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Shirahama Town: child medical expense subsidy

Wakayama Prefecture

In Shirahama Town, Wakayama 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: 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 Wakayama Prefecture, 29 of 30 municipalities cover outpatient care through age 18, and Shirahama Town is one of them.

Shirahama Town is one of 29 municipalities in Wakayama Prefecture 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
19,753(Resident register, 2024)
Share under 15
9.6%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Shirahama Town.

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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-paymentNoNo

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 Shirahama Town 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 Shirahama Town?

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 Shirahama Town apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Shirahama Town?

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 Shirahama Town 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 Shirahama Town compare with other municipalities in Wakayama Prefecture?

In Wakayama Prefecture, 29 of 30 municipalities cover outpatient care through age 18, and Shirahama Town is one of them.

Shirahama Town is one of 29 municipalities in Wakayama Prefecture 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 Shirahama Town, 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 Shirahama Town

Shirahama Town had 0 children on the nursery waiting list as of April 1, 2026 (312 applicants, 312 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 309 registered).

Nursery and after-school club waiting lists in Shirahama Town
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants312Apr 1, 2026
Children enrolled in nurseries312Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations309May 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 Shirahama Town

Shirahama Town has 9 urban parks (44.2 ha), or 31.6 m² per resident (Rank 2 of 30 in the prefecture). It has 1 libraries, 17 community centers, 6 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.

Places for children: Shirahama Town
ItemValueRank in prefectureAs of
Urban parks9Rank 8 of 30 in the prefectureMar 31, 2025
Urban park area44.2 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)31.6 m²Rank 2 of 30 in the prefectureMar 31, 2025
Libraries1Rank 9 of 30 in the prefecture2021
Community centers17—2021
Nursery schools6Rank 9 of 30 in the prefecture2023
Kindergartens2—2024
Elementary schools9—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 Shirahama Town

PopulationResident register, 2024
19,753Rank 11 of 30 in the prefecture2024
Share under 15
9.6%Rank 21 of 30 in the prefecture2020 census
Share 65 and over
39.6%2020 census
Share of foreign residents
0.7%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-176Rank 25 of 30 in the prefecture2024
Births per 1,000 residents
3.6Rank 21 of 30 in the prefecture2023
Nursery schools
62023
Nursery schools per 1,000 children under 15
3.09Rank 9 of 30 in the prefecture2023
Kindergartens
22024
Elementary schools
92024
Doctors per 10,000 residents
21.8Rank 15 of 30 in the prefecture2022
Clinics per 10,000 residents
9.12023
General hospitals
22023
Owner-occupied homes
71.9%2023
Floor area per dwelling
100.0 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.43Rank 8 of 30 in the prefecture2022
Restaurants
1432021

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 Wakayama Prefecture

Compare with similar-sized municipalities in Wakayama Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Shirahama Town19,753Age 18NoNo / No0
Shingu City25,822Age 18NoNo / No0
Arida City25,230Age 18NoNo / No0
Aridagawa Town24,954Age 18NoNo / No0
Gobo City21,074Age 18NoNo / No0
Kamitonda Town15,683Age 18NoNo / No0
Katsuragi Town15,299Age 18NoNo / No0
Kushimoto Town13,924Age 18NoNo / No0
Nachikatsura Town13,468Age 18NoNo / No0

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

All 30 municipalities in Wakayama Prefecture

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