Tsukumi City: child medical expense subsidy
In Tsukumi City, Oita 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 Oita Prefecture, 17 of 18 municipalities cover outpatient care through age 18, and Tsukumi City is one of them.
Tsukumi City is one of 12 municipalities in Oita 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
- 14,980(Resident register, 2024)
- Share under 15
- 8.8%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Tsukumi City.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered until | Age 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 limit | No | No |
| Co-payment | No | No |
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 Tsukumi 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 Tsukumi 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).
Does Tsukumi City apply an income limit?
No (as of April 1, 2025).
Do the conditions differ between outpatient and inpatient care in Tsukumi 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 Tsukumi City 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 Tsukumi City compare with other municipalities in Oita Prefecture?
In Oita Prefecture, 17 of 18 municipalities cover outpatient care through age 18, and Tsukumi City is one of them.
Tsukumi City is one of 12 municipalities in Oita 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 Tsukumi 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 Oita Prefecture: Kitsuki City, Kunisaki City, Bungotakada City, Taketa City, Kusu Town, Kokonoe Town, Himeshima Village
Nursery and after-school club waiting lists in Tsukumi City
Tsukumi City had 0 children on the nursery waiting list as of April 1, 2026 (168 applicants, 168 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 243 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 | 168 | Apr 1, 2026 |
| Children enrolled in nurseries | 168 | Apr 1, 2026 |
| After-school club waiting list | 0 | May 1, 2026 (prelim.) |
| After-school club registrations | 243 | 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 Tsukumi City
Tsukumi City has 27 urban parks (14.4 ha), or 11.1 m² per resident (Rank 7 of 18 in the prefecture). It has 1 libraries, 1 community centers, 1 nursery schools and 9 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 | 27 | Rank 7 of 18 in the prefecture | Mar 31, 2025 |
| Urban park area | 14.4 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 11.1 m² | Rank 7 of 18 in the prefecture | Mar 31, 2025 |
| Libraries | 1 | Rank 5 of 18 in the prefecture | 2021 |
| Community centers | 1 | — | 2021 |
| Nursery schools | 1 | Rank 15 of 18 in the prefecture | 2023 |
| Kindergartens | 4 | — | 2024 |
| Elementary schools | 9 | — | 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 Tsukumi City
- PopulationResident register, 2024
- 14,980Rank 15 of 18 in the prefecture2024
- Share under 15
- 8.8%Rank 17 of 18 in the prefecture2020 census
- Share 65 and over
- 45.0%2020 census
- Share of foreign residents
- 0.2%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- -129Rank 15 of 18 in the prefecture2024
- Births per 1,000 residents
- 2.5Rank 18 of 18 in the prefecture2023
- Nursery schools
- 12023
- Nursery schools per 1,000 children under 15
- 0.70Rank 15 of 18 in the prefecture2023
- Kindergartens
- 42024
- Elementary schools
- 92024
- Doctors per 10,000 residents
- 16.0Rank 15 of 18 in the prefecture2022
- Clinics per 10,000 residents
- 10.72023
- General hospitals
- 12023
- Owner-occupied homes
- 81.9%2023
- Floor area per dwelling
- 108.9 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.40Rank 8 of 18 in the prefecture2022
- Restaurants
- 772021
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 Oita Prefecture
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Tsukumi City | 14,980 | Age 18 | No | No / No | 0 |
| Kitsuki City | 26,153 | Age 18 | No | No / No | 0 |
| Kunisaki City | 25,074 | Age 18 | No | No / No | 0 |
| Bungotakada City | 21,748 | Age 18 | No | No / No | 0 |
| Taketa City | 18,917 | Age 18 | No | No / No | 0 |
| Kusu Town | 13,808 | Age 18 | No | No / No | 0 |
| Kokonoe Town | 8,302 | Age 18 | No | No / No | 0 |
| Himeshima Village | 1,711 | Age 18 | 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.