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Diagnostic and antibody testing for coronavirus: Reimbursements for private-sector tests now available from Kela
Reimbursements are available for tests performed on or after 1 April 2020. The test must be ordered by a doctor.
The reimbursement rate for diagnostic coronavirus tests performed by a private-sector healthcare provider is EUR 56 and for antibody tests, EUR 15.
Clients get the reimbursement right away at the clinic if the healthcare provider has an agreement on direct reimbursement with Kela. They can also pay for the test themselves and claim reimbursement from Kela afterwards.
When a coronavirus infection is suspected, it is possible to either do a nasal swab to test for the presence of the virus in the nasal cavity or to perform an antibody test to detect whether the immune system has produced antibodies for the coronavirus. Tests are reimbursable only if ordered by a doctor. The doctor can issue the necessary order in a remote consultation. The tests must also comply with the regulations, guidelines and biological sampling criteria set forth by the Ministry of Social Affairs and Health and the National Institute for Health and Welfare.
Diagnostic and antibody tests for the coronavirus are reimbursed under the medical care coverage to which everyone eligible for social security benefits in Finland is entitled and which provides compensation for necessary medical services obtained from private-sector health providers. The reimbursements do not cover tests performed by public health providers.
Diagnostic and antibody tests for coronavirus will be added to Kela’s reimbursement schedule in the 12 June 2020 update.