Flu Shots for Over-65s in Kyushu 2026–27: ¥1,000–¥2,200 in 11 Cities

This page is general information from official sources. It is not medical advice. Whether you should get a flu shot is for you and your doctor. For the subsidy rules in your case, call the health office of your city (listed in each section).

If you are 65 or older and live in a city in Kyushu, the city pays part of your flu shot. You pay ¥1,000 to ¥2,200 at the clinic, depending on the city, and the shots started on October 1, 2026. This guide covers 11 cities for fiscal 2026: Fukuoka, Itoshima, Kitakyushu, Kurume, Saga, Nagasaki, Kumamoto, Oita, Beppu, Miyazaki and Kagoshima.

Two Japanese words appear on every city page. A routine vaccination (定期接種, teiki sesshu) is a shot under Japan’s Immunization Act, so the city pays part of the cost. The fiscal year (年度, nendo) runs from April 1 to March 31, so “fiscal 2026” ends on March 31, 2027.

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1. What you pay in 11 Kyushu cities

Official rule (Japan), applied by each city

You qualify if you are 65 or older on the day of the shot and registered as a resident of the city. People aged 60 to 64 also qualify if they have a disability of the heart, kidneys or lungs, or of the immune system caused by HIV, at the level of a grade 1 physical disability certificate (身体障害者手帳, shintai shogaisha techo). The city pays for 1 shot in the period. A shot after the period, or by someone who does not qualify, is not covered.

“Not stated” means the city page only mentions a free shot for people on public assistance. A tax-exempt household (非課税世帯, hikazei setai) is one where nobody pays municipal residence tax. The city pages do not say whether clinics can help in English; ask the clinic when you book.

You book with the clinic directly. Cities do not hold group vaccination days. Pick a clinic marked for flu (インフルエンザ) on your city’s list of clinics and call to ask for a slot. Fukuoka, Kumamoto and Kagoshima say they will not refund the fee if you pay without showing your exemption proof, so get the proof before the shot.

2. Fukuoka City and Itoshima: ¥1,500, free for tax-exempt households

Fukuoka City / Itoshima City

In Fukuoka City you pay ¥1,500, from October 1, 2026 to March 31, 2027, as a rule on weekdays. People on public assistance and people in tax-exempt households pay nothing if they give the clinic proof on the day of the shot. There is no refund if you pay ¥1,500 without it. See Fukuoka City’s page (Japanese).

In Itoshima you pay ¥1,500, from October 1, 2026 to March 31, 2027. You can also get the shot at clinics in Fukuoka Prefecture that take part in the prefecture-wide scheme. People in tax-exempt households and on public assistance pay nothing if they bring a proof document on the day. If you have none, apply in advance to the city’s health promotion section (健康づくり課) for a free-shot notice. See Itoshima City’s page (Japanese).

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3. Kitakyushu: ¥1,500 at clinics in the city

Kitakyushu City

In Kitakyushu you pay ¥1,500, from October 1, 2026 to March 31, 2027, at clinics in Kitakyushu. People on public assistance, and people in households where everyone is exempt from municipal tax, pay nothing. Show the 2026 nursing care insurance premium notice (bands 1 to 3) or a nursing care cost limit certificate at the clinic, or get the exemption checked at your ward office’s health and welfare section. For questions, call the Health Planning Division at 093-522-8711. See Kitakyushu City’s page (Japanese).

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4. Kurume: ¥1,650, until January 31

Kurume City

In Kurume you pay ¥1,650, from October 1, 2026 to January 31, 2027. The city does not mail out vouchers, so contact a participating clinic during the period. Bring ID that shows your age and that you live in Kurume, such as a My Number card or driver’s license. Tax-exempt households and people on public assistance pay nothing, but only if they hand in a proof document at the clinic. If one person in your household pays municipal tax, you cannot use the exemption. Call the Health Center Prevention Section at 0942-30-9730. See Kurume City’s page (Japanese).

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5. Saga City: ¥1,500, until January 31

Saga City

In Saga City you pay ¥1,500, from October 1, 2026 to January 31, 2027, at medical institutions in Saga Prefecture. Some need a booking, so contact the clinic first. People on public assistance pay nothing, but must first pick up a special form at the Livelihood Welfare Division (生活福祉課) at City Hall or a branch office. Call the vaccination desk at 0952-40-7279. See Saga City’s page (Japanese).

