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Misato Town: child medical expense subsidy

Shimane Prefecture

In Misato Town, Shimane 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 Shimane Prefecture, 19 of 19 municipalities cover outpatient care through age 18, and Misato Town is one of them.

Misato Town is one of 15 municipalities in Shimane 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
4,034(Resident register, 2024)
Share under 15
11.4%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Misato Town.

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Child medical expense subsidy

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-paymentNoNo

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 Misato Town 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 Misato Town?

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 Misato Town apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Misato Town?

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 Misato Town 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 Misato Town compare with other municipalities in Shimane Prefecture?

In Shimane Prefecture, 19 of 19 municipalities cover outpatient care through age 18, and Misato Town is one of them.

Misato Town is one of 15 municipalities in Shimane 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 Misato Town, 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 Misato Town

Misato Town had 0 children on the nursery waiting list as of April 1, 2026 (92 applicants, 92 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 107 registered).

Nursery and after-school club waiting lists in Misato Town
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants92Apr 1, 2026
Children enrolled in nurseries92Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations107May 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 Misato Town

Misato Town has 0 urban parks (0.0 ha), or 0.0 m² per resident (Rank 15 of 19 in the prefecture). It has 1 libraries, 9 community centers, 2 nursery schools and 2 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: Misato Town
ItemValueRank in prefectureAs of
Urban parks0Rank 15 of 19 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 15 of 19 in the prefectureMar 31, 2025
Libraries1Rank 7 of 19 in the prefecture2021
Community centers9—2021
Nursery schools2Rank 13 of 19 in the prefecture2023
Kindergartens0—2024
Elementary schools2—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 Misato Town

PopulationResident register, 2024
4,034Rank 15 of 19 in the prefecture2024
Share under 15
11.4%Rank 5 of 19 in the prefecture2020 census
Share 65 and over
47.9%2020 census
Share of foreign residents
0.4%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-14Rank 5 of 19 in the prefecture2024
Births per 1,000 residents
3.5Rank 16 of 19 in the prefecture2023
Nursery schools
22023
Nursery schools per 1,000 children under 15
4.02Rank 13 of 19 in the prefecture2023
Kindergartens
02024
Elementary schools
22024
Doctors per 10,000 residents
7.4Rank 19 of 19 in the prefecture2022
Clinics per 10,000 residents
19.82023
General hospitals
02023
Owner-occupied homes
—2023
Floor area per dwelling
—2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.13Rank 16 of 19 in the prefecture2022
Restaurants
52021

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
Misato Town4,034Age 18NoNo / No0
Onan Town9,467Age 18NoNo / No0
Tsuwano Town6,373Age 18NoNo / No0
Yoshika Town5,571Age 18NoNo / No0
Iinan Town4,355Age 18NoNo / No0
Kawamoto Town2,982Age 18NoNo / No0
Nishinoshima Town2,495Age 18NoNo / No0
Ama Town2,209Age 18NoNo / No3
Chibu Village574Age 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.