Client fees

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Fees charged for health and social services may be the same for everyone or income-based. Some fees count towards the payment cap. You can apply for a fee reduction or for the fee to be waived.

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General information about client fees

Some of our health and social services are subject to a fee. We also charge a fee for appointments cancelled at short notice or missed appointments from clients aged 18 and over.

Some fees count towards the payment cap. Your invoice will indicate if the fee is included in the payment cap.
Read more about the payment cap

Client fees are based on the Act on Client Charges in Healthcare and Social Welfare (734/1992) and the Decree on Client Charges in Healthcare and Social Welfare (912/1992).

Fixed-sum fees and income-related fees

There are two types of client fees:

Fixed-sum client fees are the same for everyone. A fixed-sum fee is, for example, the outpatient clinic fee charged for a doctor’s appointment.
Income-related client fees are determined based on your ability to pay. They are calculated using your income or the combined income of you and your spouse. Income-related fees are charged, for example, for long-term service housing or continuous and regular home care.

Payment by invoice only

We will always send you an invoice for client fees. Please note that you cannot pay the client fee on the spot, and no other payment methods are available.

Fees for remote appointments

Remote appointments are subject to a fee amounting to 80% of the corresponding in-person appointment fee. Fees apply to remote services provided in medical rehabilitation therapy, nutrition and podiatry services, geriatric outpatient clinic appointments, and oral health care.

Remote appointments that are free of charge include doctor’s and nurse’s appointments at health stations, occupational therapy, and family coaching.

Health service fees

Health service fees are fixed-sum fees, with the exception of long-term institutional care in health care. Client fees are charged for, among other things, oral health care, medical certificates, and outpatient clinic visits.

See health care fees

Senior services fees

We charge both fixed-sum and income-related fees for senior services. When determining an income-related fee, either net or gross income is taken into account.

See senior services fees

Disability services fees

The new Disability Services Act entered into force on 1 January 2025. The new Act includes a three-year transition period during which decisions made for the client under both the old and the new Act may be valid at the same time. If a decision has been issued to the client before 1 January 2025, the client fees or the service being free of charge will continue to be determined in accordance with the previous legislation until the end of the transition period.

See disability services fees under the new Act

See disability services fees under the previous Act

Who to contact regarding client fee matters?

If your matter concerns client fee billing or payment cap matters, or invoice due dates, please contact the Financial Management Services (Talpa) via the e-service. You log in to the service with strong authentication.

Go to Talpa’s e-service(Link leads to external service)

Talpa’s client service number tel. +358 9 310 25300(Link starts a phone call) , on weekdays at 9.00–15.00.

If your matter concerns client fee decisions, fee reductions or waivers, client fees for short-term realised service periods in purchased services, or fees for realised meal and shopping services, please contact the Client Fee Decisions and Expert Support of the Social Services, Health Care and Rescue Services Division.

Client fees service number tel. +358 9 310 44610 (Link starts a phone call) , on weekdays at 9.00–11.00 (call-back service).

Postal address: PO Box 6032, 00099 City of Helsinki

Email: sotepe.asiakasmaksut@hel.fi(Link opens default mail program)