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6. Nagasaki City: ¥2,200, or ¥1,100 for tax-exempt households

Nagasaki City

In Nagasaki City you pay ¥2,200, from October 1, 2026 to February 28, 2027. Tax-exempt households pay ¥1,100 if they bring a non-taxation certificate to the clinic. A copy of a nursing care cost limit certificate, or of a late-stage elderly medical care certificate with limit band I or II, also works. People on public assistance pay nothing. Not every clinic gives the shot, so ask first. Call the Infectious Disease Control Office at 095-829-1172. See Nagasaki City’s page (Japanese).

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7. Kumamoto City: ¥1,500, extra steps for clinics outside the city

Kumamoto City

In Kumamoto City you pay ¥1,500. The city’s flyer gives October 1, 2026 to January 31, 2027 as the subsidy period, and says it can differ by clinic. Kumamoto City also covers people aged 20 to 64 on public assistance. People on public assistance and in tax-exempt households pay nothing if they show proof. Tax-exempt households show a 2026 nursing care premium notice that shows income bands 1 to 3. If you do not have one, get an exemption form from the Infectious Disease Prevention Division in advance.

To get the shot outside Kumamoto City, you must apply first, which takes 1 to 2 weeks. Clinics in the wide-area scheme accept it until December 31, 2026, and other clinics or clinics outside the prefecture until January 31, 2027. The city says the flu season started early this year. Call 096-364-3189. See Kumamoto City’s page (Japanese).

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8. Oita City ¥1,500 and Beppu ¥1,000

Oita City / Beppu City

In Oita City you pay ¥1,500, from October 1, 2026 to March 31, 2027, and clinics may have their own periods. Book by phone with a designated clinic in the city. People on public assistance and in tax-exempt households pay nothing. If you need a confirmation letter for the exemption, contact the Health Center Prevention Section (097-535-7710) at least 1 week before your shot. See Oita City’s page (Japanese).

In Beppu you pay ¥1,000, from October 1, 2026 to March 31, 2027, at designated clinics in the city. People on public assistance and in households where nobody pays municipal tax pay nothing. Bring an income and tax certificate issued by Beppu City (free; convenience store copies are not accepted) or a nursing care cost limit certificate. Call 0977-21-2188. See Beppu City’s page (Japanese).

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9. Miyazaki from September 18, Kagoshima now charges tax-exempt households

Miyazaki City / Kagoshima City

In Miyazaki City you pay ¥1,500, from September 18, 2026 to March 31, 2027. The early start applied only to clinics marked for flu on the city’s list. Clinics outside Miyazaki City, Kunitomi Town and Aya Town are not covered. People on public assistance pay nothing if they show their certificate. Book directly with a clinic. Call 0985-29-5286. See Miyazaki City’s page (Japanese).

In Kagoshima City you pay ¥1,500, and from fiscal 2026 this also applies to tax-exempt households. Only people on public assistance pay nothing, and they show their certificate before the shot. The period is October 1, 2026 to March 31, 2027, and the city recommends getting the shot by December 31. Bring the reminder postcard if you received one, plus ID. You can still get the shot without the postcard. Book with a contracted clinic in the city. Call 099-803-7023. See Kagoshima City’s page (Japanese).

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10. Common questions

Can I get the flu and COVID-19 shots on the same day?

Kumamoto City says you can get both on the same day. Kitakyushu says you can if the doctor finds it necessary, so ask the doctor.

Can I use the subsidy at a clinic outside my city?

It depends on the city. Itoshima accepts clinics in Fukuoka Prefecture’s wide-area scheme. Kumamoto City needs an application first. Miyazaki City only covers clinics in Miyazaki City, Kunitomi and Aya.

Does Nagasaki City help with children’s flu shots?

Yes, separately from the senior scheme. Children from 6 months to junior high school pay ¥1,750 per injection or ¥3,500 for the nasal vaccine (from age 2), from October 1, 2026 to February 28, 2027. See Nagasaki City’s children’s page (Japanese).

Sources (checked October 2026)

• City flu vaccination pages (Japanese): Fukuoka, Itoshima, Kitakyushu, Kurume, Saga, Nagasaki, Kumamoto, Oita, Beppu, Miyazaki, Kagoshima
• Nagasaki City: children’s flu vaccination subsidy (Japanese)