Reimbursements for medicine expenses
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.
Amount of the reimbursement
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
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.