110	Yes
Mie	Komono Town	Age 15	Age 15	No	No	No	40,758	Yes
Mie	Odai Town	Age 18	Age 18	No	No	No	8,204	Yes
Mie	Watarai Town	Age 15	Age 15	No	No	No	7,556	Yes
Mie	Kihoku Town	Age 18	Age 18	No	No	No	13,759	Yes
Mie	Mihama Town	Age 18	Age 18	No	No	No	7,809	Yes
Hyogo	Himeji City	Age 18	Age 18	No	No	No	523,181	Yes
Hyogo	Ashiya City	Age 18	Age 18	No	Yes	No	94,007	Yes
Hyogo	Asago City	Age 18	Age 18	No	No	No	27,754	Yes
Hyogo	Tatsuno City	Age 18	Age 18	No	No	No	72,271	Yes
Hyogo	Shinonsen Town	Age 18	Age 18	No	No	No	12,829	Yes
Wakayama	Hashimoto City	Age 18	Age 18	No	No	No	58,792	Yes
Hiroshima	Higashihiroshima City	Age 18	Age 18	No	Yes	Yes	190,911	Yes
Hiroshima	Fuchu Town	Age 15	Age 15	No	Yes	Yes	52,074	Yes
Hiroshima	Kumano Town	Age 18	Age 18	No	Yes	Yes	23,475	Yes
Kagoshima	Tokunoshima Town	Until school entry	Until school entry	No	No	No	9,844	Yes
Kagoshima	Isen Town	Age 18	Age 18	No	No	No	6,132	Yes

Municipalities that removed the outpatient income limit in 2025

233 municipalities that changed their conditions between April 2024 and April 2025

