Patient fees
In Finland, the costs of medical care are principally paid by the patient’s home municipality. Fees charged from patients are determined according to the Act and Decree on Client Charges in Healthcare and Social Welfare.
We will send you an invoice approximately two weeks after your treatment or appointment. You may pay your treatment fees via an e-invoice by entering into an e-invoice agreement in your online banking service. The sender of the patient fee invoice is the HUS Joint Authority, treatment invoices (HUS-kuntayhtymä, hoitolasku).
If you do not have an e-invoice agreement with HUS via online banking, we will send the invoice to you by mail. You may pay the invoice through online banking or through your bank’s payment service, or in person at the HUS customer service desk at Kalasatama in Helsinki (Tynnyrintekijänkatu 1 C). This desk is open on Mondays and Thursdays from 09:00 to 15:00.
Invoices are generally given a payment period of 3 weeks, but during the coronavirus pandemic in 2020 this has been extended to 4 weeks.
If you do not pay your invoice by the due date, you will receive a reminder 2 weeks after the due date. For the time being, payment reminders will be sent and collections enforced by a collection agency on behalf of HUS. If you do not pay your invoice by the due date, we will charge penalty interest according to the Interest Act as of the due date.
For further information on invoices and their payment, contact the HUS invoicing customer service by phone at 09 4717 8550 or by e-mail at @email. The phone service is open on weekdays from 09:00 to 12:00.
No joint emergency department fees are collected in Psychiatric Outpatient Clinics.
Health center appointment at a joint emergency department
Year 2020: EUR 16.40
Year 2021: EUR 18.50
This fee will be charged from patients aged 18 or above at joint emergency departments of health centers on weekdays between 08:00 and 20:00.
Year 2020: EUR 37
Year 2020: 39.10
This fee will be charged from patients aged 18 or above at joint emergency departments of health centers on weekdays between 20:00 and 08:00 and on Saturdays, Sundays, and public holidays.
Health center nurse appointment at a joint emergency department
Year 2020: EUR 11.90
Year 2021: EUR 14
This fee will be charged from patients aged 18 or above at joint emergency departments of health centers on weekdays between 08:00 and 20:00.
Year 2020: EUR 32.70
Year 2021: EUR 34.60
This fee will be charged from patients aged 18 or above at joint emergency departments of health centers on weekdays between 20:00 and 08:00 and on Saturdays, Sundays, and public holidays.
Emergency dental care health center appointment at a joint emergency department
Year 2020: EUR 32.10
Year 2021: EUR 32.10
This fee will be charged from patients aged 18 or above in emergency dental care at joint emergency departments of health centers on weekdays between 16:00 and 21:00, and on weekends and public holidays between 09:00 and 21:00.
Specialist appointment at a joint emergency department
Year 2020: EUR 37.20
Year 2021: EUR 39.20
This fee will be charged from patients aged 18 or above. This fee is not charged from veterans of Finland's wars. This fee is not charged if the patient is admitted to a hospital on the same day.
Short-term inpatient care
Year 2020: EUR 48.90
Year 2021: EUR 48.90
Charged from patients on the days of admission, inpatient care, and discharge. No fee will be charged for the day of discharge if the treatment continues at another institution on the same day.
Daily hospital fee after the payment cap is exceeded
Year 2020: EUR 17.90
Year 2021: EUR 17.90
Daily hospital fee in short-term psychiatric inpatient care
Year 2020: EUR 17.90
Year 2021: EUR 17.90
The cost of psychiatric inpatient care is EUR 17.90 per day for the first 10 treatment days in a calendar year, after which inpatient care is free of charge for the patient.
Specialist medical care provided at home
Year 2020: EUR 12 per house call
Year 2021: EUR 12 per house call
Temporary home service provided by a physician, a dentist, or a nurse.
Day care or night care fee
Year 2020: EUR 17.90
Year 2021: EUR 20.20
This fee is charged if a patient is in care only for the day or only for the night. This fee is not charged at the Psychiatry Outpatient Care Clinic.
Physician
Year 2020: EUR 37.20
Year 2021: EUR 39.20
This fee is not charged at the Psychiatry Outpatient Care Clinic if the patient is admitted to inpatient care on the day of an outpatient appointment, and also not from veterans of Finland's wars.
Nurse
Year 2020: EUR 32.70
Year 2021: EUR 34.70
This fee is not charged at the Psychiatry Outpatient Care Clinic if the patient is admitted to inpatient care on the day of an outpatient appointment, and also not from veterans of Finland's wars.
