Helsinki City, Department of social services and health care, New patient fees 1 January 2015	

1) These fees are included in the maximum payment limit (679 €)	

Health centre fees	
 0 €	
Visits to the doctor’s office are free of charge to all citizens of Helsinki (other patients are charged a health centre fee of €16.10). 

The fee for an unused or uncancelled visit is €39.60 for patients over the age of 15. The cancellation has to be done the day before at noon at the latest.	

Emergency care fees 1)	
€16.10 health centre fee
€32.10 emergency care fee 	
On weekdays between 16.00 and 20.00, a health centre fee of €16.10 is charged for a visit to the Haartman and Malmi Emergency Health Centres (charged for a maximum of three visits per year).

On weekdays between 20.00 and 8.00, at weekends and during holidays, an emergency care fee of €32.10 is charged.

Visits to hospital emergency departments are always charged at €32.10 (the fee is charged even if you have already reached the annual maximum of three health centre fees). 

Under 18-year-olds, war veterans and war invalids are not charged.	

Fees for temporary home care
	
14.70 € per home visit by a physician or dentist

9.30 € per home visit by other medical staff	
Maximum charge of two visits per day.  

If the need for home care continues for over two months and there is at least one visit a week, the customer is charged the monthly fee shown below for continuous 
home care.

Under 18-year-olds are not charged.	

Fee for continuous home care	
Means tested monthly fee 	
The monthly fee is determined based on the combined income of the customer and the members of his/her family who live with him/her, the number of the family members, and the total number of hours during which home nursing or home-help services are provided.

Under 18-year-olds are not charged.	

Fee for hospital care 
provided at home	
For temporary and permanent hospital-at-home care same fees are charged as for home care.  Maximum fee per day is 
17,60 €.  	

Hospital day fee1)
	
38.10 €	
Charged for the day of admittance to the hospital, days stayed in hospital and the day of discharge. 
The fee is not charged   for the discharge day if the treatment continues in another institution on the same day. If the patient is discharged from the hospital on the admittance day, the hospital day fee is charged. 	

Institutional care during kin-carers days off 11,30 e/day	
11,30 e/day	

Hospital day fee after the maximum payment limit has been reached	
17,60 €	

Hospital day fee1) for short-term institutional psychiatric care 
Psychiatric outpatient department fee	
17,60 €

Free of charge	
The fee is not charged for an observation period in accordance with the Mental Health Act, unless the person is ordered to treatment against his or her own will based on the observation.

The fee for an unused or uncancelled visit is €39.60 for patients over the age of 15. The cancellation has to be done the day before at noon at the latest.	

Fee for day or night care1)	
17,60 €	
If the patient is in care only at night or during the day.	

Outpatient clinic fee1)	
32.10 €/visit	
Not charged: 
- at the Psychiatric Outpatient Clinic 
- if the patient is admitted to the hospital on the day of the Outpatient Clinic visit
- if the patient is a war veteran or a war invalid. 
The fee for an unused or uncancelled visit is €39.60 for patients over the age of 15. The cancellation has to be done the day before at noon at the latest.	

Fee for a treatment series 1)	
8,80 €/treatment session	
Charged for a maximum of 45 treatment sessions per calendar year.	

Fee for physiotherapy1)	
8,80 €/treatment session	

Fees chargeable to patients under the age of 18	
	
If the number of hospital days in a calendar year exceeds 7, the following   fees are not charged:
•	hospital day fee
•	fee for day or night care
•	fee for rehabilitative treatment.

A clarification of the hospital days must be presented to the hospital. Visits to a psychiatry outpatient unit and a treatment series are free. The fee for visits to outpatient units is also charged after seven hospital days. 	

School and student health care	
	
Health care services provided under school and student health care (for example health checks) is free of charge. 
For medical care, students are charged the same fees as the rest of the population.

Outpatient clinic fees are charged normally. Students over the age of 18 who are not residents of Helsinki are charged a fee of €16.10 for each medical care visit to a doctor. 

The fee for an unused or uncancelled visit is €39.60 for patients over the age of 15.  	

Fee for a doctor’s certificate	
19.10 € 
32.40 €  
39.60 €
47,70 € (Driver´s license) 	
The fee depends on the type of the certificate or statement.
Health stations do not charge for doctors’ certificates required for treatment. 	

Fee for rehabilitative treatment and aids1)
	
13.20 €/hospital day	
The fee is charged for decision based institutional rehabilitation of a disabled patient. 
Aids required by the treatment, their fitting, necessary replacement and maintenance of those aids are free. (exceptions: they are needed due to an injury or occupational disease for which compensation is due based on Acts on Accident Insurance, the Act on Military Injuries, the Act on Traffic Insurance, or the Patient Injury Act).	

Cervical cytology screening	
Free of charge	

Mammography screening	
Free of charge	

Fees for long-term institutional care	
	
The fee is 85% of the patient’s net monthly income. If the spouse in the long-term institutional care earns more than his or her spouse, the fee is 42,5% of the combined net monthly income of the spouses. If the spouse earning less is in care, the fee is 85% of his/her net income. The spouse at home must always have a sum of money, equal to the full national pension plus housing expenses, for subsistence. 
A minimum amount of 105 € per month must always be left at the patient’s disposal. Some allowances are left at the patient’s disposal. 	

Vaccinations	
Vaccinations that are part of the general vaccination programme are free of charge.	

Sauna bathing service	
7,20 € /sauna bathing session	

Treatment of communicable diseases	
The treatment and medication of generally hazardous communicable diseases is free. 
The medication of notifiable communicable diseases is free.	

Deductible for ambulance transport 	
14.25 € /journey	

Dental care fees
- dental hygienist
- dentist	

8,00 € /visit
10,20 € /visit	
Under 18-year-olds are not charged.	

Basic fee for care given by a specialised dentist 	

14,90 € /visit	
Under 18-year-olds are not charged.	

Examinations of Mouth and Teeth
- minor examination	
- basic examination
- complete examination	

Dental care procedure fees
- preventive care
- local anaesthesia
- x-ray 
  photography
- dental filling
- removal of dental 
  calculus
- tooth removal	

6,60 €
14,70 €
29,30 €

6.60 €
6.60 €
6.60 – 14.70 €

14.70 - 42.90 €
6.60 - 42.90 €

14.70 – 29.30 €	
Under 18-year-olds are not charged.	

Late charge and collection fee	
5 €	
If the payment is not paid by the due date, a late charge specified in the Interest Act is collected, starting from the due date, as well as a collection fee of 5 €. 	

Fee for an unused or uncancelled visit	
39.60 €	
The fee for an unused or uncancelled visit is €39.60 for patients over the age of 15. The cancellation has to be done the day before at noon at the latest.