233 municipalities that changed their conditions between April 2024 and April 2025
Prefecture	Municipality	Outpatient until Last year → this year	Inpatient until Last year → this year	Income limit Last year → this year	Co-payment (outpatient / inpatient) Last year → this year
Hokkaido	Sapporo City	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes	Yes / Yes
Hokkaido	Otaru City	Age 12 → Age 18	Age 15 → Age 18	Yes / Yes	Yes / Yes
Hokkaido	Muroran City	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes → No / No	Yes / Yes
Hokkaido	Kushiro City	Age 15 → Age 18	Age 18	No / No	No / No
Hokkaido	Kitami City	Age 12 → Age 18	Age 15 → Age 18	Yes / Yes	Yes / Yes
Hokkaido	Iwamizawa City	Age 18	Age 18	Yes / Yes → No / No	No / No
Hokkaido	Abashiri City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Hokkaido	Tomakomai City	Until school entry → Age 18	Age 15 → Age 18	Yes / Yes → No / No	Yes / Yes
Hokkaido	Ebetsu City	Age 15	Age 15	Yes / Yes → No / No	Yes / Yes
Hokkaido	Mombetsu City	Age 18	Age 18	Yes / Yes → No / No	Yes / Yes
Hokkaido	Nayoro City	Age 12 → Age 18	Age 12 → Age 18	No / No	No / No
Hokkaido	Fukagawa City	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes	No / No
Hokkaido	Noboribetsu City	Age 15 → Age 18	Age 18	Yes / Yes → No / No	Yes / Yes
Hokkaido	Eniwa City	Age 12 → Age 15	Age 15 → Age 18	Yes / Yes	Yes / Yes
Hokkaido	Date City	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes → No / No	Yes / Yes
Hokkaido	Ishikari City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Hokkaido	Tobetsu Town	Age 12 → Age 18	Age 18	Yes / Yes → No / No	Yes / No
Hokkaido	Kikonai Town	Age 18	Age 18	Yes / Yes → No / No	No / No
Hokkaido	Kyogoku Town	Age 18	Age 18	Yes / Yes → No / No	Yes / Yes → No / No
Hokkaido	Kutchan Town	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Hokkaido	Akaigawa Village	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Hokkaido	Yuni Town	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes	Yes / Yes
Hokkaido	Bihoro Town	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes → No / No	Yes / Yes → No / No
Hokkaido	Okoppe Town	Age 18	Age 18	Yes / Yes → No / No	Yes / Yes
Hokkaido	Shiraoi Town	Until school entry → Age 18	Age 12 → Age 18	Yes / Yes → No / No	Yes / Yes → No / No
Hokkaido	Teshikaga Town	Until school entry → Age 18	Age 12 → Age 18	Yes / Yes → No / No	Yes / Yes → No / No
Hokkaido	Shibetsu Town	Age 18	Age 18	No / No → Yes / Yes	No / No
Aomori	Aomori City	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes → No / No	No / No
Aomori	Hachinohe City	Age 15 → Age 18	Age 18	No / No	No / No
Aomori	Noheji Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Aomori	Shichinohe Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Aomori	Rokunohe Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Aomori	Shingo Village	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Iwate	Tono City	Age 18	Age 18	Yes / Yes → No / No	Yes / Yes → No / No
Iwate	Iwate Town	Age 18	Age 18	No / No	Yes / Yes → No / No
Iwate	Yamada Town	Age 18	Age 18	No / No	Yes / Yes → No / No
Iwate	Iwaizumi Town	Age 18	Age 18	No / No	Yes / Yes → No / No
Iwate	Ichinohe Town	Age 18	Age 18	Yes / Yes → No / No	No / No
Miyagi	Shiroishi City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Akita	Akita City	Age 18	Age 18	Yes / Yes → No / No	Yes / Yes
Akita	Odate City	Age 18	Age 18	Yes / No → No / No	Yes / Yes
Fukushima	Tomioka Town	Age 18	age_short_19歳年度末 → Age 18	No / No	No / No
Fukushima	Kawauchi Village	Age 18	Age 20 → Age 18	No / No	No / No
Ibaraki	Yuki City	Age 18	Age 18	No / No	Yes / Yes → No / No
Ibaraki	Goka Town	Age 18	Age 18	No / No	Yes / Yes → No / No
Ibaraki	Sakai Town	Age 20	Age 20	Yes / Yes → No / No	No / No
Gunma	Takayama Village	Age 18	Age 18	No / No	No / No → Yes / Yes
Saitama	Saitama City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Saitama	Kawaguchi City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Saitama	Tokorozawa City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Saitama	Toda City	Age 15 → Age 18	Age 18	No / No	No / No
Saitama	Iruma City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Saitama	Shiki City	Age 15 → Age 18	Age 18	No / No	No / No
Saitama	Wako City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Saitama	Niiza City	Age 15 → Age 18	Age 18	No / No	No / No
Saitama	Sakado City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Saitama	Satte City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Saitama	Tsurugashima City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Saitama	Yoshikawa City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Chiba	Chiba City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Chiba	Noda City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No → Yes / Yes
Chiba	Isumi City	Age 18	Age 18	No / No	Yes / Yes → No / No
Chiba	Shisui Town	Age 15 → Age 18	Age 18	No / No	Yes / Yes
Chiba	Kozaki Town	Age 18 → Age 22	Age 18 → Age 22	No / No	No / No
Tokyo	Ome City	Age 18	Age 18	Yes / Yes → No / No	Yes / No
Tokyo	Akishima City	Age 18	Age 18	No / No	Yes / No → No / No
Tokyo	Machida City	Age 18	Age 18	Yes / Yes → No / No	Yes / No
Tokyo	Kodaira City	Age 18	Age 18	Yes / Yes → No / No	Yes / No
Tokyo	Higashiyamato City	Age 18	Age 18	Yes / Yes → No / No	Yes / No → No / No
Tokyo	Kiyose City	Age 18	Age 18	Yes / Yes → No / No	Yes / No
Tokyo	Musashimurayama City	Age 18	Age 18	Yes / Yes → No / No	Yes / No → No / No
Tokyo	Mizuho Town	Age 18	Age 18	No / No	Yes / No → No / No
Tokyo	Aogashima Village	Age 18	Age 18	Yes / Yes → No / No	Yes / No
