● Childcare support in Akiruno City
Childcare and money in Akiruno City, in plain language.
Childcare support comes in several layers: Akiruno City, the Tokyo Metropolitan Government, health insurance and employment insurance. This unofficial guide, written from a parent's point of view, puts them in one list so you can see how much your family can receive in total when raising children in Akiruno City.
CATEGORY FUNIN
Fertility treatment & egg freezing
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If you have IVF, Tokyo gives up to ¥150,000 per cycle
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If a couple has fertility tests, Tokyo gives up to ¥50,000
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If you have tests for recurrent pregnancy loss, Tokyo gives up to ¥50,000 (up to ¥60,000 for advanced medical care)
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If you freeze your eggs in preparation for aging, Tokyo gives up to ¥200,000 + ¥20,000 a year for storage
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If you have IVF using frozen eggs, Tokyo gives up to ¥250,000 per cycle
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Tokyo covers up to ¥30,000 of test costs to prepare for a future pregnancy, for both women and men
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For advanced medical care received together with IVF and similar treatment, up to ¥50,000 per treatment on top of the Tokyo subsidy
CATEGORY NINSHIN
Pregnancy
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Pregnancy Support Payment: ¥100,000 in total from the national government for pregnancy and birth
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If you take time off for morning sickness or threatened preterm labor during pregnancy, health insurance pays 2/3 of your monthly pay
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Up to ¥10,000 for the first visit to confirm pregnancy (for households exempt from resident tax, etc.)
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After the pregnancy interview, ¥7,000 in children's gift vouchers and wooden blocks made from Tama-grown timber
CATEGORY SHUSSAN
Birth & postpartum
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¥500,000 per baby from your health insurance when you give birth
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During maternity leave before and after birth, health insurance pays 2/3 of your monthly pay
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For self-employed and freelance people, National Pension premiums are waived around childbirth
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For National Health Insurance members, the income-based and per-capita portions of premiums are waived for 4 months around childbirth
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When you give birth, Tokyo gives you points worth ¥100,000
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If you have an epidural (pain-relief) delivery, Tokyo gives up to ¥100,000
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From pregnancy through the child-rearing years, Tokyo backs municipal consultation, postpartum care, housework and childcare supporters, and support for families with multiples
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Postpartum checkups at 2 weeks and 1 month after birth with vouchers (anywhere in Tokyo from October 2026)
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Your baby's 1-month checkup with a voucher (anywhere in Tokyo from October 2026)
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Apply after the birth registration to receive a local specialty coupon worth ¥3,000
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Postpartum care for up to 7 nights. Overnight stays are ¥7,000 for 1 night/2 days, then ¥3,000 per night from the 2nd night
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Free housework and childcare helpers for up to 60 hours for families with a baby under 1
CATEGORY IKU
Raising children
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Child Allowance from the national government every month until high school age, ¥10,000–¥15,000 (¥30,000 for the third and later children)
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During childcare leave, employment insurance pays 67% of your monthly pay
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If both parents take 14 or more days of childcare leave, employment insurance brings take-home pay to about 100%
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If your pay goes down because you work shorter hours, employment insurance pays 10% of your wages
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018 Support gives ¥5,000 every month from Tokyo until age 18
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Until your child starts elementary school, Tokyo and your municipality cover the out-of-pocket medical costs
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For elementary and junior high school students, outpatient visits cost up to ¥200 each, and hospital stays cost only meals
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High school-age children are also covered by the medical expense subsidy. Outpatient visits up to ¥200 each
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Tuition at private high schools in Tokyo is free up to ¥501,000 a year, national and Tokyo support combined
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If your child attends a private junior high school, Tokyo gives ¥120,000 a year toward tuition
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From elementary school through high school age, no medical co-payment at the counter, not even the ¥200 per outpatient visit
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Free home visits by childcare supporters for families with twins or triplets (240 hours up to age 0)
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On the first birthday, children's e-Gift vouchers worth ¥60,000 (¥70,000 for the second child, ¥80,000 for the third and later children)
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¥2,000 per dose for children's flu vaccination (¥4,000 for the nasal vaccine)
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Leave your child, including overnight, during business trips or childcare fatigue (¥3,000–¥4,000 per day)
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Ask local members for pick-ups and childcare. ¥700 per hour on weekday daytimes
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School lunch at city elementary and junior high schools is free (no procedure needed)
CATEGORY HOIKU
Daycare & preschool
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Licensed daycare fees are now ¥0 for the first child aged 0–2 as well
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Municipalities give monthly subsidies to parents of children at private kindergartens, and Tokyo supports the cost
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Municipalities subsidize fees at Tokyo-certified daycare and unlicensed childcare facilities, and Tokyo supports the cost
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A Tokyo program that takes care of preschool children not attending daycare or kindergarten, with wider age and time limits
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Subsidy for fees at Tokyo-certified and company-led daycare. Under 3 (taxable households): up to ¥67,000/month
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Subsidy for fees at unlicensed childcare facilities. Under 3 (taxable households): up to ¥27,000/month
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¥5,200 to ¥9,600/month toward private kindergarten fees, separate from the national free-of-charge program
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Children aged 0 to 2 not attending daycare can be left at facilities in the city free of charge for up to 160 hours/month
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Temporary childcare at Cocoruno for ¥1,000 per 2 hours when you need a break
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Sick-child care on the grounds of Akiru Medical Center, ¥2,000 per day
CATEGORY HITORIOYA
Single-parent support
About this site
This site explains, in plain language, the childcare-related subsidies, benefits and allowances you can use when raising children in Akiruno City.
The amounts and conditions are written after reading each program's official page and guidelines directly. However, this is an unofficial guide made by an individual, and it gives estimates only. For an official decision, contact the office in charge of each program (municipality, Tokyo Metropolitan Government, health insurance, employment insurance, etc.).
Other municipalities
Kosodate Tokyo covers Tokyo's 23 wards and the municipalities of Tama. For each one, it lists the municipality's own programs and top-ups together with the national and Tokyo-wide programs.
● Compare Akiruno City with other municipalities → ● Programs for everyone living in Tokyo (national and Tokyo-wide) →23 wards
Chiyoda City
Chuo City
Minato City
Shinjuku City
Bunkyo City
Shibuya City
Shinagawa City
Meguro City
Ota City
Setagaya City
Nakano City
Suginami City
Toshima City
Nerima City
Itabashi City
Kita City
Arakawa City
Taito City
Sumida City
Koto City
Adachi City
Katsushika City
Edogawa City
Tama
Hachioji City
Tachikawa City
Musashino City
Mitaka City
Ome City
Fuchu City
Akishima City
Chofu City
Machida City
Koganei City
Hino City
Higashimurayama City
Kokubunji City
Kunitachi City
Fussa City
Komae City
Higashiyamato City
Kiyose City
Higashikurume City
Musashimurayama City
Tama City
Inagi City
Hamura City
Akiruno City
Nishitokyo City
Mizuho Town
Hinode Town
Hinohara Village
Okutama Town