Childcare and money in Nakano City, in plain language.
Childcare support comes in several layers: Nakano 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 Nakano 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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Up to ¥25,000 for the amount above the Tokyo subsidy
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Out-of-pocket costs left after the Tokyo fertility treatment subsidy covered up to ¥50,000 per cycle (expanded from October 2026)
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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Prenatal checkup costs paid in your hometown are refunded
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Children's gift certificates worth ¥10,000 when you have the Kangaroo interview
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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Hospital medical costs for pregnancy-related conditions subsidized
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From pregnancy to under age 1, 40 hours at ¥800 an hour (free for tax-exempt households)
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Overnight, day and home-visit postpartum care, up to 15 times for a single baby and 26 for multiples
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2 postpartum checkups (up to ¥5,000 each) and the 1-month checkup (up to ¥6,000) subsidized with vouchers (for checkups from October 2026)
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For families with multiples, ¥24,000 a year for travel + dispatch of supporters
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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Electronic gift cards worth ¥60,000–¥80,000 on the first birthday
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The city subsidizes school lunch fees at city-run elementary and junior high schools
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The city subsidizes teaching materials, off-campus activities, overnight school trips and school trips at city-run elementary and junior high schools
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¥80,000 per child toward the cost of entering high school and similar
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90% of the purchase cost of hearing aids for children with moderate hearing loss not eligible for the disability certificate
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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Sick-child care at ¥2,000 a day (¥0 for households exempt from resident tax and receiving public assistance)
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Babysitters for sick children at ¥400 an hour
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Fees at Tokyo-certified and unlicensed daycare subsidized up to ¥70,000 a month (¥73,700 in some cases)
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Attendance with no work requirement; ¥0 when city residents use city-selected facilities
Single-parent support
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¥13,500 a month per child for single-parent households
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Medical costs for single-parent households reduced to 10% (fully subsidized for tax-exempt households)
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The cost of child support ADR subsidized up to ¥20,000
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The cost of preparing a child support notarized deed subsidized up to ¥20,000
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¥100,000 per child for households in divorce mediation or litigation
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Moving costs within the city for single parents subsidized up to ¥300,000
About this site
This site explains, in plain language, the childcare-related subsidies, benefits and allowances you can use when raising children in Nakano 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 Nakano City with other municipalities → ● Programs for everyone living in Tokyo (national and Tokyo-wide) →