● Childcare support in Koto City
Childcare and money in Koto City, in plain language.
Childcare support comes in several layers: Koto 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 Koto 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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Koto City adds up to ¥50,000 on top of Tokyo's fertility treatment subsidy (for treatment started from April 2026, insured care is also covered)
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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If you have an interview during pregnancy, your municipality gives you childcare goods worth ¥10,000
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Prenatal, postpartum, and 1-month infant checkups, etc. taken outside Tokyo are covered later
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First counseling fee of ¥4,000 (¥5,000 for couples) covered for people who have experienced miscarriage or stillbirth
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 care for up to 5 nights/6 days (overnight ¥9,800 for 2 days/1 night)
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Public funding for childbirth at designated midwifery facilities (your share depends on your bracket)
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Children's gift certificates worth ¥24,000/year for families with twins or triplets
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Postpartum checkups ¥5,000 × 2 and the 1-month infant checkup ¥6,000 covered (vouchers from October)
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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Out-of-pocket medical costs ¥0 through high school age (no income limit)
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Gift card worth ¥60,000-¥80,000 for answering the questionnaire at age 1
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Influenza vaccination covered at ¥2,000 per shot (¥4,000 for nasal) (FY2026 from September 16)
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School lunch free for everyone at city-run elementary and junior high schools, with no income limit
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Help with 9 items including school supplies, school entry preparation, and club activities
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Registration A (after-school classes) ¥1,000/year, Registration B (after-school care) ¥5,000/month
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A program to create a place in school where children can spend time before classes start (FY2026 budget)
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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Licensed daycare fees free for ages 0-5 (from September 2025)
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Unlicensed and Tokyo-certified daycare fees covered up to ¥80,000/month regardless of income (ages 0-2)
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Care for sick or recovering children (¥2,000 per day)
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Housework and childcare helpers for families from pregnancy to under 3 (¥500 per hour)
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Children from 6 months to 3 not in daycare or kindergarten are cared for by the hour; free for city residents
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Temporary childcare and pick-up/drop-off by paid local volunteers
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Babysitter fees covered up to ¥2,500/hour (¥3,500 at night), 144 hours/year
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Leave your child for any reason at ¥500 per hour (8 Child and Family Support Centers)
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 Koto 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 Koto 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