When a journey abroad is meant to last for over three months, the public official is entitled to compensation for any reasonable personal health care costs. A family member is also similarly entitled to compensation when their stay in the destination country is meant to last for at least six months. The following are compensated as health care costs:
Treatments related to an illness or suspected illness that are given or prescribed by a doctor
The treatment and examination must be prescribed by a doctor. Any necessary examinations connected to the diagnosis and determination of treatment of the illness are also compensated in addition to the treatment. For non-urgent medical care, the State Treasury has the right to define where the care will take place. If the person wants to go to another medical facility that does not belong to the State Treasury’s medical partnership network, a proposal on the medical facility must be submitted to the State Treasury, if necessary. If it would be more practical and cost-effective to arrange the medical procedure in Finland or in a third country, any travel expenses are also compensated as health care costs. The following are not compensated as health care costs:
- Physical therapy or physiotherapy
- Other form of therapy (e.g. psychotherapy or occupational therapy)
- A medical examination that has been performed by a doctor to assess the person’s general health and not due to a suspected illness (e.g. for a driving licence) Examinations that are related to a child’s school health care are subject to compensation
- Screenings (e.g. mammography)
- Medication or travel expenses (in case of necessary treatment for a travel illness or accident, medication costs and travel expenses that are related to an acute illness are subject to compensation)
- Health care related equipment and aids (e.g. wheelchair, crutches, glasses)
However, costs incurred by check-ups and health services comparable to those provided by child health clinics and school health care to a minor child, e.g. speech therapy, are compensated as health care costs.
Treatment caused by pregnancy and childbirth or the expenses of the person giving birth travelling to their home country as well as the travel expenses of the person who has given birth and their infant back to the destination country
The starting point for the compensation level of pregnancy monitoring expenses is the level of the Finnish child welfare clinic system. When selecting the place of birth, get in touch with the State Treasury well in advance, and at least three months before your due date. If it is more appropriate for the child to be born in the mother’s home country than in the destination country, the mother will be reimbursed for her trip to her home country as well as for her and her infant’s travel expenses back to the destination country. No living expenses or expenses caused by the delivery of the baby are reimbursed.
Treatment of a dental disease that has been prescribed by a doctor and that is necessary for the treatment of another illness
The starting point is that no adult dental care is to be reimbursed. Compensation for any dental care that was necessary during the journey can be applied for from Kela. However, any dental care that is necessary for the treatment of some other illness is compensated as health care costs. For example, dental care that is required before a surgery can be reimbursed. The dental care of children is compensated to the extent that any similar treatment is free of charge to minors in Finland. Orthodontic treatment is compensated if the child would be eligible for free orthodontic treatment in their home municipality if they were living in Finland. Please ask for a statement on the need for treatment from the doctor in charge of orthodontic treatment in the home municipality of the child (this should be in English). The State Treasury may also request the statement, if necessary. You must also contact the State Treasury in advance if you feel that there is need for orthodontic treatment.
Vaccinations and similar measures that prevent illnesses
Vaccinations that are subject to compensation include the vaccinations that are part of Finland’s national vaccination programme as well as the vaccinations that are required for the diseases that are present in the destination country as well as other similar forms of protection, such as preventive medication for malaria. Vaccinations that are related to vacation travel are not reimbursed. The State’s travel protection will not cover vaccinations administered in the home country before travelling or after travelling.
Expenses caused by measures that help maintain or restore a public official’s ability to work
Expenses caused by a service that is necessary for the maintenance or restoration of a public official’s ability to work are reimbursed to the extent that such activities are included as part of the State’s occupational health care services in Finland. When necessary, the State Treasury will request a statement on whether the service is subject to compensation from the public official’s employer office’s occupational health care unit. This is why you must contact the State Treasury in advance if you feel that you need a service that is related to your ability to work.