Komae City: child medical expense subsidy
In Komae City, Tokyo, 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: yes. Co-payment: outpatient yes, inpatient no. (As of April 1, 2025, Children and Families Agency survey.)
In Tokyo, 62 of 62 municipalities cover outpatient care through age 18, and Komae City is one of them.
Komae City does not meet no income limit and no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Tokyo, 44 of 62 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
- Yes(April 1, 2025)
- Co-payment
- outpatient yes, inpatient no(April 1, 2025)
- Coverage through age 18
- Yes(April 1, 2025)
- Population
- 82,048(Resident register, 2024)
- Share under 15
- 11.5%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Komae City.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered until | 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 | Yes | Yes |
| Co-payment | Yes | No |
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 Komae 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 Komae 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 Komae City apply an income limit?
Yes (as of April 1, 2025).
Do the conditions differ between outpatient and inpatient care in Komae 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: yes; 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: yes; co-payment: no).
Has Komae 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 Komae City compare with other municipalities in Tokyo?
In Tokyo, 62 of 62 municipalities cover outpatient care through age 18, and Komae City is one of them.
Komae City does not meet no income limit and no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Tokyo, 44 of 62 municipalities meet all three.
If I move out of Komae 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 Tokyo: Higashikurume City, Akishima City, Inagi City, Higashiyamato City, Akiruno City, Kunitachi City, Kiyose City, Musashimurayama City
Nursery and after-school club waiting lists in Komae City
Komae City had 5 children on the nursery waiting list as of April 1, 2026 (2,090 applicants, 2,058 enrolled; 7 waiting a year earlier). After-school clubs had 108 children waiting as of May 1, 2026 (preliminary; 1,134 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 5 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 7 | Apr 1, 2025 |
| Nursery applicants | 2,090 | Apr 1, 2026 |
| Children enrolled in nurseries | 2,058 | Apr 1, 2026 |
| After-school club waiting list | 108 | May 1, 2026 (prelim.) |
| After-school club registrations | 1,134 | 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 Komae City
Komae City has 84 urban parks (12.4 ha), or 1.5 m² per resident (Rank 52 of 62 in Tokyo). It has 1 libraries, 2 community centers, 21 nursery schools and 6 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 | 84 | Rank 33 of 62 in Tokyo | Mar 31, 2025 |
| Urban park area | 12.4 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 1.5 m² | Rank 52 of 62 in Tokyo | Mar 31, 2025 |
| Libraries | 1 | Rank 57 of 62 in Tokyo | 2021 |
| Community centers | 2 | — | 2021 |
| Nursery schools | 21 | Rank 38 of 62 in Tokyo | 2023 |
| Kindergartens | 3 | — | 2024 |
| Elementary schools | 6 | — | 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 Komae City
- PopulationResident register, 2024
- 82,048Rank 42 of 62 in Tokyo2024
- Share under 15
- 11.5%Rank 33 of 62 in Tokyo2020 census
- Share 65 and over
- 23.5%2020 census
- Share of foreign residents
- 1.4%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- +227Rank 44 of 62 in Tokyo2024
- Births per 1,000 residents
- 5.8Rank 34 of 62 in Tokyo2023
- Nursery schools
- 212023
- Nursery schools per 1,000 children under 15
- 2.16Rank 38 of 62 in Tokyo2023
- Kindergartens
- 32024
- Elementary schools
- 62024
- Doctors per 10,000 residents
- 38.1Rank 12 of 62 in Tokyo2022
- Clinics per 10,000 residents
- 8.02023
- General hospitals
- 12023
- Owner-occupied homes
- 48.2%2023
- Floor area per dwelling
- 64.9 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.84Rank 19 of 39 in Tokyo2022
- Restaurants
- 1792021
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 Tokyo
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Komae City | 82,048 | Age 18 | Yes | Yes / No | 5 |
| Higashikurume City | 116,325 | Age 18 | Yes | Yes / No | 10 |
| Akishima City | 115,632 | Age 18 | No | No / No | 2 |
| Inagi City | 93,916 | Age 18 | No | Yes / No | 28 |
| Higashiyamato City | 84,996 | Age 18 | No | No / No | 24 |
| Akiruno City | 79,244 | Age 18 | No | No / No | 1 |
| Kunitachi City | 76,079 | Age 18 | No | Yes / No | 7 |
| Kiyose City | 75,011 | Age 18 | No | Yes / No | 33 |
| Musashimurayama City | 70,696 | 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.