Physician
Year 2021: EUR 31.40
Nurse or other Specialist
Year 2021: EUR 27.80
Group visit
Year 2021: EUR 9.10
Serial treatment visit
Year 2021: EUR 9.10
Year 2020: EUR 125
Year 2021: EUR 130.10
This fee is charged instead of an outpatient clinic fee for any procedure performed in an operating room and requiring general anesthesia, extensive local anesthesia, or intravenously administered medication.
If a patient undergoing ambulatory surgery must remain at the service location until the following day due to a complication or similar reason, the patient may be charged a daily hospital fee of EUR 48.90 in addition to the EUR 125 (year 2021 EUR 130.10) ambulatory surgery procedure fee.
Year 2020: EUR 11.40 per appointment
Year 2021: EUR 11.40 per appointment
This fee is charged for a maximum of 45 appointments per calendar year.
For group appointments, a fee equal to the serial treatment fee will be charged.
The serial treatment fee is not charged from customers aged under 18 (this also applies to group appointments).
This fee is defined as 85% of the net monthly income of the patient being treated.
If a patient in inpatient care has a spouse who earns less than the patient, the fee is defined as 42.5% of the spouses’ combined net income. However, the patient must always retain at least 15% of his/her net income, or at least EUR 110 per month, whichever is higher. A patient entitled to a front-veteran’s supplement may retain that benefit.
A person is defined as being in long-term inpatient care: either as of the beginning of 24/7 inpatient care if it is estimated from the start that the inpatient care will last more than 3 months; or as of the time when it is determined for a person whose inpatient care had been estimated to last less than 3 months when admitted that after 3 months in inpatient care the patient’s condition has deteriorated so much as to warrant continued inpatient care.
If a patient has accumulated more than 7 treatment days during a calendar year, no further daily hospital fees, night care fees, or day care fees will be charged. A report on the treatment days must be presented to the hospital.
Appointments at the Psychiatry Outpatient Clinic are free of charge, as are serial treatments.
A fee will continue to be charged for outpatient appointments and ambulatory surgery beyond the aforementioned 7-day cap.
Medical certificate
Year 2020: EUR 50.80 maximum
Year 2021: EUR 50.80 maximum
The actual fee depends on the type of certificate or statement.
Medical certificate on the right to drive
Year 2020: EUR 61
Year 2021: EUR 61
This fee is charged for a medical certificate required for the patient to be granted or to retain the right to drive.
Year 2020: EUR 13.40
Year 2021: EUR 13.40
This fee applies to inpatient care of a disabled patient.
The medical appliances required for treatment, along with their fitting, replacement as necessary, and maintenance are free of charge, except if said need is caused by an injury or occupational disease eligible for compensation under the Accident Insurance Acts, Military Injury Act, Motor Liability Insurance Act, or Patient Injury Act.
Appointment cancellations must be made by 12:00 on the previous day.
Year 2020: EUR 50.80
Year 2021: EUR 50.80
This fee is charged from patients aged 15 or older for failing to attend ("no-show") a specialist medical care outpatient appointment or an expensive imaging examination appointment. The fee will not be charged if there is an acceptable reason for not attending (e.g. acute illness or other acceptable reason).
Day hospital fee
Year 2020: EUR 8.80 per day
Year 2021: EUR 8.80 per day
This fee is charged for treatment and board at a psychiatric day ward. Day center activities and visits to supported employment centers are free of charge.
Housing service fee
Year 2020: EUR 8.80
Year 2021: EUR 8.80
This fee is charged for the housing services at psychiatric rehabilitation homes and small group homes.
No customer fees are charged from organ donors.
Patients who are not resident in Finland but are Finnish citizens will be charged a fee corresponding to the actual cost of the treatment, unless otherwise determined by an international treaty binding upon Finland. This fee will also be charged for the treatment of patients under the age of 18.
Compensation payable to a respiratory paralysis patient for maintenance not received is EUR 48.90 per day.
The fee charged from the birth partner of a mother giving birth is EUR 48.90 per day if accommodated in a family room. We charge this fee on the patient’s invoice. At the Family Nest Hotel, the fee is EUR 39.20 per day, and we only charge the patient herself.
There is a payment cap on customer fees in municipal health care. You must yourself monitor the fees that accumulate towards this payment cap. Fees payable for patients under 18 years of age are included in the payment cap for one of his/her guardians.
