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Fees

Some of our social and healthcare services are subject to a fee. We also charge fees for missed appointments that are not cancelled.

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We charge two types of fees:

  1. Fixed-sum fees are the same amount for everyone. One example of a fixed-sum fee is the outpatient clinic fee charged for a doctor’s appointment.
  2. Income-based fees depend on your ability to pay. They are based on you and your spouse’s combined income. We charge income-based fees for services such as long-term assisted living or regularly provided home care.

Healthcare fees

Fee Price Please note!
Health station appointment 0 € An appointment with a doctor, nurse or other healthcare professional at a health station is free of charge for you.
Missed appointment 50,80 € We charge clients aged 18 and above a non-attendance fee for missed and uncancelled appointments.
Medical certificate fee

19,40 €
33,00 €
40,30 €

The amount depends on the quality of the certificate or statement.  We do not charge fees for medical certificates related to treatment.
Driving licence certificate 48,50 €  
Vaccinations 0 € Vaccinations covered by the national vaccination programme are free of charge.
Treatment of communicable diseases 0 € We provide treatment and medication free of charge for generally hazardous communicable diseases. Medication is also free of charge for communicable diseases classified as notifiable and monitored communicable diseases in Finnish legislation.

Home visits by doctors for clients who are in temporary home care

15 €  

 

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Fee Price Please note!
Dentist’s appointment 10,40 € The service is free of charge for those under the age of 18.
Dental hygienist’s appointment 8,10 € The service is free of charge for those under the age of 18.
Specialist dentist’s appointment 15,20 € The service is free of charge for those under the age of 18.
Missed appointment 50,80 € We charge clients aged 18 and above a non-attendance fee for missed and uncancelled appointments.
Limited oral and dental health check-up 6,70 € The service is free of charge for those under the age of 18.
Basic oral and dental health check-up 15 € The service is free of charge for those under the age of 18.
Extensive oral and dental health check-up 29,80 € The service is free of charge for those under the age of 18.
Procedure fee for preventive care 6,70 € The service is free of charge for those under the age of 18.
Anaesthesia 6,70 € The service is free of charge for those under the age of 18.
X-ray 6,70–15 € The service is free of charge for those under the age of 18.
Dental fillings 15–43,60 € The service is free of charge for those under the age of 18.
Tartar removal 7,60–43,60 € The service is free of charge for those under the age of 18.
Tooth removal 15–29,80 € The service is free of charge for those under the age of 18.
Home visit by dentists for clients who are in temporary home care 15 €  

 

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Fee Price Please note!
House call by members of the nursing staff in temporary home care or home hospital treatment 9,50 € We charge the fee for a maximum of two house calls per day. If your need for home care continues without interruption for more than two months, with house calls made at least once a week, we will charge the monthly fee for continuous home-based care.
Daily fee 38,80 € Charged for each day spent at a healthcare facility, including the days of arrival and discharge.
We will not charge the fee for the day of discharge if your care continues in another healthcare facility on the same day. We will charge the daily fee even if you leave the hospital on the day of your arrival.
Daily fee once the maximum payment limit is reached 17,90 €  
Daily fee for short-term institutional psychiatric care 17,90 € We will not charge the fee for an observation period, as defined in the Mental Health Act, unless it leads to the person being ordered to treatment against their will.
Psychiatric outpatient visit 0 €  
Missed appointment 50,80 € We charge clients aged 18 and above a non-attendance fee for missed and uncancelled appointments.
Fee for day and night-time care 17,90 € Charged if the patient is only provided with care at night or during the day.
Outpatient clinic fee 32,70 € Not charged at psychiatric outpatient clinics.
Also not charged if the patient is admitted to a hospital on the same day they visit an outpatient clinic or if they are a front veteran, disabled war veteran or under the age of 18.
Fees charged from clients under the age of 18   If a client under the age of 18 has received care for more than seven days within a calendar year, we will not charge the daily fee, fee for day or night-time care or rehabilitation fee. You must present an account of the previous days of care to the hospital.

