STORY: Read about how the right to treatment works in practice
Grounds for Jorma’s right to treatment
As an EU citizen, Jorma is entitled to seek treatment in another EU/EEA country or in Switzerland. He can freely seek treatment by arranging it with the treatment provider. Kela will reimburse costs of treatment sought in another EU/EEA country or in Switzerland in the same manner as those of private health care in Finland.
The amount of reimbursement is based on Kela’s tariffs for reimbursement. If Jorma’s treatment costs are below the tariff, he receives reimbursement for the exact cost of the treatment. In dental services, it must be noted that aesthetic and prosthetic treatments (for example, tooth whitening) do not usually quality for Kela reimbursement.
Kela also reimburses travel costs relating to treatment. Without prior authorisation, Kela reimburses travel costs up to Jorma’s nearest health centre, and the deductible is €25. This means that the trip to Tallinn is not reimbursed; Jorma must pay for the ferry tickets himself.