Client fees

Client fees are charged, for example, for health centre visits, dental care services, home care and home nursing services, housing services, hospital and institutional care as well as medical certificates.

Cancel your appointment if you are unable to show up. The fee for uncancelled, missed appointments is EUR 50.80.

Cancellations must take place by 2:00 pm on the weekday before the scheduled appointment. Appointments can be cancelled 24/7 online or by telephone www.espoo.fi/health-booking.

Health centres

Fees for health centre appointments

The fee for a doctor’s appointment at Espoo health centres is EUR 16.40 per appointment on weekdays. The fee will be charged for the first three appointments during a calendar year. Any further appointments during the calendar year will be free of charge.

Appointment fees are not charged from the following groups:

  • persons under the age of 18
  • recipients of a full national pension
  • refugees covered by an imputed reimbursement paid by the state
  • full-time students
  • recipients of a guarantee pension
  • recipients of pension assistance
  • recipients of basic unemployment allowance, labour market subsidy or integration allowance
  • groups entitled to the Espoo veterans’ services
  • Conscripts and persons doing non-military service

The exemption from appointment fees only applies to Espoo residents and Espoo’s own health centres on weekdays. In order to be exempted from the fees, you have to show the patient office staff proof of belonging to one of the above-mentioned groups when you visit the health centre. You will then be exempted from the fees starting from the date on which you present the required certificate.

  • If you are a student, you need to show a valid student card or a certificate of your student status. Depending on the proof shown, your exemption will be in effect until the end of the semester or school year.
  • If you receive basic unemployment allowance, labour market subsidy or integration allowance, please show a Kela document of the benefits paid. You may show the document as a printout or on a smartphone, for example. Exemption can be granted for three (3) months on the basis of a document that is no more than four weeks old.
  • If you receive a full national pension or a guarantee pension, you need to present the pension decision.
  • If you are a member of a veteran group, , present a front veteran’s badge, a life annuity decision or a certificate from the Military Archives.

Appointment fees are not charged from Espoo residents if the reason for a doctor’s appointment is health guidance or a health check-up. Free doctor’s appointments include:

  • visits to a maternity and child health clinic as well as school and student health care
  • medical examination appointments to obtain a driving licence or a T certificate
  • a conscript’s preliminary examination
  • family planning visits (if no medical treatment is provided)
  • visits under the Communicable Diseases Act (e.g. treatment of salmonella or sexually transmitted diseases) or
  • an assessment of the need for a referral for observation based on the Mental Health Act.
 

Appointments with nurses are free of charge. If a doctor’s assessment is required in connection with a nurse's appointment, a fee will be charged in accordance with the above-mentioned principles.

Health centre fees count towards the annual ceiling for social and health care client fees.

See fees for medical certificates (in Finnish).

Fees for emergency care at Jorvi in the evenings and on weekends

General practitioner

On weekdays between 4:00 pm and 8:00 pm, the fee for visiting a general practitioner at Jorvi is EUR 16.40.

This fee is not charged from persons under the age of 18 and members of the veteran groups. Once an Espoo resident has paid the fee for an emergency care visit with a general practitioner at Jorvi or the appointment fee charged Espoo health centres a total of three times during a calendar year, these fees will no longer be charged during that year.

On weekdays between 8:00 pm and 8:00 am and on weekends around the clock, the fee for visiting the emergency services at Jorvi is EUR 32.70.

This emergency care fee is charged for every visit and there is no annual ceiling. This fee is not charged from persons under the age of 18 and members of the veteran groups.

Specialised health care

The outpatient clinic fee for specialised emergency care at Jorvi is EUR 32.70 around the clock.

This fee is charged for every visit and there is no annual ceiling. The fee is also charged from patients under the age of 18. Veteran groups are exempt from the outpatient clinic fee.

HUS is fully responsible for the emergency care operations and the related patient fees.

Dental care

The fee for a dental hygienist’s appointment is EUR 10.30 and for a dentist’s appointment EUR 13.10. In addition, fees are charged for various dental procedures. The fee depends on the procedure.

The fee for a specialised dentist’s appointment is EUR 19.20.