 

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School and student healthcare services are free of charge. Students aged 18 and above who are not residents of Helsinki must pay the outpatient clinic fee for every other doctor’s appointment.

We charge clients aged 18 and above a fee of EUR 50.80 for missed appointments that are not cancelled.

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Fee Price Please note!
Serial treatment fee 9,00 € / treatment session Charged for a maximum of 45 treatment sessions per calendar year. Not charged from patients under the age of 18.
Physiotherapy 9,00 € / treatment session  
Rehabilitation and aid devices 13,40 € / day of care

We charge the fee for institutional rehabilitation provided to a disabled patient based on a separate decision.

We do not charge a fee for aid devices related to care and treatment or their fitting, replacement and maintenance as necessary. Aid devices are subject to a fee if the need for them is caused by an injury or occupational disease reimbursable under the Workers’ Compensation Act, Military Injuries Act, Motor Liability Insurance Act or Patient Injury Act.

 

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Fees for senior services

Fee Price Please note!
House call by members of the nursing staff in temporary home care 9,50 € We charge the fee for a maximum of two house calls per day. If your need for home care continues without interruption for more than two months, with house calls made at least once a week, we will charge the monthly fee for continuous home-based care.
Taking the client to the sauna 7,30 €  

Continuous and regularly provided home care

We charge a fee according to the amount of gross income that exceeds the income limit. All continuous, taxable earnings and investment income and annually recurring earnings and investment income (gross income) of the home care client are considered to be monthly income. Social benefits exempt from tax are not considered to be income.

Income limits for continuous and regularly provided home care, according to the size of the family
Family size, number of members 1 2 3 4 5 6
Income limit, EUR / month 598 1103 1731 2140 2591 2976

We calculate the fee for continuous and regularly provided home care according to the payment percentage table below.

Payment percentage table for the calculation of client fees for continuous and regularly provided home care
Service hours / month 1 person 2 persons 3 persons 4 persons 5 persons 6 persons
4 hours or less 4 4 4 4 4 4
5–8 hours 8 7 6 6 6 6
9–12 hours 12 10 9 9 9 8
13–16 hours 16 12 11 11 10 9
17–20 hours 20 16 14 12 10 9
21–24 hours 22 18 16 12 10 9
25–28 hours 24 20 16 12 10 9
29–32 hours 26 20 16 12 10 9
33–36 hours 28 20 16 12 10 9
37–40 hours 30 20 16 12 10 9
41 hours or more 35 20 16 12 10 9
Example of fees for continuous and regularly provided home care

The client’s gross income is EUR 1,500 per month. The client lives alone and receives 15 hours of home care services per month. In this case, the payment percentage is 16.

The client fee is calculated as follows: (1,500–588) x 0.16 = 144.32
This means that the client fee is EUR 144.32 per month.

Formula: (gross income – income limit) x payment percentage/100

For more information about the changes to client fees, please contact your designated home care worker or the financial secretary who issued the payment decision, whose contact information can be found in the decision.

Maximum fees for regularly provided home care
Service hours / month Maximum fee EUR / month
0–4 119,66
5–8 538,47
9–12 1017,12
13–16 1495,76
17–20 1974,40
21–24 2453,05
25–28 2931,69
29–32 3410,33
33–36 3888,98
37–40 4367,62
41 hours or more 4906,10

The maximum fees apply if the client does not report their income or has a large income.

The maximum client fees for continuous and regularly provided home-based services entered into effect on 1 October 2021 by decision of the Social Services and Health Care Committee.

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The fee for long-term intensive assisted living is 85 per cent of the client’s net monthly income, after deductions such as medicine expenses. If the client’s income is higher than their spouse’s, the spouse’s income is taken into account in the calculation of the client fee. In this case, the treatment fee is 42.5 per cent of the spouses’ combined net income. If the client’s income is lower than their spouse’s, the spouse’s income is not taken into account in the calculation of the client fee.