The monitoring period for the payment cap is the calendar year. If your combined fees exceed EUR 683 in any calendar year, then thereafter the services covered by the payment cap will be free of charge for you up until the end of that calendar year, except that we will charge EUR 17.90 per treatment day for short-term inpatient care.
For more information on the payment cap, visit the Ministry of Social Affairs and Health website.
You should keep all receipts for treatment fees you have paid, because you may need to present them when applying for your free pass.
When your invoices covered by the payment cap exceed a total of EUR 683, you may apply for a free pass. Free pass application forms are available at health centers, on wards, at outpatient clinics, and online.
A free pass will be valid up until the end of the calendar year in which it is issued. While the free pass is valid, you will not be charged fees in municipal health care, e.g. for appointments with a physician at a health center, outpatient clinic appointments, ambulatory surgery, serial treatments, individual physiotherapy, night care, day care, or rehabilitation treatment, except that we will charge EUR 17.90 per treatment day for short-term inpatient care.
If you spend 3 months or more in 24/7 inpatient care, we will assess your treatment fees based on your financial solvency, pursuant to the Decree on Client Charges in Healthcare and Social Welfare.
We will review the fees for instance in cases where your financial solvency or that of your family, or your circumstances, have substantially changed. We will waive or discount the fee if collecting the fee would jeopardize your or your family’s livelihood or your obligation to pay maintenance. In such situations, you need to contact the HUS unit that confirmed your original long-term inpatient care fee, or the HUS long-term care unit that is treating you.
Fees charged from patients are determined according to the Act and Decree on Client Charges in Healthcare and Social Welfare.
Act on Client Charges in Healthcare and Social Welfare
Decree on Client Charges in Healthcare and Social Welfare
You may apply for an extended payment period for your HUS invoices and agree on a payment plan. If you have outstanding patient fees that have not yet been sent to collection, please contact the invoicing customer service as soon as possible to agree on a payment period and a payment plan.
If your invoice has already been sent to collection, please contact the collection agency and agree with them how to deal with your invoice.
For further information on patient invoicing at HUS hospitals and on free passes, phone our service helpline at 09 471 78550 or e-mail us at @email (patient invoicing), @email (free passes) or @email (over-charged fees).
The service is available on weekdays from 09:00 to 15:00. It is closed on weekends and public holidays. In the summer, we are open on weekdays from 09:00 to 12:00.
The mailing address for patient invoicing is HUS Asvia, Potilaslaskutus, PO Box 680, 00029 HUS.
If you are dissatisfied with the fee charged for HUS medical services, you may request a written decision on the matter from a HUS officeholder by sending your request to the HUS central registry, PO Box 200, 00029 HUS, or by e-mail to @email.
You then have the right to file a written claim for a revised decision for your customer fee decision. You will be sent contact information and instructions with the decision. Your claim for a revised decision must be addressed to the Hospital Area Board of the HUS hospital area in question and filed within 30 days of you being informed of the decision.
The claim for a revised decision must indicate:
- the name of the person filing the claim for a revised decision,
- the decision demanded to be revised,
- the exact change being demanded and the grounds for demanding it, and
- the mailing address and other contact details for delivering notifications concerning the matter.
The service voucher adds to in-house clinical services at HUS. We can issue service vouchers to patients on the waiting list for surgery in situations where our own capacity is not enough for providing treatment in compliance with the Care Guarantee Act. You cannot yourself request or opt for a service voucher.
Our purpose in this is to guarantee you high-quality treatment and to improve access to treatment flexibly, thereby shortening waiting times.
Service voucher value and how to use it
Your deductible will be no more than the fee charged by HUS for the same service. Treatment that you obtain using a service voucher will cost you no more than the same treatment at HUS. By law, you have the right to refuse a service voucher if offered and choose to stay in the HUS queue instead.
If you do accept a service voucher, you may choose where to go for your treatment from a list of service providers approved as HUS partners. Once you have received a service voucher through the ‘palse’ system, you may book an appointment with the service provider of your choice and agree on the time and other details with them. You may also purchase extra services from that service provider beyond that which the service voucher covers.
A service voucher is issued to you personally. It cannot be exchanged for cash, and you may not use it for any other purpose than that specified in the issuing decision. You cannot claim a tax credit for household expenses for a service obtained using a service voucher.
You will retain all the rights of a patient provided for in the Act on the Status and Rights of Patients, as with all public health care services. The Consumer Protection Act also applies with respect to any service provider that you go to. If you are unhappy with the service you obtain using a service voucher, you may file a complaint with the social welfare and health care authorities and with the service provider.