The fee for an uncancelled appointment and last-minute cancellations is EUR 50.80 and it applies to everyone aged 15 and older. If you need to cancel your appointment, please do so before 2:00 pm on the day before your appointment. You can cancel your appointment online (www.espoo.fi/health-booking) or by leaving a message through our 24-hour voicemail service (tel. 09 816 30300).

Municipal dental care is free of charge for persons under the age of 18. However, a fee is charged for uncancelled, missed appointments and orthodontic appliances that are lost or damaged due to incorrect use or negligence.

Dental care fees are also not charged from individuals who have a front veteran’s badge, a front-line service badge, a front-line badge, a veteran badge or a certificate of participation in certain mine clearance operations. Municipal dental care fees apply to everyone with the exception of the above-mentioned groups. Dental care fees do not count towards the annual ceiling.

The dental care client fees are based on the national decree on client fees. The invoice for dental care is sent to the client’s home address after the appointment.

The fee for certificates that are not related to the actual treatment (e.g. certificates for an insurance company) is EUR 50.80.

Contact the dental clinic for more information about the fees. You can ask for a cost estimate before your treatment begins. You may also want to check the final amount after your treatment has been completed. Kela will reimburse approximately 35% of private dental care costs. Please remember that Kela reimbursement is not available for municipal dental care.

Price examples:

  • Appointment fee EUR 10.30, EUR 13.10 or EUR 19.20, depending on the appointment
  • Examination EUR 8.40, EUR 18.90 or EUR 37.50, depending on the scope of the examination
  • X-ray EUR 8.40 per image, dental panoramic radiograph (OPTG) EUR 18.90
  • Local anaesthesia EUR 8.40
  • Removal of calculus EUR 37.50–54.90
  • Dental filling from EUR 18.90, depending on the filling size
  • Root canal treatment, from EUR 18.90 per visit, depending on the appointment duration
  • Tooth removal, from EUR 18.90 per visit, depending on the degree of difficulty
  • Removable dentures EUR 183.50 + laboratory costs
  • Removable metal-framed partial dentures EUR 222.70 + laboratory costs
  • Procedure fees vary from EUR 8.40 to EUR 222.70, depending on the degree of difficulty
  • Uncancelled dental care appointments and last-minute cancellations EUR 50.80/li>

Questions about dental care invoices and fees

If you have any questions regarding dental care invoices or fees, please send an email to hammashoito.asiakaspalvelukeskus@espoo.fi.

Uncancelled, missed appointments

The fee for uncancelled, missed appointments is EUR 50.80.

The penalty fee will not be charged if you have an acceptable reason for not cancelling your appointment. Contact your local health centre to explain your reason.

The fee is charged for uncancelled dentist’s appointments, oral and dental examinations and treatment as well as expensive imaging appointments. The penalty fee applies to everyone aged 15 and older. Cancellations must take place by 2:00 pm on the weekday before the scheduled appointment.

Appointments can be cancelled 24/7 online or by telephone. (www.espoo.fi/health-booking)

Even if the service in question is free of charge, the penalty fee for uncancelled appointments still applies. No fee will be charged for an uncancelled service if you have an acceptable reason for not cancelling your appointment.

Physiotherapy

The fee for individual physiotherapy is EUR 9.00 per session.

The fee for group sessions is based on the physiotherapy period.

Group sessions based on an individual plan:
  • 1 to 3 group sessions EUR 9.00 in total
  • 4 to 6 group sessions EUR 18.00 in total
  • 7 or more group sessions EUR 27.00 in total

Group sessions are free of charge for persons under the age of 18.

Espoo Economic Management will send your invoice to your home address.

Serial treatment

The fee for serial treatments is EUR 9.00 per treatment. This fee is charged for a maximum of 45 visits per calendar year. The fee is not charged for treatments given to persons under the age of 18.

Hospital and institutional care

Short-term institutional care

The fee for short-term institutional care is EUR 38.80 per day.

If the client spends full days away from the facility at some point during the care period, the fee will not be charged for those days. The fee is also charged for the departure day, unless the client continues to receive care in another facility on the same day. If the customer will immediately move to another facility, the original facility will not charge a fee for the day on which the client moves out.