If the client fee is calculated based on the spouses’ combined income, the spouse staying at home can keep an amount corresponding to the basic amount of social assistance. The amount left at the client’s disposal is always at least EUR 167.

Reporting medicine expenses

Report your medicine expenses for the medicines, clinical nutrients and emollient creams not reimbursed by the Social Insurance Institution of Finland (Kela). Please use the form provided for this purpose.

Fill in the Consideration of medicine expenses in intensive assisted living form (pdf) (in Finnish)

After filling in the form, please send it together with its appendices to the address specified on the form.

We take into account the expenses for the medicines considered to be necessary by your doctor. Because of this, you must send us your prescriptions or a list provided by your pharmacy of the medicines you have been taking over the last three months.

If you do not have prescriptions or a list of medicines provided by your pharmacy, you will need a separate statement from a doctor or nurse. This statement must be written down on the second page of the form, under section 3.

Medicines not reimbursed by Kela are automatically taken into account in client fees. Please do not write down medicines reimbursed by Kela on the form.

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The fee for long-term institutional care is 85 per cent of the client’s net monthly income, after deductions such as medicine expenses. If the client’s income is higher than their spouse’s, the spouse’s income is taken into account in the calculation of the client fee. In this case, the treatment fee is 42.5 per cent of the spouses’ combined net income. If the client’s income is lower than their spouse’s, the spouse’s income is not taken into account in the calculation of the client fee.

If the client fee is calculated based on the spouses’ combined income, the spouse staying at home can keep an amount corresponding to the basic amount of social assistance. The amount left at the client’s disposal is always at least EUR 112.

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Institutional care provided during an informal caregiver’s leave costs EUR 11.40 per day.

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Fees for services for children and families

Services provided by maternity and child health clinics are free of charge. We charge clients aged 18 and above a fee of EUR 50.80 for missed appointments that have not been cancelled.

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Short-term home services for families with children

Services provided by maternity and child health clinics are free of charge. We charge clients aged 18 and above a fee of EUR 50.80 for missed appointments that have not been cancelled.

Fees for short-term home services for families with children
Visit duration Client fee
Less than 3 hours 9,5 €
3–6 hours 13,5 €
More than 6 hours 19 €

 Continuous and regularly provided home services for families with children

All continuous, taxable earnings and investment income and annually recurring earnings and investment income (gross income) are considered to be monthly income. Social benefits exempt from tax are not considered to be income.

The following are considered to be monthly income:

  • study grant
  • adult education subsidy
  • child home care allowance
  • recurring scholarships, annual grants and other similar subsidies.
Income limits according to the size of the family for continuous and regularly provided home services for families with children
Family size, number of members 1 2 3 4 5 6
Income limit, EUR / month 598 1103 1731 2140 2591 2976

Client fees are calculated according to the payment percentage table below. 

Payment percentage table for fees charged for continuous and regularly provided home services for families with children
Service hours / month 1 person 2 persons 3 persons 4 persons 5 persons 6 persons
4 hours or less 1 1 1 1 1 1
5–8 hours 2 2 2 2 2 2
9–12 hours 3 3 3 3 3 3
13–16 hours 4 4 4 4 4 4
17–20 hours 5 5 5 5 5 5
21–24 hours 6 6 6 6 6 6
25–28 hours 7 7 7 7 7 7
29–32 hours 8 8 8 8 8 8
33–36 hours 9 9 9 9 9 9
37–40 hours 10 10 10 10 10 10
41 hours or more 11 11 11 11 11 11

Example of fees for continuous and regularly provided home services for families with children

The combined gross income of the client and their spouse is EUR 2,500 per month. There are four people in the client’s family, and the client receives services for 10 hours a month. In this case, the payment percentage is 3.

The client fee is calculated as follows: (2,500–2,103) x 0.03 = 10.8
This means that the client fee is EUR 10.80 per month.

