Procedures › Health insurance and pension
My wardsChild and childcare support levy added to National Health Insurance premiums
Overview
From fiscal year 2026, National Health Insurance premiums in the ward include a new child and childcare support levy. The levy is added to the existing parts of the premium: the basic medical part, the late-stage elderly support part and the nursing care part. It pays for child allowances, support for pregnant women and the universal childcare access scheme. The national call centre answers questions about the levy, and the ward's National Health Insurance and Pension Section answers questions about premiums.
The levy
From fiscal year 2026, the child and childcare support levy applies to all health insurance schemes. It is a new source of funds for childcare support. Under the government's accelerated plan, it pays for the expansion of child allowances, support payments for pregnant women and the universal childcare access scheme.
Premiums from April 2026
From the premium for April 2026 onwards, the levy is paid together with the existing parts of the premium: the basic medical part, the late-stage elderly support part and the nursing care part. The amounts and rates are on the ward's premium calculation page.
Not sure it applies to you?
Take a ready prompt to your own AI assistant and add your situation.
Other guides in this topic
Health insurance and pensionUsing a My Number card as your National Health Insurance cardGuide Health insurance and pensionTurning 20: national pension enrolmentGuide Health insurance and pensionPaper health insurance cards are no longer issuedGuideHow to apply
Where
- Call centre, weekdays 9:00–18:00 (closed on Sundays and holidays)
- Call centre, Saturdays 9:00–18:00 planned from fiscal year 2026
Contact
National Health Insurance and Pension Section, Eligibility and Premium, 03-5432-2331, fax 03-5432-3038; child and childcare support levy call centre, 0120-303-272
Help in your language: Setagaya deskAsk your own AI
Take a ready prompt to the AI assistant you already use. What you type about your situation stays on this device.
Ask about my case
Write your situation under the prompt, then copy it into your assistant.
Translate the official page
A ready-made request asking your assistant to translate and explain the official page.
