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Hamamatsu City: child medical expense subsidy

Shizuoka Prefecture

In Hamamatsu City, Shizuoka 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: outpatient yes, inpatient no. (As of April 1, 2025, Children and Families Agency survey.)

In Shizuoka Prefecture, 35 of 35 municipalities cover outpatient care through age 18, and Hamamatsu City is one of them.

Hamamatsu City does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Shizuoka Prefecture, 31 of 35 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 18(April 1, 2025)
Covered until (Inpatient)
Age 18(April 1, 2025)
Income limit
No(April 1, 2025)
Co-payment
outpatient yes, inpatient no(April 1, 2025)
Coverage through age 18
Yes(April 1, 2025)
Population
783,924(Resident register, 2024)
Share under 15
12.8%(2020 census)

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

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Child medical expense subsidy

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilAge 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-paymentYesNo

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 Hamamatsu 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).

A co-payment is charged at the counter.

Are high school students covered in Hamamatsu 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).

Does Hamamatsu City apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Hamamatsu City?

Yes. Outpatient care is 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); inpatient care is 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 Hamamatsu 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 Hamamatsu City compare with other municipalities in Shizuoka Prefecture?

In Shizuoka Prefecture, 35 of 35 municipalities cover outpatient care through age 18, and Hamamatsu City is one of them.

Hamamatsu City does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Shizuoka Prefecture, 31 of 35 municipalities meet all three.

If I move out of Hamamatsu 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 Hamamatsu City

Hamamatsu City had 0 children on the nursery waiting list as of April 1, 2026 (15,061 applicants, 14,806 enrolled; 0 waiting a year earlier). After-school clubs had 167 children waiting as of May 1, 2026 (preliminary; 8,172 registered).

Nursery and after-school club waiting lists in Hamamatsu City
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants15,061Apr 1, 2026
Children enrolled in nurseries14,806Apr 1, 2026
After-school club waiting list167May 1, 2026 (prelim.)
After-school club registrations8,172May 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 Hamamatsu City

Hamamatsu City has 595 urban parks (663.3 ha), or 8.5 m² per resident (Rank 14 of 35 in the prefecture). It has 24 libraries, 0 community centers, 63 nursery schools and 99 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: Hamamatsu City
ItemValueRank in prefectureAs of
Urban parks595Rank 1 of 35 in the prefectureMar 31, 2025
Urban park area663.3 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)8.5 m²Rank 14 of 35 in the prefectureMar 31, 2025
Libraries24Rank 19 of 35 in the prefecture2021
Community centers0—2021
Nursery schools63Rank 30 of 35 in the prefecture2023
Kindergartens102—2024
Elementary schools99—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 Hamamatsu City

PopulationResident register, 2024
783,924Rank 1 of 35 in the prefecture2024
Share under 15
12.8%Rank 9 of 35 in the prefecture2020 census
Share 65 and over
27.9%2020 census
Share of foreign residents
2.8%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-1,033Rank 8 of 35 in the prefecture2024
Births per 1,000 residents
5.8Rank 7 of 35 in the prefecture2023
Nursery schools
632023
Nursery schools per 1,000 children under 15
0.62Rank 30 of 35 in the prefecture2023
Kindergartens
1022024
Elementary schools
992024
Doctors per 10,000 residents
30.8Rank 5 of 35 in the prefecture2022
Clinics per 10,000 residents
8.32023
General hospitals
252023
Owner-occupied homes
64.9%2023
Floor area per dwelling
100.8 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.83Rank 18 of 35 in the prefecture2022
Restaurants
2,8892021

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 Shizuoka Prefecture

Compare with similar-sized municipalities in Shizuoka Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Hamamatsu City783,924Age 18NoYes / No0
Shizuoka City672,775Age 18NoYes / No0
Fuji City246,491Age 18NoYes / No0
Numazu City185,758Age 18NoNo / No0
Iwata City165,426Age 18NoNo / No0

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

All 35 municipalities in Shizuoka Prefecture

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