Formula: (gross income – income limit) x payment percentage/100

Maximum fees for continuous and regularly provided home services for families with children
Service hours / month Maximum fee EUR / month
0–4 119,66
5–8 538,47
9–12 1017,12
13–16 1495,76
17–20 1974,40
21–24 2453,05
25–28 2931,69
29–32 3410,33
33–36 3888,98
37–40 4367,62
41 hours or more 4906,10

The maximum fees apply if the client does not report their income or has a large income.

The maximum client fees for continuous and regularly provided home-based services entered into effect on 1 October 2021 by decision of the Social Services and Health Care Committee.

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Fees for mental health and substance abuse services

The client fees for long-term assisted living and supported housing are based on your gross income. We will no longer determine a minimum amount of disposable funds for you in the future.

The client fee depends on the number of service hours provided, the size of your family and your ability to pay. We charge a fee according to the amount of gross income that exceeds the income limit.

The client fee does not cover housing costs or meals. You will need to pay separately for your meals, security services and other support services.

Income limits for long-term assisted living and supported housing, according to the size of the family
Family size, number of members 1 2 3 4 5 6
Income limit, EUR / month 598 1103 1731 2140 2591 2976

 Client fees are calculated according to the payment percentage table below. 

Payment percentage table for long-term assisted living and supported housing
Service hours / month 1 person 2 persons 3 persons 4 persons 5 persons 6 persons
4 hours or less 4 4 4 4 4 4
5–8 hours 8 7 6 6 6 6
9–12 hours 12 10 9 9 9 8
13–16 hours 16 12 11 11 10 9
17–20 hours 20 16 14 12 10 9
21–24 hours 22 18 16 12 10 9
25–28 hours 24 20 16 12 10 9
29–32 hours 26 20 16 12 10 9
33–36 hours 28 20 16 12 10 9
37–40 hours 30 20 16 12 10 9
41 hours or more 35 20 16 12 10 9

Example of fees for long-term assisted living and supported housing

The client’s gross income is EUR 1,500 per month. The client lives alone and has been granted 10 hours of services per month. In this case, the payment percentage is 12.

The client fee is calculated as follows: (1,500–588) x 0.12 = 108.24
This means that the client fee is EUR 108.24 per month.

Formula: (gross income – income limit) x payment percentage/100

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Reduction or non-recovery of client fees

If you think that you cannot afford to pay a client fee, you can apply for a reduction or non-recovery of the client fee. The reduction and non-recovery of client fees is based on the Act on Client Charges in Healthcare and Social Welfare.

The reductions we grant are usually reductions of the income-based fees for social services such as regularly provided home care and long-term intensive assisted living. We do not grant reductions of fixed-sum healthcare fees, such as dental care fees or outpatient clinic fees.

You can apply for a reduction or non-recovery of the income-based and fixed-sum client fees for social services.

Income-based client fees for social services

  • regularly provided home-based services (regularly provided home care or home services for families with children)
  • long-term housing services (intensive assisted living, assisted living, supported housing)
  • long-term institutional care
  • long-term family care.

Fixed-sum client fees for social services

  • temporary home-based services (home services for families with children)
  • support services (cleaning, meal delivery, sauna services)
  • short-term housing services (assisted living, temporary housing)
  • short-term institutional care.

If you would like to apply for a reduction or non-recovery of client fees for short-term care periods or day activities for the elderly, please contact your case worker.

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You can apply for a reduction of client fees by submitting an online application to the Client Fees unit.

The application opens in a new window.

Submit an online application (in Finnish)

Free-form application

Alternatively, you can write a free-form application and submit it with your expense receipts (e.g. receipts and bank statements) to the Client Fees unit. You can apply for a reduction or non-recovery of fees for a period of no more than 12 months.

You must include the following information in the free-form application:

  • To which fees does the reduction apply?
  • For which period of time or from which date would you like to apply for a reduction or non-recovery of fees?
  • Your reasons why you are applying for a reduction or non-recovery of fees.

Please sign the application and append copies of your own and your spouse’s expenses from the last two months that you would like us to take into account.