After the client reaches the payment ceiling, they will be invoiced EUR 17.90 per day as an upkeep fee for short-term institutional care (not applicable to persons under 18).

The fee for short-term psychiatric institutional care is EUR 17.90 per day.

The fee for day and night care is EUR 17.90 per day.
This fee will only be charged if the client only receives care during daytime or at night.

If the client is under 18 years old, the fee is only charged for a maximum of seven days of care per calendar year.

Long-term institutional care

A person is considered to be in long-term institutional care if the duration of institutional care is estimated to be longer than three months from the start of the care period or their round-the-clock institutional care has continued for three months and their functional ability has deteriorated to the extent that they still require institutional care.

If the client is under 18 years old, the fee is only charged for a maximum of seven days of care per calendar year.

If the person in institutional care has a higher income than their spouse, the maximum fee for institutional care is 42.5% of their combined monthly net income. However, the person in long-term institutional care must have a minimum amount of EUR 108.00 per month at their disposal.

If long-term institutional care is interrupted for more than five days, fees will only be charged for the first five days. If the interruption continues for an entire month, no fees will be charged (Act on Client Charges in Healthcare and Social Welfare, section 32). A month refers to an uninterrupted period of at least one month.

Individuals in institutional care are entitled to care allowance from Kela. If an Espoo resident independently seeks care at a private facility, they are liable to pay the costs.

Fees for medical certificates (Decree on Client Charges in Healthcare and Social Welfare, section 23)

  • The fee for a certificate/statement by a doctor or a dentist is EUR 50.80.
  • The fee for a certificate required for a driving licence is EUR 61.00.
  • No fees are charged for treatment-related certificates or statements in primary health care.

Outpatient physiotherapy

The fee for individual physiotherapy is EUR 9.00 per visit.

The fee for serial treatment and medical rehabilitation (physiotherapy, occupational therapy, neuropsychologist, speech therapy) is EUR 9.00 per visit.

If a client receives different types of therapy or treatment during one visit, only one serial treatment fee will be charged. The serial treatment fee is charged for a maximum of 45 visits per calendar year.

The fee for group therapy sessions is based on the number of sessions as follows:

  • 3 group sessions, client fee for the period EUR 9.00
  • 4 to 6 group sessions, client fee for the period EUR 18.00
  • 7 group sessions, client fee for the period EUR 27.00

Further information about fees

For more information about the fees, please contact the staff responsible for client fees within the Sector Management of Social and Health Services, tel. 09 816 21 (switchboard).

Contact information for invoicing:
Espoo Economic Management
Client invoices
P.O. Box 668
02070 CITY OF ESPOO

Tel. (09) 8162 9500
Mon–Fri 9 am – 3 pm

Hospital at home

The fee for hospital services at home is EUR 17.90 per day for the period during which the client is registered as a patient.

The client will not be separately invoiced for hospital services at home if they already are a regular home care client or in short-term or long-term institutional care or in a round-the-clock housing facility for the elderly.

The fee for an individual visit to a patient’s home is EUR 17.90 in cases where the visit does not lead to an actual period of hospital care at home.

The fee for hospital services at home covers:

  • Staff visits during the treatment period.
  • Medication required to treat the patient’s acute illness that caused the patient to need hospital services at home, e.g. intravenous antibiotics or acute pain medication. If the patient needs long-term or permanent medication, the patient will be given a prescription. In this case, the patient will pay the medication costs. If the patient is given new medication to treat a chronic illness as part of the hospital services at home (e.g. medication for heart disease or hypertension), the patient will be given a prescription and will pay the costs of the permanent medication.
  • Vitamins, fluids and nutritional products given intravenously or as injections (not preventative products).
  • Medical supplies and assistive devices required by the patient, based on the same principles that apply to other Espoo residents in home care (e.g. diapers, stoma products, wound care products, insulin syringes).
  • Rehabilitation assessment at home for a patient who has started rehabilitation with the help of hospital services at home (e.g. after hip replacement surgery). A patient who needs long-term rehabilitation at home has to apply for medical rehabilitation, just like all other patients staying at home.
  • Laboratory tests, X-ray and other examinations prescribed by a physician responsible for hospital services at home if they do not include a doctor’s appointment at a hospital or health centre.
  • A safety alarm device during treatment if necessary.
  • If necessary, transport of the body of a deceased person for the purposes of a clinical autopsy (forensic autopsies are paid for by the state).

