Nagasaki Prefecture21 municipalities

Of the 21 municipalities in Nagasaki Prefecture, 21 cover outpatient care through age 18, 21 have no income limit, and 1 charge no outpatient co-payment. Since last year, 1 have changed their conditions (as of April 1, 2025, Children and Families Agency survey).

Since last year, Kawatana Town changed their conditions.

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	21	21	100.0%
No income limit	21	21	100.0%
No co-payment for outpatient care	1	21	4.8%
Changed since last year	1	21	4.8%

Filter by conditions

1 municipalities in Nagasaki Prefecture where child medical care is free through age 18 (no income limit, no co-payment)

Kawatana Town

0 municipalities where outpatient coverage ends before age 18

None.

0 municipalities with an income limit

None.

20 municipalities with an outpatient co-payment

Nagasaki City, Sasebo City, Isahaya City, Omura City, Shimabara City, Unzen City, Minamishimabara City, Nagayo Town, Goto City, Togitsu Town, Hirado City, Tsushima City, Saikai City, Iki City, Matsura City, Shinkamigoto Town, Hasami Town, Saza Town, Higashisonogi Town, Ojika Town

1 municipalities that changed their conditions since April 2024

Kawatana Town

National survey values as of April 1, 2025. Later changes confirmed on official websites are noted on each municipality's page.

All 21 municipalities in Nagasaki Prefecture

Subsidy conditions as of April 1, 2025. Population from the resident register, 2024. Last checked September 24, 2026.

Child medical expense subsidy in the 21 municipalities of Nagasaki Prefecture (as of April 1, 2025, Children and Families Agency survey)
Municipality	Outpatient until	Inpatient until	Income limit (out / in)	Co-payment (outpatient)	Co-payment (inpatient)	Population	Changed
Nagasaki City	Age 18	Age 18	No	Yes	Yes	390,551	No
Sasebo City	Age 18	Age 18	No	Yes	Yes	233,507	No
Isahaya City	Age 18	Age 18	No	Yes	Yes	133,479	No
Omura City	Age 18	Age 18	No	Yes	Yes	99,694	No
Shimabara City	Age 18	Age 18	No	Yes	Yes	42,044	No
Unzen City	Age 18	Age 18	No	Yes	Yes	40,724	No
Minamishimabara City	Age 18	Age 18	No	Yes	Yes	40,640	No
Nagayo Town	Age 18	Age 18	No	Yes	Yes	39,479	No
Goto City	Age 18	Age 18	No	Yes	Yes	33,739	No
Togitsu Town	Age 18	Age 18	No	Yes	Yes	29,240	No
Hirado City	Age 18	Age 18	No	Yes	Yes	27,908	No
Tsushima City	Age 18	Age 18	No	Yes	Yes	27,102	No
Saikai City	Age 18	Age 18	No	Yes	Yes	24,973	No
Iki City	Age 18	Age 18	No	Yes	Yes	23,736	No
Matsura City	Age 18	Age 18	No	Yes	Yes	20,439	No
Shinkamigoto Town	Age 18	Age 18	No	Yes	Yes	16,682	No
Hasami Town	Age 18	Age 18	No	Yes	Yes	14,111	No
Saza Town	Age 18	Age 18	No	Yes	Yes	13,912	No
Kawatana Town	Age 18	Age 18	No	No	No	12,948	Yes
Higashisonogi Town	Age 18	Age 18	No	Yes	Yes	7,348	No
Ojika Town	Age 18	Age 18	No	Yes	Yes	2,115	No

Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)