The majority of Kela compensations for private healthcare service providers was removed at the beginning of 2023. As of January 1, 2024, Kela reimbursements increase to 30 euros for a private general practitioner and specialist consultation and 25 euros for a remote reception, instead of the previous 8 euros. Reimbursements for psychiatrist visits and treatment also increased.
Private healthcare services for which Kela compensation is no longer appplied*:
-Examinations and treatments, e.g. X-ray and laboratory tests or surgical treatments.
-Physiotherapy and lymphatic therapy
Private healthcare services for which Kela compensation is applied:
-Appointments and remote appointments of doctors working in Orton Tenholantie, with a few exceptions. Reimbursability is indicated in each doctor’s online profile. Consultations of doctors working at HUS facilities are not Kela-reimbursable.
About applying for compensation:
– At Orton, the customer applies for compensation from Kela afterwards, the so called direct-compensations is not unfortunately available
-The compensation application can be dropped into the nearest Kela office mailbox or sent to: Kela, PO Box 10, 00056 KELA.
*Dental care and psychiatry is still to be reimbursed
– Reimbursements for private dental care will remain unchanged.
– Kela compensation can still be obtained from psychiatrist and specialist dentist appointments and examinations and treatments prescribed by a psychiatric specialist, an oral and maxillofacial surgery specialist or a dental/specialist dentist.
Effects on travel allowances
Kela reimburses the customer’s trips to private medical care only if the treatment provided there is Kela-reimbursable. However, if the customer applies for private treatment with service voucher issued by the welfare area, the trip will be reimbursed. In this case, the customer needs a certificate for travel reimbursement (SV 67). The certificate must show that the treatment provided is based on a payment commitment or service voucher.