Fees

We will charge a visiting fee for every visit to the dentist. In addition to the visiting fee, you will have to pay care-specific client fees. A single visit or treatment may include several procedures. The prices for the different procedures are listed below.

We also charge

• the dental laboratory's dental technology expenses for prosthetics, occlusal physiology and orthodontics treatment as well as
• material expenses related to implant treatment.

If you are under the age of 18, dental care is free of charge, and you will not be charged client fees. However, if you lose or damage the orthodontic braces due to improper use or obvious negligence, the dental care is not free of charge. In this case, you will pay for the dental technology expenses incurred from acquiring new braces or repairing damaged braces according to the actual expenses, even if you are under the age of 18.
 

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 56.70 for missed appointments that are not cancelled.

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.

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. Tax-exempt social benefits are not considered to be income, with the exception of child maintenance allowance and care allowance for pensioners. The veteran’s supplement, paid as a part of the care allowance for pensioners, is not considered to be income.

If you have a spouse, your and your spouse’s combined total income will be taken into account in the client fee. If one or both of you are provided with continuous and regular service at home, the client fee is determined on the basis of your combined total income. If you and your spouse are being provided with different services, your client fees are determined based on your personal incomes.

Calculate estimate for client fee with calculator

If the family size is larger than 6, the income limit is increased by 389 euros for each subsequent family member.

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

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 21.

The client fee is calculated as follows: (1,500–653) x 0.21 = 177.87
This means that the client fee is EUR 177.87 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.

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.

Calculate estimate for client fee for services to support living at home

The rehabilitative assessment period is billed in the same way as temporary home care. The first visit is free of charge, after which one visit costs EUR 9.60. A maximum of two visits are billed per day, in which case the maximum fee is EUR 19.20 / day.

The client fees for communal 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.

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

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 17.

The client fee is calculated as follows: (1,500–653) x 0.17 = 143.99
This means that the client fee is EUR 143.99 per month.

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

The fee for long-term 24-hour service housing is 85% of the client’s net monthly income after lawful deductions such as pharmaceutical costs and rent have been made as special deductions. If a client’s income is higher than that of the client’s spouse, the spouse’s income will be taken into account when determining the client fee. In this case, the treatment fee is 42.5% of the spouses’ combined net income after the lawful deductions. If a client’s income is lower than that of the client’s spouse, the spouse’s income will not be taken into account when determining the client fee.

If the fee determined on the basis of the spouses’ combined monthly income would be higher than the fee determined on the basis of the client’s own income, the maximum fee charged to the client is the fee determined on the basis of the client’s own income.

If the client fee is calculated on the basis of the spouses’ combined income, the spouse staying at home may keep an amount corresponding to the basic amount of social assistance. The amount left at the client’s disposal is always at least EUR 182.

Reporting medicine expenses

The client fee for long-term 24-hour service housing takes into account the client’s medicine expenses for medicines, clinical nutritional preparations and emollient creams as a special deduction. A special deduction from medicine expenses is made from the income on which the fee is based when the client fee is determined.

Two special deductions from medicine expenses are taken into account in client fees.

• It is not necessary to apply for a client fee deduction for medicine expenses reimbursed by Kela (reimbursable under the Health Insurance Act), as they are automatically taken into account in client fees to the extent of the annual maximum limit on out-of-pocket costs. When a client reaches the annual maximum limit, he or she is left with a co-payment of EUR 2.50. The client pays this co-payment from his or her available funds, and it is not taken into account as a deduction from the client fee.
• Clients must submit a separate application for a deduction from the client fee for medicine expenses not reimbursed by Kela (non-reimbursable under the Health Insurance Act). Non-reimbursable medicine expenses are taken into account in the client fee to the extent that a health care professional has deemed them necessary.

How to apply for a special deduction for medicine expenses not reimbursed by Kela

Apply for a special deduction for medicine expenses not reimbursed by Kela with the form “Consideration of medicine expenses in long-term 24-hour service housing client fees (303-525)” (in Finnish).

Fill in the form “Consideration of pharmaceutical costs in long-term 24-hour service housing client fees” (PDF)

A special deduction is made starting from the month stated in the application. Please note that the amount of the special deduction is calculated on a monthly basis and taken into account in the client fee decision as continuous. This means that the information provided by the client is used to calculate the amount of medicine expenses in an average month.

When filling in the application, make sure to check the following.

1. Expenses eligible for a special deduction includes only medicines, clinical nutritional preparations (including vitamins) and emollient creams not reimbursed by Kela. Expenses for wound care equipment, nappies, flannels or other medical supplies are not eligible for a special deduction.

2. Check whether the client has a prescription for the medicine expenses that are not reimbursed by Kela.

• If the client has a prescription for them, list the client’s prescription medicine expenses not reimbursed by Kela in Section 2.
• If the client does not have a prescription for medicine expenses not reimbursed by Kela, list the client’s non-prescription medicine expenses not reimbursed by Kela in Section 3. You need the signature of a health care professional. Note! The signature of the health care professional confirms the need for the medicines.

3. Check the application attachments.

• Provide a pharmacy’s list of prescription purchases and purchase receipts for the last three months as an attachment. If the list of medicines shows the prices of the medicine expenses indicated in the application, separate purchase receipts are not required.

What happens if the client’s medical expenses are eligible for a special deduction change?

