Childcare and money in Toshima City, in plain language.
Childcare support comes in several layers: Toshima 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 Toshima 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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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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¥50,000 during pregnancy + ¥50,000 per child after birth (up to ¥100,000 in total)
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¥10,000 worth of e-coupons at the pregnancy interview
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RSV vaccination for pregnant women fully covered
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Subsidy for prenatal checkups outside Tokyo
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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Overnight ¥2,500/day, day visit ¥1,500/time, home visit ¥1,000/time
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Postpartum doula visits at ¥900/hour, up to 12 hours
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From pregnancy to under age 2: ¥900/hour (¥1,350 for multiple births)
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Out-of-pocket hospital costs for pregnancy-related illnesses covered
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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Around ages 1 and 2, answer your municipality's questionnaire or interview and receive a gift worth ¥60,000 for the first child
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Medical costs fully covered until the end of the fiscal year in which the child turns 18
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Free school lunch at city-run elementary and junior high schools (no application needed)
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From FY2026, income criteria raised to 1.4 times and a new Study Support Allowance
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Up to ¥72,000 worth of children's gift certificates for families with twins or triplets
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For moves within the city during FY2025; rent difference covered up to ¥30,000/month
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Up to ¥200,000 for moving costs to live near or with your parents
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¥6,000 worth of city-wide gift certificates per household (one-time program for FY2026 only; applications closed)
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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Daycare fees at licensed childcare facilities are ¥0 from the first child
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No limit for Tokyo-certified daycare and company-led childcare (ages 0-2); other unlicensed facilities up to ¥80,000/month for ages 0-2
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Free care for up to 16 hours a month for children aged 6 months to 2 not in daycare or kindergarten
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Babysitter costs for sick children covered up to ¥20,000/day and ¥100,000/year
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Private kindergarten: ¥50,000 at enrollment and up to ¥37,900/month for tuition
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After-school care is ¥4,000/month (reductions and exemptions available)
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Half to full Family Support fees covered for low-income households
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 Toshima 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 Toshima City with other municipalities → ● Programs for everyone living in Tokyo (national and Tokyo-wide) →