Tokyo62 municipalities

Of the 62 municipalities in Tokyo, 62 cover outpatient care through age 18, 58 have no income limit, and 44 charge no outpatient co-payment. Since last year, 9 have changed their conditions (as of April 1, 2025, Children and Families Agency survey).

Since last year, Ome City, Akishima City, Machida City, Kodaira City, Higashiyamato City, Kiyose City, Musashimurayama City, Mizuho Town and Aogashima Village changed their conditions.

Child medical expense subsidy, national totals (as of April 1, 2025, Children and Families Agency survey)
Condition	Municipalities	Municipalities in survey	Share
Outpatient care covered through age 18	62	62	100.0%
No income limit	58	62	93.5%
No co-payment for outpatient care	44	62	71.0%
Changed since last year	9	62	14.5%

Filter by conditions

44 municipalities in Tokyo where child medical care is free through age 18 (no income limit, no co-payment)

Setagaya Ward, Nerima Ward, Ota Ward, Adachi Ward, Edogawa Ward, Itabashi Ward, Suginami Ward, Koto Ward, Katsushika Ward, Shinagawa Ward, Kita Ward, Shinjuku Ward, Nakano Ward, Toshima Ward, Sumida Ward, Meguro Ward, Minato Ward, Fuchu City, Chofu City, Bunkyo Ward, Shibuya Ward, Arakawa Ward, Taito Ward, Mitaka City, Hino City, Chuo Ward, Tachikawa City, Musashino City, Akishima City, Higashiyamato City, Akiruno City, Musashimurayama City, Chiyoda Ward, Mizuho Town, Hinode Town, Hachijo Town, Oshima Town, Okutama Town, Niijima Village, Miyake Village, Hinohara Village, Kozushima Village, Mikurajima Village, Toshima Village

0 municipalities where outpatient coverage ends before age 18

None.

4 municipalities with an income limit

Higashimurayama City, Higashikurume City, Komae City, Hamura City

18 municipalities with an outpatient co-payment

Hachioji City, Machida City, Nishitokyo City, Kodaira City, Higashimurayama City, Tama City, Kokubunji City, Ome City, Koganei City, Higashikurume City, Inagi City, Komae City, Kunitachi City, Kiyose City, Fussa City, Hamura City, Ogasawara Village, Aogashima Village

9 municipalities that changed their conditions since April 2024

Machida City, Kodaira City, Ome City, Akishima City, Higashiyamato City, Kiyose City, Musashimurayama City, Mizuho Town, Aogashima Village

National survey values as of April 1, 2025. Later changes confirmed on official websites are noted on each municipality's page.

All 62 municipalities in Tokyo

Subsidy conditions as of April 1, 2025. Population from the resident register, 2024. Last checked September 24, 2026.

