Tsurugashima City: child medical expense subsidy
In Tsurugashima City, Saitama 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 Saitama Prefecture, 63 of 63 municipalities cover outpatient care through age 18, and Tsurugashima City is one of them.
Tsurugashima City is one of 63 municipalities in Saitama 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
- 69,836(Resident register, 2024)
- Share under 15
- 11.2%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Tsurugashima City.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered untilchanged | 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 |
Changed since last year
- Outpatient · Covered until
- Age 15 → Age 18
- Inpatient · Covered until
- Age 15 → Age 18
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 Tsurugashima 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 Tsurugashima 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 Tsurugashima City apply an income limit?
No (as of April 1, 2025).
Do the conditions differ between outpatient and inpatient care in Tsurugashima 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 Tsurugashima City changed its conditions since last year?
Yes. Compared with April 1, 2024, the following changed: outpatient age limit, inpatient age limit. See the rows marked "changed" in the table above.
How does Tsurugashima City compare with other municipalities in Saitama Prefecture?
In Saitama Prefecture, 63 of 63 municipalities cover outpatient care through age 18, and Tsurugashima City is one of them.
Tsurugashima City is one of 63 municipalities in Saitama 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 Tsurugashima 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 Saitama Prefecture: Warabi City, Shiki City, Okegawa City, Yoshikawa City, Kitamoto City, Hasuda City, Chichibu City, Hidaka City
Nursery and after-school club waiting lists in Tsurugashima City
Tsurugashima City had 0 children on the nursery waiting list as of April 1, 2026 (1,219 applicants, 1,181 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 1,026 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 | 1,219 | Apr 1, 2026 |
| Children enrolled in nurseries | 1,181 | Apr 1, 2026 |
| After-school club waiting list | 0 | May 1, 2026 (prelim.) |
| After-school club registrations | 1,026 | 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 Tsurugashima City
Tsurugashima City has 65 urban parks (41.5 ha), or 6.9 m² per resident (Rank 27 of 63 in the prefecture). It has 7 libraries, 0 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.
| Item | Value | Rank in prefecture | As of |
|---|---|---|---|
| Urban parks | 65 | Rank 23 of 63 in the prefecture | Mar 31, 2025 |
| Urban park area | 41.5 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 6.9 m² | Rank 27 of 63 in the prefecture | Mar 31, 2025 |
| Libraries | 7 | Rank 4 of 63 in the prefecture | 2021 |
| Community centers | 0 | — | 2021 |
| Nursery schools | 12 | Rank 37 of 63 in the prefecture | 2023 |
| Kindergartens | 5 | — | 2024 |
| Elementary schools | 8 | — | 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 Tsurugashima City
- PopulationResident register, 2024
- 69,836Rank 33 of 63 in the prefecture2024
- Share under 15
- 11.2%Rank 30 of 63 in the prefecture2020 census
- Share 65 and over
- 28.9%2020 census
- Share of foreign residents
- 1.8%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- +61Rank 39 of 63 in the prefecture2024
- Births per 1,000 residents
- 5.7Rank 17 of 63 in the prefecture2023
- Nursery schools
- 122023
- Nursery schools per 1,000 children under 15
- 1.52Rank 37 of 63 in the prefecture2023
- Kindergartens
- 52024
- Elementary schools
- 82024
- Doctors per 10,000 residents
- 12.2Rank 34 of 63 in the prefecture2022
- Clinics per 10,000 residents
- 6.22023
- General hospitals
- 22023
- Owner-occupied homes
- 62.7%2023
- Floor area per dwelling
- 84.9 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.83Rank 22 of 63 in the prefecture2022
- Restaurants
- 2102021
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 Saitama Prefecture
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Tsurugashima City | 69,836 | Age 18 | No | No / No | 0 |
| Warabi City | 76,342 | Age 18 | No | No / No | 0 |
| Shiki City | 76,153 | Age 18 | No | No / No | 3 |
| Okegawa City | 74,172 | Age 18 | No | No / No | 0 |
| Yoshikawa City | 72,396 | Age 18 | No | No / No | 5 |
| Kitamoto City | 65,274 | Age 18 | No | No / No | 0 |
| Hasuda City | 61,111 | Age 18 | No | No / No | 2 |
| Chichibu City | 57,212 | Age 18 | No | No / No | 0 |
| Hidaka City | 54,192 | 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.