Maximum annual fees

A customer fee card is used to keep track of the fees paid by customers for municipal health care and social services. Accrued fees are monitored for a period of one calendar year. If the total amount of fees paid in calendar year exceeds the annual ceiling of €683.00, other services included in the annual ceiling will be free of charge for the remainder of the year. However, short-term institutional care involves a daily fee of €17.90.

Annual ceiling

When defining the annual ceiling, a person’s under-aged children will also be accounted for. This only applies to one parent, and the parents can freely decide which one will be entitled to the annual ceiling.  Children have their own card. When fees reach the annual ceiling, the child’s and the parent’s cards are combined into one card. When fees on this card exceed the annual ceiling, it will be replaced with another one entitling the holder to free health care (the ‘free card’) for the remainder of the year.  Customers should retain original receipts of payments made, as these will be required as proof of payments made in order to receive the free card.
 
The following fees count towards the annual ceiling:

  • health centre fee
  • clinic fee
  • fee for specialist medical care provided at home
  • fee for day surgery treatment
  • serial treatment fee
  • individual physiotherapy fee
  • night and day care fee 
  • rehabilitation
  • daily fee for short-term institutional care
  • psychiatric day hospital fee

Fees not counting towards the annual ceiling

Fees for treatment reimbursed on the basis of the Employment Accidents Act, Agricultural Entrepreneurs’ Accidents Act, Military Injuries Act, Traffic Insurance Act, Patient Injury Act or similar earlier legislation do not count towards the annual ceiling. Similarly, payments for which income support was granted are not covered by the scope of the payment ceiling. The deductible portion of service voucher payments does not count towards the payment ceiling specified in legislation.

When a customer presents a free card to receive municipal health care services, no fee is to be collected for a doctor’s appointment at a health centre, a visit to a clinic, day surgery, serial treatment, individual physiotherapy, night and day care, or rehabilitation. 

This exemption does not apply to treatment provided on the basis of the Employment Accidents Act, Agricultural Entrepreneurs’ Accidents Act, Military Injuries Act, Traffic Insurance Act, Patient Injury Act or similar earlier legislation.

Each of the person’s children aged under 18 is given their own card.