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Saga City: child medical expense subsidy

Saga Prefecture

In Saga City, Saga 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: yes. (As of April 1, 2025, Children and Families Agency survey.)

Of the 20 municipalities in Saga Prefecture, only Saga City (1) cover outpatient care to Age 15. The other 19 cover it through age 18.

Saga City does not meet coverage through age 18 and no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Saga Prefecture, 4 of 20 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
Yes(April 1, 2025)
Coverage through age 18
No (both to Age 15)(April 1, 2025)
Population
226,481(Resident register, 2024)
Share under 15
12.9%(2020 census)

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

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-paymentYesYes

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 Saga 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).

A co-payment is charged at the counter.

Are high school students covered in Saga 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 Saga City apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Saga 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: yes.

Has Saga 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 Saga City compare with other municipalities in Saga Prefecture?

Of the 20 municipalities in Saga Prefecture, only Saga City (1) cover outpatient care to Age 15. The other 19 cover it through age 18.

Saga City does not meet coverage through age 18 and no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Saga Prefecture, 4 of 20 municipalities meet all three.

If I move out of Saga 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 Saga City

Saga City had 0 children on the nursery waiting list as of April 1, 2026 (5,862 applicants, 5,822 enrolled; 0 waiting a year earlier). After-school clubs had 30 children waiting as of May 1, 2026 (preliminary; 3,192 registered).

Nursery and after-school club waiting lists in Saga City
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants5,862Apr 1, 2026
Children enrolled in nurseries5,822Apr 1, 2026
After-school club waiting list30May 1, 2026 (prelim.)
After-school club registrations3,192May 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 Saga City

Saga City has 72 urban parks (184.8 ha), or 8.4 m² per resident (Rank 14 of 20 in the prefecture). It has 9 libraries, 33 community centers, 34 nursery schools and 36 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: Saga City
ItemValueRank in prefectureAs of
Urban parks72Rank 1 of 20 in the prefectureMar 31, 2025
Urban park area184.8 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)8.4 m²Rank 14 of 20 in the prefectureMar 31, 2025
Libraries9Rank 11 of 20 in the prefecture2021
Community centers33—2021
Nursery schools34Rank 16 of 20 in the prefecture2023
Kindergartens23—2024
Elementary schools36—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 Saga City

PopulationResident register, 2024
226,481Rank 1 of 20 in the prefecture2024
Share under 15
12.9%Rank 11 of 20 in the prefecture2020 census
Share 65 and over
27.8%2020 census
Share of foreign residents
0.6%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-444Rank 8 of 20 in the prefecture2024
Births per 1,000 residents
6.5Rank 10 of 20 in the prefecture2023
Nursery schools
342023
Nursery schools per 1,000 children under 15
1.13Rank 16 of 20 in the prefecture2023
Kindergartens
232024
Elementary schools
362024
Doctors per 10,000 residents
49.6Rank 2 of 20 in the prefecture2022
Clinics per 10,000 residents
10.32023
General hospitals
232023
Owner-occupied homes
59.1%2023
Floor area per dwelling
99.8 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.64Rank 3 of 20 in the prefecture2022
Restaurants
1,1802021

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 Saga Prefecture

Compare with similar-sized municipalities in Saga Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Saga City226,481Age 15NoYes / Yes0
Karatsu City113,890Age 18NoYes / Yes0
Tosu City74,529Age 18NoYes / Yes0
Imari City51,664Age 18NoYes / Yes0
Takeo City46,972Age 18NoYes / Yes0

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

All 20 municipalities in Saga Prefecture

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