Child medical expense subsidy in the 62 municipalities of Tokyo (as of April 1, 2025, Children and Families Agency survey)
Municipality	Outpatient until	Inpatient until	Income limit (out / in)	Co-payment (outpatient)	Co-payment (inpatient)	Population	Changed
Setagaya Ward	Age 18	Age 18	No	No	No	923,210	No
Nerima Ward	Age 18	Age 18	No	No	No	745,927	No
Ota Ward	Age 18	Age 18	No	No	No	740,519	No
Adachi Ward	Age 18	Age 18	No	No	No	698,276	No
Edogawa Ward	Age 18	Age 18	No	No	No	693,570	No
Itabashi Ward	Age 18	Age 18	No	No	No	578,914	No
Suginami Ward	Age 18	Age 18	No	No	No	577,147	No
Hachioji City	Age 18	Age 18	No	Yes	No	559,083	No
Koto Ward	Age 18	Age 18	No	No	No	541,685	No
Katsushika Ward	Age 18	Age 18	No	No	No	469,916	No
Machida City	Age 18	Age 18	No	Yes	No	430,170	Yes
Shinagawa Ward	Age 18	Age 18	No	No	No	412,786	No
Kita Ward	Age 18	Age 18	No	No	No	362,089	No
Shinjuku Ward	Age 18	Age 18	No	No	No	352,717	No
Nakano Ward	Age 18	Age 18	No	No	No	341,322	No
Toshima Ward	Age 18	Age 18	No	No	No	294,644	No
Sumida Ward	Age 18	Age 18	No	No	No	287,302	No
Meguro Ward	Age 18	Age 18	No	No	No	281,400	No
Minato Ward	Age 18	Age 18	No	No	No	267,780	No
Fuchu City	Age 18	Age 18	No	No	No	260,998	No
Chofu City	Age 18	Age 18	No	No	No	239,348	No
Bunkyo Ward	Age 18	Age 18	No	No	No	235,345	No
Shibuya Ward	Age 18	Age 18	No	No	No	231,402	No
Arakawa Ward	Age 18	Age 18	No	No	No	222,278	No
Taito Ward	Age 18	Age 18	No	No	No	216,084	No
Nishitokyo City	Age 18	Age 18	No	Yes	No	206,245	No
Kodaira City	Age 18	Age 18	No	Yes	No	196,799	Yes
Mitaka City	Age 18	Age 18	No	No	No	190,497	No
Hino City	Age 18	Age 18	No	No	No	188,477	No
Chuo Ward	Age 18	Age 18	No	No	No	187,404	No
Tachikawa City	Age 18	Age 18	No	No	No	186,257	No
Higashimurayama City	Age 18	Age 18	Yes	Yes	No	151,795	No
Tama City	Age 18	Age 18	No	Yes	No	148,084	No
Musashino City	Age 18	Age 18	No	No	No	148,034	No
Kokubunji City	Age 18	Age 18	No	Yes	No	129,500	No
Ome City	Age 18	Age 18	No	Yes	No	129,105	Yes
Koganei City	Age 18	Age 18	No	Yes	No	125,174	No
Higashikurume City	Age 18	Age 18	Yes	Yes	No	116,325	No
Akishima City	Age 18	Age 18	No	No	No	115,632	Yes
Inagi City	Age 18	Age 18	No	Yes	No	93,916	No
Higashiyamato City	Age 18	Age 18	No	No	No	84,996	Yes
Komae City	Age 18	Age 18	Yes	Yes	No	82,048	No
Akiruno City	Age 18	Age 18	No	No	No	79,244	No
Kunitachi City	Age 18	Age 18	No	Yes	No	76,079	No
Kiyose City	Age 18	Age 18	No	Yes	No	75,011	Yes
Musashimurayama City	Age 18	Age 18	No	No	No	70,696	Yes
Chiyoda Ward	Age 18	Age 18	No	No	No	68,835	No
Fussa City	Age 18	Age 18	No	Yes	No	56,582	No
Hamura City	Age 18	Age 18	Yes	Yes	No	54,126	No
Mizuho Town	Age 18	Age 18	No	No	No	32,013	Yes
Hinode Town	Age 18	Age 18	No	No	No	16,061	No
Hachijo Town	Age 18	Age 18	No	No	No	6,838	No
Oshima Town	Age 18	Age 18	No	No	No	6,813	No
Okutama Town	Age 18	Age 18	No	No	No	4,492	No
Ogasawara Village	Age 18	Age 18	No	Yes	No	2,496	No
Niijima Village	Age 18	Age 18	No	No	No	2,415	No
Miyake Village	Age 18	Age 18	No	No	No	2,211	No
Hinohara Village	Age 18	Age 18	No	No	No	1,923	No
Kozushima Village	Age 18	Age 18	No	No	No	1,737	No
Mikurajima Village	Age 18	Age 18	No	No	No	302	No
Toshima Village	Age 18	Age 18	No	No	No	300	No
Aogashima Village	Age 18	Age 18	No	Yes	No	160	Yes

Tokyo's 23 wards

All 23 wards cover both outpatient and inpatient care through age 18, with no income limit and no co-payment (as of April 1, 2025).

Tokyo's 23 wards
Municipality	Outpatient until	Inpatient until	Income limit (out / in)	Co-payment (outpatient)	Co-payment (inpatient)	Population	Changed
Setagaya Ward	Age 18	Age 18	No	No	No	923,210	No
Nerima Ward	Age 18	Age 18	No	No	No	745,927	No
Ota Ward	Age 18	Age 18	No	No	No	740,519	No
Adachi Ward	Age 18	Age 18	No	No	No	698,276	No
Edogawa Ward	Age 18	Age 18	No	No	No	693,570	No
Itabashi Ward	Age 18	Age 18	No	No	No	578,914	No
Suginami Ward	Age 18	Age 18	No	No	No	577,147	No
Koto Ward	Age 18	Age 18	No	No	No	541,685	No
Katsushika Ward	Age 18	Age 18	No	No	No	469,916	No
Shinagawa Ward	Age 18	Age 18	No	No	No	412,786	No
Kita Ward	Age 18	Age 18	No	No	No	362,089	No
Shinjuku Ward	Age 18	Age 18	No	No	No	352,717	No
Nakano Ward	Age 18	Age 18	No	No	No	341,322	No
Toshima Ward	Age 18	Age 18	No	No	No	294,644	No
Sumida Ward	Age 18	Age 18	No	No	No	287,302	No
Meguro Ward	Age 18	Age 18	No	No	No	281,400	No
Minato Ward	Age 18	Age 18	No	No	No	267,780	No
Bunkyo Ward	Age 18	Age 18	No	No	No	235,345	No
Shibuya Ward	Age 18	Age 18	No	No	No	231,402	No
Arakawa Ward	Age 18	Age 18	No	No	No	222,278	No
Taito Ward	Age 18	Age 18	No	No	No	216,084	No
Chuo Ward	Age 18	Age 18	No	No	No	187,404	No
Chiyoda Ward	Age 18	Age 18	No	No	No	68,835	No

Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)