The fee charged for hospital services at home does not cover:

  • The patient’s permanent medication (i.e. prescription medication that the patient started using before receiving hospital care at home, new medication prescribed during hospital care at home or any medication other than the above-mentioned medication included in the patient fee).
  • X-ray or other examinations at an outpatient clinic or health centre if not prescribed by a physician responsible for the hospital services at home.
  • Transport home from the hospital or other transport services during hospital care at home.
  • Transport of the body of a deceased person for burial (e.g. hospice patients).

For the duration of hospital services at home, the patient is entitled to the same Kela benefits as other outpatients (e.g. care and housing allowance).

Geriatric outpatient clinic

  • The fee for a doctor’s appointment at the geriatric outpatient clinic is EUR 16.40 per visit.
  • The fee for a home visit by a doctor from the geriatric outpatient clinic is EUR 15.00 per visit.
  • The fee for a home visit by another staff member is EUR 9.50 per visit.

Discharge team’s client fee

The discharge team’s escort and assessment visits are free of charge. After these visits the fee is EUR 9.50, which is the same as the fee for temporary home nursing. Only one fee will be charged per day, even if several visits are required. If the patient already uses home care or hospital services at home, the assistance offered by the discharge team is free of charge.

For further information, please contact:

Social workers for units and care facilities:
Tel. 09 816 21 (switchboard)

Further information about fees:
For more information about the fees, please contact the staff responsible for client fees within the Sector Management of Social and Health Services, tel. 09 816 21 (switchboard),
the staff responsible for checking in patients at the units or the social workers.

For more information about the payment ceiling, please contact the Special Services of Espoo Economic Management, tel. 09 8162 9500, Mon–Fri 9 am – 3 pm

Contact information for invoicing:

Espoo Economic Management
Client invoices
P.O. Box 668
02070 CITY OF ESPOO

Tel. 09 816 29500
Mon–Fri 9 am – 3 pm

Attachments (in Finnish)

Pitkäaikaisen laitoshoidon asiakasmaksut (docx, 67 Kt)
Pitkäaikaisen laitoshoidon asiakasmaksut 2018 (pdf, 138 Kt) 

Home care and home nursing

The fees apply to home nursing, home services and related support services (e.g. safety alarm system), daytime activities, support for informal care and a temporary stay in a sheltered housing unit. Home care fees do not count towards the annual ceiling for social and health care client fees. The fees are based on a government decree and the City Board’s decision.

Regular and continuous home care

A monthly fee is charged for regular and continuous home services and home nursing. The amount is based on the quality and quantity of services, the service user’s financial situation and the size of the family. The fee is calculated in accordance with the attached table, on the basis of the amount of income exceeding the income threshold. The fee will not be charged if the monthly fee for home care services is less than EUR 6.00.

Temporary home care and temporary home nursing

The fee for temporary home services is based on the duration of the visit (see fees in detail under home care and home nursing fees). The fee for a home visit by a nurse or another person is EUR 9.50 per visit. The fee for a physician’s home visit is EUR 15.00 per visit.

Attachments (in Finnish)

Kotihoidon tuloselvityslomake (pdf, 8 Kt)
Kotihoidon asiakasmaksut (pdf, 174 Kt)
Valtakirja (pdf, 19 Kt)

Contact information

Telephone
Staff responsible for client fees at Social and Health Services (switchboard)
09 816 21

Postal address
Social and Health Services, Sector Management
Client fees
P.O. Box 207
02070 CITY OF ESPOO

Domestic services for families

Domestic services for families The fee for temporary domestic services for families with children is based on the duration of the visit.

The fee for regular domestic services is based on the size of the family, gross income and need for services.

