Reimbursements for medicine expenses | Our Services | KelaSkip to content

Reimbursements for medicine expenses

Kela provides reimbursements for the costs of medicinal products, clinical nutrients and emollient creams that have been prescribed for the treatment of an illness. On this website, the word medicine is used to refer to all of these products.

The initial deductible is 50 euros

Kela will provide reimbursements for your medicine expenses after you have paid the annual initial deductible of EUR 50. You pay full price for your medicines until the initial deductible is met.

Children and youth are exempt from the initial deductible. The initial deductible is applied from the beginning of the year in which a young person reaches the age of 19.

Direct reimbursement

The reimbursement is usually provided to you directly at the pharmacy. Pharmacies have up-to-date information about how much you have paid towards the initial deductible and the annual maximum.

Amount of the reimbursement

The amount of the reimbursement depends on the medicine you are buying and the reimbursement entitlements you have been granted. 

There are three reimbursement categories: the basic rate of reimbursement, the lower special rate of reimbursement, and the higher special rate of reimbursement.

Annual maximum limit on out-of-pocket costs

The annual maximum limit on out-of-pocket costs refers to the maximum amount that you have to pay for your reimbursable medicines in one year. The initial deductible also counts towards the annual out-of-pocket maximum. In 2024, the annual maximum is set at 626.94 euros.

Once you have reached the annual maximum limit, you can get an additional reimbursement. The additional reimbursement means that you will pay only a EUR 2.50 copayment for each reimbursable medicine you buy for the rest of the year.

If the price of the medicine you have been prescribed exceeds its reference price and you refuse to substitute it with a cheaper generic alternative, you have to pay the amount that exceeds the reference price in addition to the EUR 2.50 copayment.

Read more

Read more

Last modified 14/5/2024