Tokyo ▸ Birth & postpartum ▸ Exemption from National Health Insurance premiums for the period before and after childbirth
● BIRTH & POSTPARTUM

For National Health Insurance members, the income-based and per-capita portions of premiums are waived for 4 months around childbirth

Exemption from National Health Insurance premiums for the period before and after childbirth / The national government (carried out by the municipality)
Exemption from National Health Insurance premiums for the period before and after childbirthNational programBirths at 85 days of pregnancy or later
National Health Insurance premiums waived for 4 months around childbirth
Single baby
Equivalent of 4 months
Multiples
Equivalent of 6 months
The waived portions are the income-based and per-capita portions
Notification from 6 months before the due dateKosodate Tokyo

When a person in National Health Insurance gives birth, the income-based portion and the per-capita portion of premiums for 4 months, starting from the month before the due month (birth month), are waived. For twins or other multiples, it is 6 months starting from 3 months before the due month. This program started in January 2024 and covers births at 85 days of pregnancy or later, including stillbirth, miscarriage, induced abortion and preterm birth. You can submit the notification from 6 months before your due date, and you can also submit it after the birth. The office is the National Health Insurance section of the municipality where you live. This is a separate program from the National Pension exemption around childbirth, so if both apply, submit a notification for each.

Nationality and residence status

The official page (checked in October 2026) sets no condition on nationality or residence status that we found. Eligibility follows the official conditions, not the language of this page; many programs require resident registration in the municipality.

Who is eligible

People in National Health Insurance who will give (or gave) birth at 85 days of pregnancy or later

Notes

The premium is reduced from the annual amount, so the premium for the waived period does not necessarily become ¥0. Any overpayment is refunded.If the household premium is already above the upper limit, the waiver may not change the premium.For the notification, you need your Maternal and Child Health Handbook (the page showing the due date or birth date) and identification.Shibuya City states that births on or after November 1, 2023 are covered.If you submit the notification with your due date and the actual birth month is different, you do not need to submit it again.

Official sources

Open the official page (Japanese)

By municipality

23 wards

Tama

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