Ome City: child medical expense subsidy
In Ome 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: 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 Ome City is one of them.
Ome City does not meet 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
- No(April 1, 2025)
- Co-payment
- outpatient yes, inpatient no(April 1, 2025)
- Coverage through age 18
- Yes(April 1, 2025)
- Population
- 129,105(Resident register, 2024)
- Share under 15
- 10.3%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Ome 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-payment | Yes | No |
Changed since last year
- Income limit
- Yes / Yes → 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 Ome 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 Ome 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 Ome 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 Ome 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 Ome City changed its conditions since last year?
Yes. Compared with April 1, 2024, the following changed: Income limit. See the rows marked "changed" in the table above.
How does Ome City compare with other municipalities in Tokyo?
In Tokyo, 62 of 62 municipalities cover outpatient care through age 18, and Ome City is one of them.
Ome City does not meet 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 Ome 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: Higashimurayama City, Tama City, Musashino City, Kokubunji City, Koganei City, Higashikurume City, Akishima City, Inagi City
Nursery and after-school club waiting lists in Ome City
Ome City had 2 children on the nursery waiting list as of April 1, 2026 (2,647 applicants, 2,632 enrolled; 2 waiting a year earlier). After-school clubs had 29 children waiting as of May 1, 2026 (preliminary; 1,498 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 2 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 2 | Apr 1, 2025 |
| Nursery applicants | 2,647 | Apr 1, 2026 |
| Children enrolled in nurseries | 2,632 | Apr 1, 2026 |
| After-school club waiting list | 29 | May 1, 2026 (prelim.) |
| After-school club registrations | 1,498 | 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 Ome City
Ome City has 105 urban parks (60.4 ha), or 4.7 m² per resident (Rank 22 of 62 in Tokyo). It has 10 libraries, 0 community centers, 31 nursery schools and 17 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 | 105 | Rank 27 of 62 in Tokyo | Mar 31, 2025 |
| Urban park area | 60.4 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 4.7 m² | Rank 22 of 62 in Tokyo | Mar 31, 2025 |
| Libraries | 10 | Rank 11 of 62 in Tokyo | 2021 |
| Community centers | 0 | — | 2021 |
| Nursery schools | 31 | Rank 35 of 62 in Tokyo | 2023 |
| Kindergartens | 6 | — | 2024 |
| Elementary schools | 17 | — | 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 Ome City
- PopulationResident register, 2024
- 129,105Rank 36 of 62 in Tokyo2024
- Share under 15
- 10.3%Rank 51 of 62 in Tokyo2020 census
- Share 65 and over
- 31.8%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
- +757Rank 24 of 62 in Tokyo2024
- Births per 1,000 residents
- 4.2Rank 55 of 62 in Tokyo2023
- Nursery schools
- 312023
- Nursery schools per 1,000 children under 15
- 2.25Rank 35 of 62 in Tokyo2023
- Kindergartens
- 62024
- Elementary schools
- 172024
- Doctors per 10,000 residents
- 26.3Rank 26 of 62 in Tokyo2022
- Clinics per 10,000 residents
- 7.02023
- General hospitals
- 82023
- Owner-occupied homes
- 70.5%2023
- Floor area per dwelling
- 84.0 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.80Rank 21 of 39 in Tokyo2022
- Restaurants
- 4012021
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 |
|---|---|---|---|---|---|
| Ome City | 129,105 | Age 18 | No | Yes / No | 2 |
| Higashimurayama City | 151,795 | Age 18 | Yes | Yes / No | 2 |
| Tama City | 148,084 | Age 18 | No | Yes / No | 6 |
| Musashino City | 148,034 | Age 18 | No | No / No | 0 |
| Kokubunji City | 129,500 | Age 18 | No | Yes / No | 7 |
| Koganei City | 125,174 | Age 18 | No | Yes / No | 10 |
| 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 |
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.