Attachments (in Finnish)

Lapsiperheiden kotipalvelun tuloselvityslomake (pdf, 155 Kt)
Lapsiperheiden kotipalvelun asiakasmaksun alennushakemus (pdf, 28 Kt)
Kotipalvelun kilpailutetut ostopalvelut ja palvelusetelit (pdf, 9 Kt)
Lapsiperheiden kotipalvelun asiakasmaksut 1.10.2018 alkaen (pdf, 25 Kt)

Contact information

Telephone
Staff responsible for client fees at Social and Health Services
09 816 57261

Postal address
Social and Health Services, Sector Management
Client fees
P.O. Box 207
02070 CITY OF ESPOO

Housing services

Client fees for long-term housing services

The fees for clients in sheltered housing units depend on the decision on the fees for long-term housing services. The fee for long-term housing services is based on the client’s net income. In accordance with the Espoo City Board’s decision, the fee for housing services is 85% of a client’s net income. The clients will have 15% of their net income at their disposal. However, the minimum amount is EUR 253,62 per month (in 2019), which is the basic amount of social assistance for persons living alone, minus the share of food.

If a person using long-term housing services lived with a spouse or a cohabiting partner immediately before moving into a sheltered housing unit and has a higher income than their spouse/partner, the maximum fee is 42.5% of the couple’s combined monthly net income.

Individuals using housing services are entitled to Kela’s social security benefits (e.g. care allowance and housing allowance for pensioners, health insurance reimbursements) and are covered by outpatient health services.

Client fees for short-term housing services

The client fee for short-term care in a sheltered housing unit is EUR 17.90 per day. The fee does not count towards the annual payment ceiling.

Further information about fees

For more information about the fees, please contact the social workers for the units and care facilities, tel. 09 816 21 (switchboard).

Information about the city’s own housing services (Kauklahti Life and Living Centre for Senior Citizens, Viherlaakso memory service centre and Taavi memory service centre) is also provided by the staff responsible for client fees within the Sector Management of Social and Health Services, tel. 09 816 21 (switchboard).

Attachments (in Finnish)

Pitkäaikaisen asumispalvelun asiakkailta perittävä maksu 2019 (docx, 55 Kt)
Valtakirja (pdf, 19 Kt)

Contact information

Telephone
Inquiries Mon–Fri 9 am – 3 pm
09 816 29500

Postal address
Espoo Economic Management
Special Servicest
P.O. Box 668
02070 CITY OF ESPOO

Email
erityispalvelut@espoo.fi

Housing costs

The housing costs of an elderly person as well as the related benefits are different from regular housing costs in the following cases:

Kela housing allowance and care allowance for pensioners

The purpose of the care allowance is to support pensioners with an illness or disability living at home as well as their care at home. The allowance also helps cover special expenses related to a person’s illness or disability.

For more information, contact Kela..

Tax credit for household expenses

You are entitled to the tax credit for ordinary household work, nursing and care as well as maintenance and modernisation work at your home or holiday home.

The tax credit is not available to individuals living in the city’s own facilities or the city's sheltered housing units arranged as an outsourced service.

For more information, contact the Tax Administration.

Home renovation subsidies for elderly or disabled people from the Housing Finance and Development Centre of Finland (ARA)

Subsidies are granted for the renovation of homes which are in permanent residential use throughout the year and where at least one of the residents is over 65 years old or has a disability. In addition, household income must not exceed the established income limits and the household must not have the funds to renovate the home without the subsidy.

The maximum amount of a renovation subsidy is 50% of the approved renovation costs. In exceptional situations, the subsidy may cover up to 70% of the costs if the applicant is a front veteran or a veteran’s widow or if the elderly or disabled person would otherwise have to move out of their home immediately and permanently due to a lack of accessibility or because the required social and health care services cannot be provided there.

For more information, contact ARA.

Client fees for long-term care

The fees for clients in nursing homes depend on the decision on the fees for long-term housing services or institutional care.

