KELA compensations

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.