Kanagawa	Sagamihara City	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes	Yes / No
Kanagawa	Odawara City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kanagawa	Chigasaki City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kanagawa	Hadano City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kanagawa	Isehara City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kanagawa	Yugawara Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Niigata	Tokamachi City	Age 18	Age 18	No / No	Yes / No → Yes / Yes
Niigata	Murakami City	Age 18	Age 18	No / No	Yes / Yes → Yes / No
Niigata	Myoko City	Age 18	Age 18	No / No	Yes / Yes → No / No
Niigata	Seiro Town	Age 18	Age 18	No / No	Yes / Yes → No / No
Toyama	Kamiichi Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Fukui	Fukui City	Age 18	Age 18	No / No	Yes / Yes → No / No
Fukui	Tsuruga City	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Nagano City	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Matsumoto City	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Nakano City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes → No / No
Nagano	Shiojiri City	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Azumino City	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Takamori Town	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Toyoka Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Oshika Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Agematsu Town	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Nagiso Town	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Ikusaka Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Yamagata Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Asahi Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Chikuhoku Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Matsukawa Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Takayama Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Kijimadaira Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Nozawaonsen Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Nagano	Ogawa Village	Age 18	Age 18	No / No	Yes / Yes → No / No
Gifu	Gifu City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Gifu	Tajimi City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Gifu	Mino City	Age 15	Age 18 → Age 22	No / No	No / No
Gifu	Hashima City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Gifu	Minokamo City	Age 15	Age 15 → Age 18	No / No	No / No
Gifu	Toki City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Gifu	Kakamigahara City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Gifu	Kani City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Gifu	Ginan Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Gifu	Kasamatsu Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Gifu	Kitagata Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Shizuoka	Fujinomiya City	Age 18	Age 18	No / No	Yes / No → No / No
Shizuoka	Fujieda City	Age 18	Age 18	No / No	Yes / No → No / No
Shizuoka	Gotemba City	Age 18	Age 18	No / No	Yes / No → No / No
Aichi	Seto City	Age 15 → Age 18	Age 18	No / No	No / No
Aichi	Handa City	Age 18	Age 18	No / No	Yes / No → No / No
Aichi	Kasugai City	Age 18	Age 24	No / Yes → No / No	No / No
Aichi	Hekinan City	Age 15 → Age 18	Age 18	No / No	No / No
Aichi	Kariya City	Age 15 → Age 18	Age 18	No / No	No / No
Aichi	Toyota City	Age 18	Age 24	No / Yes → No / No	No / No
Aichi	Shinshiro City	Age 15 → Age 18	Age 18	No / No	No / No
Aichi	Chita City	Age 15 → Age 18	Age 18	No / No	No / No
Aichi	Takahama City	Age 15	Age 15 → Age 18	No / No	No / No
Aichi	Tahara City	Age 15 → Age 18	Age 18	No / No	No / No
Aichi	Nagakute City	Age 15 → Age 18	Age 18	No / No	No / No
Aichi	Togo Town	Age 18	Age 24	No / Yes → No / No	No / No
Aichi	Agui Town	Age 15 → Age 18	Age 18	No / No	No / No
Aichi	Higashiura Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Aichi	Mihama Town	Age 15 → Age 18	Age 18	No / No	No / No
Mie	Tsu City	Age 15	Age 15	Yes / Yes → No / No	No / No
Mie	Yokkaichi City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Mie	Ise City	Age 15	Age 15	Yes / Yes → No / No	No / No
Mie	Matsusaka City	Age 18	Age 18	Yes / Yes → No / No	No / No
Mie	Suzuka City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Mie	Kumano City	Age 18	Age 18	Yes / Yes → No / No	No / No
Mie	Shima City	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes → No / No	No / No
Mie	Komono Town	Age 15	Age 15	Yes / Yes → No / No	No / No
Mie	Odai Town	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes → No / No	No / No
Mie	Watarai Town	Age 15	Age 15	Yes / Yes → No / No	No / No
Mie	Kihoku Town	Age 15 → Age 18	Age 18	Yes / Yes → No / No	No / No
Mie	Mihama Town	Age 18	Age 18	Yes / Yes → No / No	No / No
Kyoto	Maizuru City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Kyoto	Miyazu City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Kyoto	Kyotanabe City	Age 18	Age 18	No / No	Yes / No → Yes / Yes
Osaka	Takatsuki City	Age 18	Age 18	No / No	Yes / Yes → No / No
Osaka	Hannan City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Osaka	Shimamoto Town	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Hyogo	Himeji City	Age 18	Age 18	Yes / Yes → No / No	No / No
Hyogo	Ashiya City	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes → No / No	No / No → Yes / No
Hyogo	Miki City	Age 15 → Age 18	Age 18	No / No	No / No
Hyogo	Asago City	Age 18	Age 18	Yes / Yes → No / No	No / No
Hyogo	Tatsuno City	Age 18	Age 18	Yes / Yes → No / No	No / No
