Childcare and money in Komae City, in plain language.
Childcare support comes in several layers: Komae 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 Komae 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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The city adds up to ¥30,000 to Tokyo's subsidies for fertility treatment and tests (from FY2026)
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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Children's gift vouchers worth ¥10,000 after the pregnancy interview
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For pregnant women in low-income households, up to ¥10,000 per visit to confirm pregnancy (up to 2 times per fiscal year)
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Prenatal checkups for twins or more: from the 15th checkup, up to ¥5,460 each (5 times)
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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When your baby is born, a ¥20,000 childbirth celebration payment (cash)
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Overnight postpartum care is ¥3,500 per day (meals included); free for tax-exempt households
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Housework and childcare helpers around childbirth. ¥1,000 per hour for taxable households
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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Until the end of the fiscal year of age 18, no co-payment for insurance-covered care (the ¥200 charge and income limit were abolished in October 2025)
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An e-gift worth ¥60,000 for families with a 1-year-old
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For families with twins or triplets, gift vouchers usable for taxis, ¥24,000 worth for each age
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Children's flu vaccination: ¥2,000 per injection is subsidized
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¥2,700 subsidy for mumps vaccination at age 1 (you pay ¥3,000)
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School lunch fees at city elementary and junior high schools are ¥0
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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Fees at Tokyo-certified daycare and unlicensed childcare facilities up to ¥80,000/month (ages 0–2, taxable households); ¥81,900 for ages 3–5 combined with the national benefit
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The city adds ¥6,700 to ¥11,100/month to private kindergarten fees, plus ¥30,000 for the enrollment fee
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Local members provide pick-ups and childcare. ¥700 per hour
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 Komae 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 Komae City with other municipalities → ● Programs for everyone living in Tokyo (national and Tokyo-wide) →