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Izumo City: child medical expense subsidy (こども医療費助成制度)

Shimane Prefecture

Izumo City, Shimane Prefecture covers child medical expenses for both outpatient and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age), with no income limit and a co-payment, from October 2026 (city website, checked October 19, 2026). The national survey (as of April 1, 2025) recorded 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: yes.

In the national survey (as of April 1, 2025), in Shimane Prefecture, 19 of 19 municipalities cover outpatient care through age 18, and Izumo City is one of them.

In the national survey (as of April 1, 2025), izumo City does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Shimane Prefecture, 15 of 19 municipalities meet all three.

Izumo City calls this program "こども医療費助成制度". This site uses the national survey's term, "child medical expense subsidy".

Covered until (Outpatient)
Age 18(from October 2026, official site)national survey (as of April 1, 2025): Age 18
Covered until (Inpatient)
Age 18(from October 2026, official site)national survey (as of April 1, 2025): Age 18
Income limit
No(from October 2026, official site)national survey (as of April 1, 2025): No
Co-payment
Yes(from October 2026, official site)national survey (as of April 1, 2025): Yes
Coverage through age 18
Yes(from October 2026, official site)
Population
172,327(Resident register, 2024)
Share under 15
13.5%(2020 census)

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

Official websiteFilter by conditions

Child medical expense subsidy

From October 2026, Izumo City makes outpatient and inpatient care free from birth through junior high school; until then, children from elementary school age paid 10%. High-school-age children still pay 10%, capped per institution per month at 1,000 yen for outpatient and 2,000 yen for inpatient care. This is newer than the national survey shown above (as of April 1, 2025). Official website (checked October 19, 2026)

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilchangedAge 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 limitNoNo
Co-paymentYesYes

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 Izumo 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) (from October 2026, official website).

A co-payment is charged at the counter.

Are high school students covered in Izumo 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 October 2026.

Does Izumo City apply an income limit?

No (from October 2026, official website).

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

Has Izumo 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.

However, according to the official website, the conditions changed from October 2026. From October 2026, Izumo City makes outpatient and inpatient care free from birth through junior high school; until then, children from elementary school age paid 10%. High-school-age children still pay 10%, capped per institution per month at 1,000 yen for outpatient and 2,000 yen for inpatient care. This is newer than the national survey shown above (as of April 1, 2025).

How does Izumo City compare with other municipalities in Shimane Prefecture?

In the national survey (as of April 1, 2025), in Shimane Prefecture, 19 of 19 municipalities cover outpatient care through age 18, and Izumo City is one of them.

In the national survey (as of April 1, 2025), izumo City does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Shimane Prefecture, 15 of 19 municipalities meet all three.

If I move out of Izumo 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 Izumo City

Izumo City had 0 children on the nursery waiting list as of April 1, 2026 (5,764 applicants, 5,730 enrolled; 0 waiting a year earlier). After-school clubs had 35 children waiting as of May 1, 2026 (preliminary; 2,653 registered).

Nursery and after-school club waiting lists in Izumo City
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants5,764Apr 1, 2026
Children enrolled in nurseries5,730Apr 1, 2026
After-school club waiting list35May 1, 2026 (prelim.)
After-school club registrations2,653May 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 Izumo City

Izumo City has 108 urban parks (197.0 ha), or 12.2 m² per resident (Rank 11 of 19 in the prefecture). It has 7 libraries, 0 community centers, 52 nursery schools and 34 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: Izumo City
ItemValueRank in prefectureAs of
Urban parks108Rank 2 of 19 in the prefectureMar 31, 2025
Urban park area197.0 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)12.2 m²Rank 11 of 19 in the prefectureMar 31, 2025
Libraries7Rank 15 of 19 in the prefecture2021
Community centers0—2021
Nursery schools52Rank 19 of 19 in the prefecture2023
Kindergartens25—2024
Elementary schools34—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 Izumo City

PopulationResident register, 2024
172,327Rank 2 of 19 in the prefecture2024
Share under 15
13.5%Rank 1 of 19 in the prefecture2020 census
Share 65 and over
30.1%2020 census
Share of foreign residents
2.4%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
+378Rank 2 of 19 in the prefecture2024
Births per 1,000 residents
6.9Rank 2 of 19 in the prefecture2023
Nursery schools
522023
Nursery schools per 1,000 children under 15
2.23Rank 19 of 19 in the prefecture2023
Kindergartens
252024
Elementary schools
342024
Doctors per 10,000 residents
48.9Rank 1 of 19 in the prefecture2022
Clinics per 10,000 residents
9.42023
General hospitals
92023
Owner-occupied homes
67.6%2023
Floor area per dwelling
133.0 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.56Rank 2 of 19 in the prefecture2022
Restaurants
6152021

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 Shimane Prefecture

Compare with similar-sized municipalities in Shimane Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Izumo City172,327Age 18NoYes / Yes0
Matsue City194,313Age 18NoYes / Yes0
Hamada City48,576Age 18NoYes / No0
Masuda City42,986Age 18NoYes / Yes0
Yasugi City35,112Age 18NoNo / No0
Unnan City34,426Age 18NoNo / No0

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

All 19 municipalities in Shimane Prefecture

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