Childcare and money in Ota City, in plain language.
Childcare support comes in several layers: Ota 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 Ota 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 ¥50,000 per cycle on top of Tokyo's advanced medical care 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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The cost of the first visit to confirm pregnancy subsidized up to ¥10,000 (tax-exempt households)
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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Home visit and outpatient types until 1 year after the birth; overnight, day and group types until 5 months after the birth
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30 hours a year until age 2, ¥500 an hour (first 2 hours free)
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From the Maternal and Child Health Handbook until 1 year after the birth, 30 hours of housework and childcare support at ¥1,000 an hour
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Taxi travel costs for multiples under 3 subsidized up to ¥24,000 per covered period
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The cost of the 1-month checkup subsidized up to ¥6,000 (once per child)
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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A child-rearing support gift worth up to ¥80,000 on the first birthday
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A child-rearing support gift worth up to ¥50,000 on the second birthday
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School lunch at city-run elementary and junior high schools is fully free with no income limit
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Teaching material costs at city-run elementary and junior high schools paid by public funds; no application by parents needed
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Applications closed (until June 30, 2026; ¥20,000 per child)
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 for unlicensed and Tokyo-certified daycare subsidized up to ¥80,000 a month
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Extended-care fees subsidized at ¥490 a day (¥1,050 in August)
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144 hours a year (288 hours for multiples and others) subsidized up to ¥2,500 an hour (¥3,500 at night)
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Care for preschool children when sick, ¥1,500–¥2,500 a day (free for tax-exempt households)
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Childcare help for children aged 4 months to 12, ¥800 an hour on weekday daytime
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Hourly childcare with no work requirement, free for up to 160 hours a month (the city adds 150 hours to the national 10 hours)
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Overnight care at an infant home for babies from 5 days to under 2 years, ¥6,000 for 1 night/2 days
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Temporary care for ages 2–15; overnight ¥6,800 for 1 night/2 days, evening ¥1,400 a day
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 Ota 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 Ota City with other municipalities → ● Programs for everyone living in Tokyo (national and Tokyo-wide) →