Expenses taken into account in the reduction and non-recovery of client fees

  • rent / maintenance charge
  • electricity
  • water charge
  • interest on housing loans
  • interest on student loans
  • interest related to the purchase of a car if you have received support for the acquisition of the car based on the Disability Services Act
  • additional tax (for the month in question)
  • home care support service fees and day activity fees
  • safety phone
  • child support
  • the payment decision or plan for an enforcement or debt arrangement
  • long-term prescription medication (prescribed for three months or more). For any long-term medications, the client must present the relevant prescriptions and receipts. The amount of medicine expenses taken into account is limited by an annual cap.
  • basic home insurance. In order for basic home insurance to be taken into account, the client must attach the latest invoice to the application.

Our decision on the reduction or non-recovery of fees generally applies from the start of the month during which you submit your application.

We will calculate your ability to pay by deducting your expenses from your income.

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Dissatisfaction with client fees

You have the right to request an administrative review of a payment decision concerning the fixed-sum fees for healthcare and social services. Examples of services for which the fee is the same for all clients include dental care fees, daily fees for care at a hospital or care institution, outpatient clinic fees, and appointments subject to a fee.

If you are dissatisfied with a payment decision concerning an income-based fee for social services, you can request an administrative review of the decision. You can find the instructions for submitting a request for an administrative review in the decision provided to you.

Request an administrative review of the invoice within 30 days of receiving the invoice.

A request for an administrative review is a free-form letter that must include the following information:

  • reasons why you are requesting an administrative review of an invoice and a description of how you would like the invoice to be changed
  • information on the invoice (invoice number, payer’s first names and last name)
  • a copy of the invoice, if available
  • your contact information.

Please address your request for an administrative review to the Social Services and Health Care Sub-committee. Send your request to the City of Helsinki Registrar’s Office.

Send your request for an administrative review by secure mail

Request an administrative review of the invoice within 30 days of receiving the invoice.

A request for an administrative review is a free-form letter that must include the following information:

  • reasons why you are requesting an administrative review of an invoice and a description of how you would like the invoice to be changed
  • information on the invoice (invoice number, payer’s first names and last name)
  • a copy of the invoice, if available
  • your contact information.

Please address your request for an administrative review to the Social Services and Health Care Sub-committee. Send your request to the City of Helsinki Registrar’s Office.

Go to the City of Helsinki Registrar's Office webpage

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If you have received an incorrect invoice, we will rectify it. One example of such an invoice would be an invoice for an incorrect treatment period. We will rectify the invoice to correspond to the service you have received.

Please contact the location that provided you with the care or service. You can also contact the Financial Management Services (Talpa).

Go to the Talpa website

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Non-attendance fee for a missed appointment

If you do not attend an appointment you have booked and do not cancel it, we will charge you EUR 50,80 for the missed appointment. This fee is only charged from persons aged 18 and above.

We will charge the non-attendance fee for any missed appointments with the following services:  

  • health stations
  • maternity and child health clinics
  • dental clinics
  • physiotherapy and occupational therapy
  • podiatry
  • nutritional therapy
  • internal medicine outpatient clinics
  • psychiatric outpatient clinics
  • geriatric outpatient clinics
  • school and student healthcare.

We will also charge a non-attendance fee for remote appointments with the services mentioned above.

We will not charge you for a missed appointment you have not cancelled if charging the fee would be unreasonable or there is an acceptable reason why you did not cancel the appointment. We will also not charge the fee if we have failed to notify you about the non-attendance fee and to provide you with instructions for cancelling your appointment or placement.

If you would like to contest a non-attendance fee you have received, please contact the service location where your appointment was booked. 

The form will open in a new tab.

Fill in the Cancellation of a non-attendance fee form (pdf) (in Finnish)

You can fill in the form together with the service location where your appointment was booked or fill in the form yourself and then take it to the location in question.

The Client Fees Manager makes the decision on the non-recovery of the non-attendance fee.

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