Hyogo	Inagawa Town	Age 15	Age 15 → Age 18	No / No	No / No
Hyogo	Shinonsen Town	Age 18	Age 18	Yes / Yes → No / No	No / No
Nara	Tenri City	Age 18	Age 18	No / No	Yes / Yes → Yes / No
Nara	Kashihara City	Age 18	Age 18	No / No	Yes / Yes → No / No
Nara	Katsuragi City	Age 18	Age 18	No / No	Yes / Yes → No / No
Wakayama	Hashimoto City	Age 18	Age 18	Yes / Yes → No / No	No / No
Wakayama	Iwade City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / No → No / No
Wakayama	Kamitonda Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Wakayama	Kushimoto Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Shimane	Matsue City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No → Yes / Yes
Shimane	Hamada City	Age 18	Age 18	No / No	Yes / Yes → Yes / No
Shimane	Izumo City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Shimane	Masuda City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Shimane	Oda City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Shimane	Yasugi City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Shimane	Gotsu City	Age 18	Age 18	No / No	Yes / Yes → No / No
Shimane	Unnan City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Shimane	Misato Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Okayama	Akaiwa City	Age 18	Age 18	No / No	Yes / Yes → No / No
Hiroshima	Hiroshima City	Age 12 → Age 15	Age 15	Yes / Yes	Yes / No
Hiroshima	Higashihiroshima City	Age 15 → Age 18	Age 18	Yes / Yes → No / No	Yes / Yes
Hiroshima	Hatsukaichi City	Age 12 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Hiroshima	Fuchu Town	Age 15	Age 15	Yes / Yes → No / No	Yes / Yes
Hiroshima	Kumano Town	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes → No / No	Yes / Yes
Yamaguchi	Ube City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Yamaguchi	Yamaguchi City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Yamaguchi	Hofu City	Age 12 → Age 18	Age 12 → Age 18	No / No	No / No
Yamaguchi	Kudamatsu City	Age 12 → Age 18	Age 15 → Age 18	No / No	No / No
Yamaguchi	Hikari City	Age 15 → Age 18	Age 18	No / Yes → No / No	No / No
Yamaguchi	Mine City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Yamaguchi	Suooshima Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Ehime	Kamijima Town	Age 18 → Age 22	Age 18 → Age 22	No / No	No / No
Kochi	Kochi City	Age 12 → Age 15	Age 12 → Age 15	No / No	No / No
Kochi	Nankoku City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kochi	Tosa City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kochi	Susaki City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kochi	Shimanto City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kochi	Kami City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kochi	Tano Town	Age 18 → Age 22	Age 18 → Age 22	No / No	No / No
Fukuoka	Omuta City	Age 15	Age 15	No / No	Yes / Yes → Yes / No
Fukuoka	Tagawa City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Fukuoka	Yanagawa City	Age 15	Age 15	No / No	Yes / Yes → Yes / No
Fukuoka	Yame City	Age 15	Age 15	No / No	Yes / No → No / No
Fukuoka	Chikugo City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes → Yes / No
Fukuoka	Chikushino City	Age 15	Age 15	No / No	Yes / Yes → Yes / No
Fukuoka	Kasuga City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes → No / No
Fukuoka	Onojo City	Age 15	Age 15	No / No	Yes / Yes → Yes / No
Fukuoka	Munakata City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes → Yes / No
Fukuoka	Dazaifu City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes → Yes / No
Fukuoka	Ukiha City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes → No / No
Fukuoka	Hisayama Town	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / No
Fukuoka	Toho Village	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Fukuoka	Hirokawa Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Fukuoka	Oto Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Saga	Karatsu City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Saga	Tosu City	Age 15 → Age 18	Age 18	No / No	Yes / Yes
Saga	Imari City	Age 15 → Age 18	Age 18	No / No	Yes / Yes
Saga	Ogi City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Saga	Kohoku Town	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes → No / No
Nagasaki	Kawatana Town	Age 18	Age 18	No / No	Yes / Yes → No / No
Miyazaki	Saito City	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes → No / No
Miyazaki	Kadogawa Town	Age 15 → Age 18	Age 15 → Age 18	No / No	Yes / Yes
Miyazaki	Hinokage Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kagoshima	Kagoshima City	Age 15	Age 15	No / No	Yes / Yes → No / No
Kagoshima	Kirishima City	Age 15	Age 15	No / No	Yes / Yes → No / No
Kagoshima	Ichikikushikino City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kagoshima	Isa City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kagoshima	Aira City	Age 15	Age 15	No / No	Yes / Yes → No / No
Kagoshima	Mishima Village	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kagoshima	Yusui Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Kagoshima	Tokunoshima Town	Until school entry	Until school entry	Yes / Yes → No / No	Yes / Yes → No / No
Kagoshima	Isen Town	Age 15 → Age 18	Age 15 → Age 18	Yes / Yes → No / No	No / No
Okinawa	Okinawa City	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Okinawa	Motobu Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Okinawa	Kitadaito Village	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No
Okinawa	Yonaguni Town	Age 15 → Age 18	Age 15 → Age 18	No / No	No / No

