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How do the changes to the reimbursements from Kela affect your medical care?

Kieliversiot | 9.12.2022
The reimbursements from Kela for private medical care will change from 1 January 2023. If you use private healthcare services, i.e. for instance visits to a private doctor, laboratory examinations or physiotherapy, you should check how the reimbursements change. The changes to the reimbursements from Kela also affect the reimbursements for travel costs.
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How the reimbursements from Kela will change from 1 January 2023

  1. Reimbursements from Kela will no longer be available for most examinations and treatments prescribed by private doctors. However, reimbursements from Kela can still be paid for visits to a private doctor. The reimbursements for the costs for private dental care will also remain unchanged.
  2. From 1 January 2023 reimbursement is paid for
    • visit to or remote consultation with a general practitioner or specialist 8 euros
    • treatment by a psychiatrist 10.50-27 euros (the amount reimbursed depends on the duration of the visit)
    • remote consultation with a psychiatrist 12 euros.
  3. You can also get reimbursement for examinations and treatments in private medical care that have been prescribed by
    • a psychiatrist
    • an oral and maxillofacial surgeon
    • a dentist or specialist dentist.

      If the examination or treatment is prescribed by some other doctor, reimbursement from Kela is not available. However, this does not apply to examinations by a psychologist. Reimbursement from Kela can still be paid for these examinations regardless of who has prescribed them.
  4. From 1 January 2023 reimbursement is not payable for
    • physiotherapy, lymph therapy or phototherapy for skin conditions
    • examinations and treatments prescribed by someone else than a psychiatrist, an oral and maxillofacial surgeon or a dentist
    • private medical care, when you visit a private medical care provider with a referral from a public healthcare provider.
  5. Please note that the changes to the reimbursements from Kela also affect the reimbursements for travel costs. You can get reimbursement for the journey to a private medical care provider only if the treatment provided there is reimbursed from Kela.
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