  • The client fees for those living in nursing homes are based on their income. Based on the decision by the Social and Health Services Committee of the City of Espoo, the clients of housing services pay 85% of their net income as a fee for housing and care. The minimum amount that must be available for a client to use is EUR 253,62 per month in 2019, which is the basic amount of social assistance for persons living alone, minus the share of food. Individuals living in a nursing home are entitled to Kela’s social security benefits (e.g. care allowance and housing allowance for pensioners, health insurance reimbursements) and are covered by outpatient health services.
  • If a client has received a decision regarding admission to institutional care, the decision on fees will be based on the act and decree on client charges in health care and social welfare. The monthly fee is 85% of the client’s net income and includes all upkeep, care and treatment. The minimum amount that needs to remain at the client’s disposal is EUR 108 per month (in 2019). Individuals in institutional care are entitled to care allowance from Kela.
  • If an Espoo resident independently seeks care at a private sheltered housing facility or nursing home, they are liable to pay the costs.

External websites

Tax Administration
Social Insurance Institution of Finland (Kela)
Housing Finance and Development Centre of Finland (ARA)

Attachments (in Finnish)

Pitkäaikaisesta laitoshoidosta perittävät maksut (pdf, 139 Kt)
Pitkäaikaisen asumispalvelun asiakkailta perittävät maksut (pdf, 131 Kt)
Pitkäaikaisen laitoshoidon asiakasmaksut 2019 (docx, 60 Kt)
Pitkäaikaisen asumispalvelun asiakasmaksut 2019 (docx, 56 Kt)

Mental health and substance abuse services

Most of the mental health and substance abuse services are provided to clients free of charge in the form of guidance, advice and support services.

The client fee for rehabilitative residential treatment as part of substance abuse services is EUR 38.80 per day. The fees count towards the annual ceiling for social and health care client fees. After reaching the ceiling, the fee for rehabilitative short-term residential treatment is EUR 17.90 per day.

The fee for short-term psychiatric institutional care is EUR 17.90 per day.

The fee can be reduced or eliminated if charging the fee could jeopardise the livelihood of the client or their family.

Contact information

Telephone
Staff responsible for client fees at Social and Health Services (switchboard)
09 816 21

Postal address
Social and Health Services, Sector Management
Client fees
P.O. Box 207
02070 CITY OF ESPOO

Disability services

The City of Espoo offers services to people with intellectual and other disabilities. Some services are produced by the city and others by external service providers and joint municipal authorities. Joint municipal authorities and other municipalities determine and charge client fees for their own services. The fees established by the Espoo City Board apply to all other services.

A fee is charged for the services, unless Finnish legislation requires that these services must be free of charge. If a client uses services where fees are based on the client’s financial situation (long-term institutional care and family care as well as housing services based on the Social Welfare Act), Finnish legislation defines the sum of money that needs to remain at the client’s disposal after they have paid the service fees.

If necessary, clients can apply for an extension of payment deadlines. The client fee can also be reduced or waived if this is necessary due to the client’s financial situation or other discretionary matters related to the client’s care.

The client fees established by the City Board on 27 May 2019 can be found under: Client instructions: Client fees for disability services as of 1 June 2019 (in Finnish). The attached files also provide further information on client fees and the joint municipal authorities’ fees. Vammaispalvelujen asiakasmaksut 1.6.2019 alkaen (pdf, 159 Kt).

Attachments (in Finnish)

Eteva-kuntayhtymän asiakasmaksut 1.1.2018 alkaen (pdf, 130 Kt)
Asiakasmaksut vuonna 2018 (Eteva) (pdf, 83 Kt)
Kårkulla-kuntayhtymän asiakasmaksut vuonna 2018 (pdf, 74 Kt)
Vammaispalvelujen asiakasmaksut 1.6.2019 alkaen (pdf, 159 Kt)

Annual payment ceiling

There is an annual payment ceiling, in other words a maximum limit, for a person’s health care costs during a calendar year.

If a client’s fees included in the payment ceiling exceed EUR 683 during a calendar year, they can apply for a free card for the rest of the year. After receiving the free card, the services included in the annual ceiling will be free of charge for the card holder until the end of the calendar year.

However, even after reaching the annual ceiling, a daily fee of EUR 17.90 will be charged for short-term institutional care (not applicable to persons under the age of 18).

