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Zamami Village: child medical expense subsidy

Okinawa Prefecture

In Zamami Village, Okinawa 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.

Zamami Village does not meet coverage through age 18 of the three conditions (coverage through age 18, no income limit, no co-payment). In Okinawa Prefecture, 24 of 41 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
873(Resident register, 2024)
Share under 15
17.9%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Zamami Village.

Official websiteFilter by conditions

Child medical expense subsidy

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilAge 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 limitNoNo
Co-paymentNoNo

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 Zamami Village 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 Zamami Village?

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 Zamami Village apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Zamami Village?

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 Zamami Village 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 Zamami Village compare with other municipalities in Okinawa Prefecture?

Zamami Village does not meet coverage through age 18 of the three conditions (coverage through age 18, no income limit, no co-payment). In Okinawa Prefecture, 24 of 41 municipalities meet all three.

If I move out of Zamami Village, 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 Zamami Village

Zamami Village had 0 children on the nursery waiting list as of April 1, 2026 (10 applicants, 10 enrolled; 0 waiting a year earlier). Zamami Village does not run after-school clubs (as of May 1, 2026, preliminary).

Nursery and after-school club waiting lists in Zamami Village
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants10Apr 1, 2026
Children enrolled in nurseries10Apr 1, 2026
After-school club waiting list—May 1, 2026 (prelim.)
After-school club registrations—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 Zamami Village

Zamami Village has 0 urban parks (0.0 ha), or 0.0 m² per resident (Rank 32 of 41 in the prefecture). It has 0 libraries, 0 community centers, 0 nursery schools and 3 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: Zamami Village
ItemValueRank in prefectureAs of
Urban parks0Rank 32 of 41 in the prefectureMar 31, 2025
Urban park area0.0 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)0.0 m²Rank 32 of 41 in the prefectureMar 31, 2025
Libraries0Rank 32 of 41 in the prefecture2021
Community centers0—2021
Nursery schools0Rank 36 of 41 in the prefecture2023
Kindergartens3—2024
Elementary schools3—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 Zamami Village

PopulationResident register, 2024
873Rank 37 of 41 in the prefecture2024
Share under 15
17.9%Rank 9 of 41 in the prefecture2020 census
Share 65 and over
21.0%2020 census
Share of foreign residents
1.7%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-3Rank 25 of 41 in the prefecture2024
Births per 1,000 residents
9.2Rank 11 of 41 in the prefecture2023
Nursery schools
02023
Nursery schools per 1,000 children under 15
0.00Rank 36 of 41 in the prefecture2023
Kindergartens
32024
Elementary schools
32024
Doctors per 10,000 residents
22.9Rank 13 of 41 in the prefecture2022
Clinics per 10,000 residents
22.92023
General hospitals
02023
Owner-occupied homes
—2023
Floor area per dwelling
—2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.10Rank 36 of 41 in the prefecture2022
Restaurants
232021

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 Okinawa Prefecture

Compare with similar-sized municipalities in Okinawa Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Zamami Village873Age 15NoNo / No0
Izena Village1,237Age 18NoNo / No0
Minamidaito Village1,227Age 18NoNo / No0
Iheya Village1,191Age 15NoNo / No9
Tarama Village1,040Age 18NoNo / No0
Aguni Village676Age 18NoNo / No0
Tokashiki Village665Age 15NoNo / No0
Kitadaito Village544Age 18NoNo / No0
Tonaki Village291Age 18NoNo / No0

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

All 41 municipalities in Okinawa Prefecture

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