Childcare and money in Fussa City, in plain language.
Childcare support comes in several layers: Fussa 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 Fussa City.
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 IVF/ICSI co-payments and advanced medical care, up to ¥100,000 per treatment on top of the Tokyo subsidy
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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If you have an interview during pregnancy, your municipality gives you childcare goods worth ¥10,000
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A childcare gift worth ¥10,000 after the pre-mama interview at pregnancy registration
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Pregnant women ride the city's welfare bus for free (infants and preschool children too)
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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Postpartum care: overnight stays ¥6,000 per night, day visits ¥2,500, home visits ¥1,500 (taxable households get up to ¥2,500 off per use, up to 5 times)
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The city subsidizes postpartum checkups (¥5,000 each, 2 times) and the 1-month infant checkup (¥6,000) received from April to September 2026
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Housework and childcare helpers from receiving the Maternal and Child Health Handbook until 6 months after birth
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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Up to high school age, no co-payment for insurance-covered medical care (no income limit)
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For the first birthday, an online gift worth ¥60,000 for the first child, ¥70,000 for the second, ¥80,000 for the third and later
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¥2,000 per dose for children's flu vaccination (¥4,000 for nasal)
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School lunch fees at city elementary and junior high schools are fully paid with public funds (from April 2024)
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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Daycare fees for ages 0–2 at licensed daycare and similar are now free for the first child too (from September 2025)
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Tokyo-certified daycare fees are free up to ¥80,000/month for ages 0–2 and ¥77,000/month for ages 3–5 (including taxable households)
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Fees for ages 0–2 (taxable households) at unlicensed childcare facilities are free up to ¥40,000/month
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¥5,800 to ¥10,200/month toward private kindergarten fees, on top of the national free-of-charge program
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Children aged 6 months to 2 not attending daycare can use facilities in the city for free for more than 10 hours a month
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Temporary childcare at all daycare centers in the city (¥2,500 per day, ¥1,250 for under 4 hours)
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 Fussa 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 Fussa City with other municipalities → ● Programs for everyone living in Tokyo (national and Tokyo-wide) →