If the client’s medicine expenses not reimbursed by Kela change significantly, a review of the special deduction can be applied for again. In this case, the information, need and price of the new medicine must be stated in the application. However, please note that the special deduction is made on a monthly basis. For this reason, changes of a few euros in medicine expenses do not have a significant impact on the amount of the special deduction. If the client’s medicine expenses change by, for example, EUR 5 or more per month, it is advisable to report the change.

The fee for long-term institutional care is 85% of the client’s net monthly income after deducting pharmaceutical costs, for example (not applicable to institutional healthcare). 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 fee determined on the basis of the spouses’ combined monthly income would be higher than the fee determined on the basis of the client’s own income, the maximum fee charged to the client is the fee determined on the basis of the client’s own income.

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 122.

Institutional care provided during an informal caregiver’s leave costs EUR 12.80 per day.

Short-term institutional care costs €54.60 per day.
Part-time institutional care costs €25.10 (cost for day or night care).

Short-term service housing costs €42.40 per day.
Part-time sheltered housing osts €25.10 (cost for day or night care).

Services provided by maternity and child health clinics are free of charge. We charge clients aged 18 and above a fee of EUR 56.70 for missed appointments that have not been cancelled.

Short-term home services for families with children

A visit-based fee that increases gradually according to the duration of the visitation is charged for short-term home services for families with children. A separate fee is charged for each visit, but not for more than two visits in a day.

 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. Tax-exempt social benefits are not considered to be income, with the exception of child maintenance allowance and care allowance for pensioners.

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.

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

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: (2,500–2,338) x 0.03 = 4.86
This means that the client fee is EUR 4.86 per month.

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

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.

The client fee for long-term psychiatric outpatient care is based on your net income. The client fee is comprised of rent and the meal fee. You will always have a minimum of EUR 182 available to spend. Care provided by the psychiatric outpatient care unit is free of charge, except for the related partial maintenance fee.

The client fees for communal 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.

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

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 17.

The client fee is calculated as follows: (1,500–653) x 0.17 = 143.99
This means that the client fee is EUR 143.99 per month.

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

The fee for long-term 24-hour service housing is 85% of the client’s net monthly income after deducting pharmaceutical costs, for example. 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 182.

Reporting medicine expenses

The client fee for long-term 24-hour service housing takes into account the client’s medicine expenses for medicines, clinical nutritional preparations and emollient creams as a special deduction. A special deduction from medicine expenses is made from the income on which the fee is based when the client fee is determined.

Two special deductions from medicine expenses are taken into account in client fees.

• It is not necessary to apply for a client fee deduction for medicine expenses reimbursed by Kela (reimbursable under the Health Insurance Act), as they are automatically taken into account in client fees to the extent of the annual maximum limit on out-of-pocket costs. When a client reaches the annual maximum limit, he or she is left with a co-payment of EUR 2.50. The client pays this co-payment from his or her available funds, and it is not taken into account as a deduction from the client fee.
• Clients must submit a separate application for a deduction from the client fee for medicine expenses not reimbursed by Kela (non-reimbursable under the Health Insurance Act). Non-reimbursable medicine expenses are taken into account in the client fee to the extent that a health care professional has deemed them necessary.

How to apply for a special deduction for medicine expenses not reimbursed by Kela

Apply for a special deduction for medicine expenses not reimbursed by Kela with the form “Consideration of medicine expenses in long-term 24-hour service housing client fees (303-525)” (in Finnish).

Fill in the form “Consideration of pharmaceutical costs in long-term 24-hour service housing client fees” (PDF)

A special deduction is made starting from the month stated in the application. Please note that the amount of the special deduction is calculated on a monthly basis and taken into account in the client fee decision as continuous. This means that the information provided by the client is used to calculate the amount of medicine expenses in an average month.

When filling in the application, make sure to check the following.

1. Expenses eligible for a special deduction includes only medicines, clinical nutritional preparations (including vitamins) and emollient creams not reimbursed by Kela. Expenses for wound care equipment, nappies, flannels or other medical supplies are not eligible for a special deduction.

2. Check whether the client has a prescription for the medicine expenses that are not reimbursed by Kela.

• If the client has a prescription for them, list the client’s prescription medicine expenses not reimbursed by Kela in Section 2.
• If the client does not have a prescription for medicine expenses not reimbursed by Kela, list the client’s non-prescription medicine expenses not reimbursed by Kela in Section 3. You need the signature of a health care professional. Note! The signature of the health care professional confirms the need for the medicines.

3. Check the application attachments.

• Provide a pharmacy’s list of prescription purchases and purchase receipts for the last three months as an attachment. If the list of medicines shows the prices of the medicine expenses indicated in the application, separate purchase receipts are not required.

What happens if the client’s medical expenses are eligible for a special deduction change?

If the client’s medicine expenses not reimbursed by Kela change significantly, a review of the special deduction can be applied for again. In this case, the information, need and price of the new medicine must be stated in the application. However, please note that the special deduction is made on a monthly basis. For this reason, changes of a few euros in medicine expenses do not have a significant impact on the amount of the special deduction. If the client’s medicine expenses change by, for example, EUR 5 or more per month, it is advisable to report the change.

Temporary housing at Hietaniemenkatu Service Centre, Castréninkatu housing unit and No Fixed Abode NGO (VVA ry) costs EUR 14.60 per day.

The emergency housing is free of charge for clients.