Child Medical Assistance Program 【子ども医療費助成制度】

Child Medical Expenses Subsidy   

As of April 1, 2023, Sapporo City offers medical subsidies for children up to 15 years old (age cut-off is the end of academic year).

Details of the subsidy

◊Children younger than 13 years old or children up to sixth grade (age/grade cut-off is the end of academic year)
Only charged for partial medical fee as below (for both outpatient and inpatient visits).
・¥580 – Medical fee for first visit
・¥510 – Dental fee for first visit
※Other insurance used to cover fees such as return visits and prescriptions will be free of charge.

◊Children in Junior High School
Only inpatient costs are covered (does not include some items such as containers for ointment and meals) .

How to receive the subsidy

pink card

Prior application is necessary to receive this aid. Please apply at the time of the Registration of Birth, or when you move into Sapporo City. There is an income-based limit on aid. If your application is approved, you will receive the Child Medical Expense Subsidy Card called a “pink card”. Please show this card every time you visit a medical facility.

Be aware that pink cards expire at the end of each July

Sapporo City confirms the parental income of each child with a pink card 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 explaining.

For further information please refer to

Or contact the Public Health section (Hoken-Fukushi-ka) at your local ward office (kuyakusho).

Last reviewed on April 20, 2023