Childcare and money in Tama City, in plain language.
Childcare support comes in several layers: Tama 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 Tama 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
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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Childcare goods worth ¥10,000 at the "Yurikago TAMA interview" during pregnancy
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 are ¥3,500 for 1 night/2 days; home and day visits ¥500 each
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Housework and childcare supporters for ¥1,000 per 2 hours, from pregnancy to 1 year after birth (up to 15 times)
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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For families with twins or triplets aged 0 to 2, a digital gift usable for taxis and more, ¥20,000 a year
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At age 1, a catalog gift worth ¥60,000 (¥70,000 for the second child, ¥80,000 for the third and later)
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Children's medical costs: from elementary school to high school age, outpatient visits cost up to ¥200 each (no income limit)
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School lunch at city elementary and junior high schools is free (continuing in FY2026)
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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For the first child aged 0–2 at Tokyo-certified daycare, up to ¥70,000/month from the city's subsidies
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The city subsidizes ¥5,000 to ¥13,300/month toward private kindergarten fees and up to ¥30,000 toward the enrollment fee
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Extended-care fees for the age-3 class at kindergartens subsidized up to ¥450 per day, including taxable households
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Children aged 6 months to 2 not attending daycare can be left for up to 160 hours a month at facilities in the city
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Temporary childcare: ¥1,000 for under 4 hours, ¥2,000 for 4 hours or more
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Family Support childcare is ¥850 per hour on weekday daytimes (¥1,000 at other times)
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 a 10% co-payment (free for tax-exempt households)
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Home helpers sent to single-parent households whose lives have suddenly changed
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Up to ¥50,000 toward notarized deed and mediation costs for child support arrangements
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Up to ¥53,000 for university entrance exam fees for children in single-parent and tax-exempt households, plus practice exam fees
About this site
This site explains, in plain language, the childcare-related subsidies, benefits and allowances you can use when raising children in Tama 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 Tama City with other municipalities → ● Programs for everyone living in Tokyo (national and Tokyo-wide) →