Musashimurayama City: child medical expense subsidy
In Musashimurayama 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: 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 Tokyo, 62 of 62 municipalities cover outpatient care through age 18, and Musashimurayama City is one of them.
Musashimurayama City is one of 44 municipalities in Tokyo 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
- 70,696(Resident register, 2024)
- Share under 15
- 13.2%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Musashimurayama 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 limitchanged | No | No |
| Co-paymentchanged | No | No |
Changed since last year
- Income limit
- Yes / Yes → No / No
- Co-payment
- Yes / No → No / No
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 Musashimurayama 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).
There is no out-of-pocket charge for insured care, so it is effectively free.
Are high school students covered in Musashimurayama 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 Musashimurayama City apply an income limit?
No (as of April 1, 2025).
There was one as of April 1, 2024, but it had been removed as of April 1, 2025.
Do the conditions differ between outpatient and inpatient care in Musashimurayama 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: no.
Has Musashimurayama City changed its conditions since last year?
Yes. Compared with April 1, 2024, the following changed: Income limit, Co-payment. See the rows marked "changed" in the table above.
How does Musashimurayama City compare with other municipalities in Tokyo?
In Tokyo, 62 of 62 municipalities cover outpatient care through age 18, and Musashimurayama City is one of them.
Musashimurayama City is one of 44 municipalities in Tokyo 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 Musashimurayama 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: Komae City, Akiruno City, Kunitachi City, Kiyose City, Chiyoda Ward, Fussa City, Hamura City, Mizuho Town
Nursery and after-school club waiting lists in Musashimurayama City
Musashimurayama City had 0 children on the nursery waiting list as of April 1, 2026 (1,646 applicants, 1,640 enrolled; 0 waiting a year earlier). After-school clubs had 65 children waiting as of May 1, 2026 (preliminary; 762 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 0 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 0 | Apr 1, 2025 |
| Nursery applicants | 1,646 | Apr 1, 2026 |
| Children enrolled in nurseries | 1,640 | Apr 1, 2026 |
| After-school club waiting list | 65 | May 1, 2026 (prelim.) |
| After-school club registrations | 762 | 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 Musashimurayama City
Musashimurayama City has 19 urban parks (149.5 ha), or 21.1 m² per resident (Rank 3 of 62 in Tokyo). It has 2 libraries, 3 community centers, 13 nursery schools and 9 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 | 19 | Rank 50 of 62 in Tokyo | Mar 31, 2025 |
| Urban park area | 149.5 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 21.1 m² | Rank 3 of 62 in Tokyo | Mar 31, 2025 |
| Libraries | 2 | Rank 38 of 62 in Tokyo | 2021 |
| Community centers | 3 | — | 2021 |
| Nursery schools | 13 | Rank 57 of 62 in Tokyo | 2023 |
| Kindergartens | 4 | — | 2024 |
| Elementary schools | 9 | — | 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 Musashimurayama City
- PopulationResident register, 2024
- 70,696Rank 46 of 62 in Tokyo2024
- Share under 15
- 13.2%Rank 9 of 62 in Tokyo2020 census
- Share 65 and over
- 26.6%2020 census
- Share of foreign residents
- 2.1%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- +116Rank 49 of 62 in Tokyo2024
- Births per 1,000 residents
- 4.6Rank 51 of 62 in Tokyo2023
- Nursery schools
- 132023
- Nursery schools per 1,000 children under 15
- 1.39Rank 57 of 62 in Tokyo2023
- Kindergartens
- 42024
- Elementary schools
- 92024
- Doctors per 10,000 residents
- 18.1Rank 38 of 62 in Tokyo2022
- Clinics per 10,000 residents
- 3.82023
- General hospitals
- 42023
- Owner-occupied homes
- 62.1%2023
- Floor area per dwelling
- 81.4 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.79Rank 23 of 39 in Tokyo2022
- Restaurants
- 1782021
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 |
|---|---|---|---|---|---|
| Musashimurayama City | 70,696 | Age 18 | No | No / No | 0 |
| Komae City | 82,048 | Age 18 | Yes | Yes / No | 5 |
| 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 |
| Chiyoda Ward | 68,835 | Age 18 | No | No / No | 0 |
| Fussa City | 56,582 | Age 18 | No | Yes / No | 5 |
| Hamura City | 54,126 | Age 18 | Yes | Yes / No | 2 |
| Mizuho Town | 32,013 | 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.