Sapporo city offers medical subsidies for children up to 15 years old (by the end of academic year).
Especially if your child is younger than 9 years old by the end of academic year (or up to children in second grade) and visits a medical institute for the first time, you have to pay only ¥580 for hospital, ¥510 for dentist(for both outpatient visits and hospitalization). You need to show an infant and child medicare card called “Pink card” which can be obtained at the time of the Registration of Birth. Be aware that it expires each year at the end of July. Be sure to get your new pink card before it expires.
For children in second grade and younger, Sapporo city confirms parents’ income every July. If your child is eligible, you will receive a new pink card by the end of July. If not, you will receive a letter.
Please contact your local ward office if you have any questions. Please remember that if you come across any language problems at the public facilities run by City of Sapporo such as ward offices or health centers, ask the staff to call the Sapporo City Call Center (011-222-4894) and they will give you the language support on the telephone.
Or you can e-mail to Sapporo City Call Center (firstname.lastname@example.org) in English to get more information about the pink card or other issues related to City of Sapporo. You can take a picture of the letter in Japanese or your expired pink card and attach it to your e-mail if you want to make clear what you are asking.
Please refer to the page “how to find a hospital”.