Tsu City: child medical expense subsidy
In Tsu City, Mie 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.
Tsu City does not meet coverage through age 18 of the three conditions (coverage through age 18, no income limit, no co-payment). In Mie Prefecture, 15 of 29 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
- 268,388(Resident register, 2024)
- Share under 15
- 12.1%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Tsu City.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered until | 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 limitchanged | No | No |
| Co-payment | No | No |
Changed since last year
- Income limit
- Yes / Yes → No / No
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 Tsu 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 Tsu 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 Tsu City apply an income limit?
No (as of April 1, 2025).
There was one as of April 1, 2024, but it had been removed as of April 1, 2025.
Do the conditions differ between outpatient and inpatient care in Tsu 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 Tsu City changed its conditions since last year?
Yes. Compared with April 1, 2024, the following changed: Income limit. See the rows marked "changed" in the table above.
How does Tsu City compare with other municipalities in Mie Prefecture?
Tsu City does not meet coverage through age 18 of the three conditions (coverage through age 18, no income limit, no co-payment). In Mie Prefecture, 15 of 29 municipalities meet all three.
If I move out of Tsu 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 Mie Prefecture: Yokkaichi City, Suzuka City, Matsusaka City, Kuwana City, Ise City
Nursery and after-school club waiting lists in Tsu City
Tsu City had 0 children on the nursery waiting list as of April 1, 2026 (6,052 applicants, 5,940 enrolled; 0 waiting a year earlier). After-school clubs had 8 children waiting as of May 1, 2026 (preliminary; 4,073 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 0 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 0 | Apr 1, 2025 |
| Nursery applicants | 6,052 | Apr 1, 2026 |
| Children enrolled in nurseries | 5,940 | Apr 1, 2026 |
| After-school club waiting list | 8 | May 1, 2026 (prelim.) |
| After-school club registrations | 4,073 | 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 Tsu City
Tsu City has 553 urban parks (204.9 ha), or 7.7 m² per resident (Rank 18 of 29 in the prefecture). It has 12 libraries, 53 community centers, 39 nursery schools and 50 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 | 553 | Rank 1 of 29 in the prefecture | Mar 31, 2025 |
| Urban park area | 204.9 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 7.7 m² | Rank 18 of 29 in the prefecture | Mar 31, 2025 |
| Libraries | 12 | Rank 11 of 29 in the prefecture | 2021 |
| Community centers | 53 | — | 2021 |
| Nursery schools | 39 | Rank 25 of 29 in the prefecture | 2023 |
| Kindergartens | 28 | — | 2024 |
| Elementary schools | 50 | — | 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 Tsu City
- PopulationResident register, 2024
- 268,388Rank 2 of 29 in the prefecture2024
- Share under 15
- 12.1%Rank 13 of 29 in the prefecture2020 census
- Share 65 and over
- 29.4%2020 census
- Share of foreign residents
- 2.7%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- -942Rank 14 of 29 in the prefecture2024
- Births per 1,000 residents
- 5.8Rank 5 of 29 in the prefecture2023
- Nursery schools
- 392023
- Nursery schools per 1,000 children under 15
- 1.18Rank 25 of 29 in the prefecture2023
- Kindergartens
- 282024
- Elementary schools
- 502024
- Doctors per 10,000 residents
- 43.9Rank 1 of 29 in the prefecture2022
- Clinics per 10,000 residents
- 10.12023
- General hospitals
- 192023
- Owner-occupied homes
- 69.7%2023
- Floor area per dwelling
- 105.7 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.68Rank 10 of 29 in the prefecture2022
- Restaurants
- 8662021
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 Mie Prefecture
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Tsu City | 268,388 | Age 15 | No | No / No | 0 |
| Yokkaichi City | 306,378 | Age 18 | No | No / No | 32 |
| Suzuka City | 194,451 | Age 18 | No | No / No | 0 |
| Matsusaka City | 156,026 | Age 18 | No | No / No | 0 |
| Kuwana City | 137,978 | Age 18 | No | No / No | 0 |
| Ise City | 118,849 | Age 15 | 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.