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Saito City: child medical expense subsidy

Miyazaki Prefecture

In Saito City, Miyazaki 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 Miyazaki Prefecture, 11 of 26 municipalities cover outpatient care through age 18, and Saito City is one of them.

Saito City is one of 9 municipalities in Miyazaki 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
28,078(Resident register, 2024)
Share under 15
11.5%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Saito City.

Official websiteFilter by conditions

Child medical expense subsidy

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilchangedAge 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-paymentchangedNoNo

Changed since last year

Outpatient · Covered until
Age 15 → Age 18
Inpatient · Covered until
Age 15 → Age 18
Co-payment
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 Saito City 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 Saito City?

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).

High school students have been covered since April 2025 or earlier.

Does Saito City apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Saito City?

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 Saito City changed its conditions since last year?

Yes. Compared with April 1, 2024, the following changed: outpatient age limit, inpatient age limit, Co-payment. See the rows marked "changed" in the table above.

How does Saito City compare with other municipalities in Miyazaki Prefecture?

In Miyazaki Prefecture, 11 of 26 municipalities cover outpatient care through age 18, and Saito City is one of them.

Saito City is one of 9 municipalities in Miyazaki 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 Saito 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.

Nursery and after-school club waiting lists in Saito City

Saito City had 0 children on the nursery waiting list as of April 1, 2026 (648 applicants, 648 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 521 registered).

Nursery and after-school club waiting lists in Saito City
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants648Apr 1, 2026
Children enrolled in nurseries648Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations521May 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 Saito City

Saito City has 21 urban parks (110.2 ha), or 61.2 m² per resident (Rank 1 of 26 in the prefecture). It has 1 libraries, 6 community centers, 12 nursery schools and 8 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: Saito City
ItemValueRank in prefectureAs of
Urban parks21Rank 8 of 26 in the prefectureMar 31, 2025
Urban park area110.2 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)61.2 m²Rank 1 of 26 in the prefectureMar 31, 2025
Libraries1Rank 17 of 26 in the prefecture2021
Community centers6—2021
Nursery schools12Rank 10 of 26 in the prefecture2023
Kindergartens2—2024
Elementary schools8—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 Saito City

PopulationResident register, 2024
28,078Rank 7 of 26 in the prefecture2024
Share under 15
11.5%Rank 19 of 26 in the prefecture2020 census
Share 65 and over
37.8%2020 census
Share of foreign residents
0.3%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-123Rank 11 of 26 in the prefecture2024
Births per 1,000 residents
4.5Rank 14 of 26 in the prefecture2023
Nursery schools
122023
Nursery schools per 1,000 children under 15
3.65Rank 10 of 26 in the prefecture2023
Kindergartens
22024
Elementary schools
82024
Doctors per 10,000 residents
20.7Rank 7 of 26 in the prefecture2022
Clinics per 10,000 residents
8.52023
General hospitals
52023
Owner-occupied homes
73.7%2023
Floor area per dwelling
105.8 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.39Rank 13 of 26 in the prefecture2022
Restaurants
1372021

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 Miyazaki Prefecture

Compare with similar-sized municipalities in Miyazaki Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Saito City28,078Age 18NoNo / No0
Nobeoka City113,936Age 18NoYes / No0
Hyuga City57,847Age 15NoYes / Yes0
Nichinan City48,198Age 15NoYes / No0
Kobayashi City42,075Age 15NoYes / Yes0
Mimata Town25,684Age 15NoYes / No0
Takanabe Town19,275Age 18NoNo / No0
Kunitomi Town18,243Age 15NoNo / No0
Ebino City17,067Age 15NoYes / No0

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

All 26 municipalities in Miyazaki Prefecture

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