Municipalities that expanded coverage after April 2, 2025 (confirmed on official websites)

Uji City（Kyoto）: From September 2026, Uji City extends the subsidy from the end of junior high school to the end of the fiscal year in which the child turns 18 (high school age). There is no income limit. You pay 200 yen per medical institution per month, and the rest is covered. This is newer than the national survey shown above (as of April 1, 2025). Official website
Izumo City（Shimane）: From October 2026, Izumo City makes outpatient and inpatient care free from birth through junior high school; until then, children from elementary school age paid 10%. High-school-age children still pay 10%, capped per institution per month at 1,000 yen for outpatient and 2,000 yen for inpatient care. This is newer than the national survey shown above (as of April 1, 2025). Official website
Ginowan City（Okinawa）: From October 2025, Ginowan City extends the subsidy from the end of junior high school to the end of the fiscal year in which the child turns 18 (high school age). For both outpatient and inpatient care, showing the eligibility card means nothing is paid at the counter. This is newer than the national survey shown above (as of April 1, 2025). Official website
Yokohama City（Kanagawa）: From June 2026, Yokohama City extends the subsidy from the end of junior high school to the end of the fiscal year in which the child turns 18. The income limit and co-payment were already abolished in August 2023. This is newer than the national survey shown above (as of April 1, 2025). Official website
Kawasaki City（Kanagawa）: From September 2026, Kawasaki City extends the subsidy through the end of the fiscal year in which the child turns 18 and abolishes the 500-yen outpatient co-payment that applied from the 4th grade of elementary school. There is no income limit. This is newer than the national survey shown above (as of April 1, 2025). Official website

Lists by condition

Filter by conditions

All 1,741 municipalities, by prefecture

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