Clients must tell the staff about their free card when using health care services.

The fees paid for specialised health care at HUS also count towards the annual ceiling. Fees for dental care and home-based services do not count towards the ceiling.Maksukattoa kerryttävät myös HUS:n erikoissairaanhoidon maksut. Sen sijaan suun terveydenhuollon maksuja tai kotona annettavan palvelun maksuja ei lasketa mukaan maksukattoon.

Definition of the annual ceiling

Clients are responsible for keeping track of the fees that count towards the annual ceiling as well as for monitoring when they reach the ceiling. Clients must be able to show proof of reaching the ceiling. Clients must keep the invoices and receipts included in the annual ceiling, preferably in the order of the appointment/treatment times, as this will make it easier to see at which social and health services unit the annual ceiling is reached. Receipts for paid invoices must be kept because, in order to obtain a free card, clients must present receipts for payments on request.

In the case of families with under-aged children, the children are taken into account when determining the payment ceiling of one of the guardians, based on the guardians’ decision. When the annual ceiling is reached, the services will be free of charge for every person whose payments counted towards the ceiling.

If a person reaches the annual ceiling while using services provided by the City of Espoo, the free card will be given by Espoo Economic Management. If they reach the ceiling elsewhere, the free card will be provided by the health care unit in question (e.g. HUS, see contact details on the HUS invoice).

For more information about the annual ceiling, please contact the Espoo Economic Management customer service, tel. 09 8162 9500 (Mon–Fri 9 am – 3 pm).

Included in the annual ceiling:
  • treatment and upkeep at a psychiatric unit
  • outpatient speech therapy through rehabilitation services
  • rehabilitation fee
  • health centre and emergency care fees (also client fees paid to other municipalities)
  • fee for day surgery treatment
  • fee for individual physiotherapy (not provided at home)
  • physiotherapy group sessions
  • occupational therapy
  • serial treatment
  • night and day care fee (hospital care for part of the day)
  • daily fee for short-term institutional care (after reaching the annual ceiling, the upkeep fee for short-term institutional care is EUR 17.90 per day)
  • day hospital fee

A patient who presents a free card bearing their name will not be charged for the above-mentioned services.

Not included in the annual ceiling:

  • dental care fees
  • fees for home care and related support services
  • home nursing fees
  • fees for domestic services for families
  • child welfare fees
  • fee for missed and uncancelled services
  • fee for short-term housing services
  • fee for long-term housing services
  • fee for long-term institutional care
  • fee for patient transport
  • fees for services arranged during an informal carer’s statutory leave
  • family care fees
  • fees for day activities
  • fees for supported housing
  • occupational health care fees
  • fees for transport services for severely disabled people
  • interest for late payment and debt collection costs
  • fees for treatment provided in a special payment class

Other fees that do not count towards the annual ceiling include fees for care compensated on the basis of the Employment Accidents Insurance Act, Agricultural Entrepreneurs’ Accidents Insurance Act, Military Injuries Act, Motor Insurance Act, Patient Injuries Act or any other comparable act.

In addition, fees for which social assistance has been granted are not included in the annual ceiling.

The out-of-pocket amounts paid when using a service voucher do not count towards the annual ceiling.

The annual maximum limit for medicine costs is handled through Kela.

Contact information

Telephone
Inquiries Mon–Fri 9 am – 3 pm
09 816 29500

Postal address
Espoo Economic Management
Special Services
P.O. Box 668
02070 CITY OF ESPOO

Email
erityispalvelut@espoo.fi

The client fees for social and health services are based on the Act on Client Charges in Healthcare and Social Welfare (734/1992 in Finnish) and the Decree on Client Charges in Healthcare and Social Welfare (912/1992 in Finnish) as well as the Espoo City Board’s decisions.

According to the Act on Client Charges in Healthcare and Social Welfare, a fee can be charged for municipal social and health services, unless otherwise specified in the legislation. The fee for a service may not exceed the costs of producing the service.

Additional information:

Finlex.fi
Kaupunginhallituksen päätöspöytäkirjat