Client fees

​A major part of health care costs in Finland are covered by the municipality where a patient lives.  The fees collected from patients comply with the Act on Client Fees in Social Welfare and Health Care (734/1992) and the Decree on Client Fees in Social Welfare and Health Care (912/1992) as well as with decisions made by the joint municipal board of Northern Ostrobothnia Hospital District. The fees are collected from service users unless otherwise stipulated by the law.

As a rule, client fees are chargeable, however, some services are free of charge as laid down by law.  Fees for out-patient care and short term institutionalised care are fixed with no discretionary fee reduction or a waiver. The option of discretion is limited to means-tested fees, only (long-term institutionalised care).

 

Payment of client fees

Client fee invoices are sent to the payer after a consultation either as a paper or e-invoice. In order to be invoiced electronically, you need a valid e-invoicing agreement with your netbank. Enter Oulu University Hospital and Tahkokangas Service Center (Oulun yliopistollinen sairaala ja Tahkokankaan palvelulaitos in Finnish) or Oulaskangas Hospital (Oulaskankaan sairaala) in the invoicer and Care invoice into the subject field. Your personal identification code is entered in the identifier field.  If you wish to use the direct payment option, you have to make a service agreement with your bank first.  Take the latest Oulu University Hospital, Tahkokangas or Oulaskangas invoice to be bank in order to sign a service agreement for direct payment.

You can also pay client fees by debit or credit cards at the central information desk at B2 entrance hall in Oulu University Hospital.

 

Outstanding payments

Outstanding client fees will be transferred to a collection agency for collection. Collection fees comply with the Act on Debt Collecting (513/1999). Late payment interest, determined by the Interest Act (633/1982), is added to the other charges. The collecting agency is in charge of customer service for collecting.

Client fees are immediately distrainable debts not requiring a court judgement or decision.

 

Contact details for patient and municipal payment unit 

Payment-related issues:

+358 8 315 5779
+358 8 315 4373

E-mail: potilasmaksut(at)ppshp.fi

Occupational and traffic accidents as well as any occupational disease issues, foreign patients:

+358 8 315 4372
+358 8 315 4475

text message +358 40 177 9913

E-mails: kuntalaskutus(at)ppshp.fi

invoicing(at)ppshp.fi

Maximum annual fees:

+358 8 315 4163

Patient invoicing for outsourced and purchased services:

+358 8 315 5807

Superior: +358 8 315 4370

 

Foreigner fees

A person living in an EU state, EEA country or Switzerland shall prove their right to immediate (necessary) health care procedure by presenting their European Health Insurance Card, EHIC or similar temporary certificate in place of the European health insurance card, or persons working in Finland or receiving pension in Finland can use a Kela certificate, based on which they are entitled the same fees for their care and treatment as Finnish residents.

Exceptions to the primary rule:

  • If you do not have your EHIC card with you and live in a Nordic country you can prove your right to medical treatment by your identity card / passport issued by your country of residence and an address in that country.
  • If you do not have your EHIC card with you and live in the UK (Great Britain) you can prove your right to medical treatment by your passport issued by your country of residence and an address in that country.
  • If you live in Australia can prove your right to medical treatment by your passport and an address in the country of your residence. The agreement does not cover students.
  • If you live in Quebec, Canada, you have to prove your entitlement to medical treatment by a Q/SF1 or Q/SF4 form. The agreement does not cover visitors and tourists who do not have these forms.

A person living in an EU or EEA country or Switzerland and seeking non-urgent care or treatment have to present a preliminary permission (E112 or S2) or otherwise they are charged the true costs.

People coming from other countries shall pay the true costs of their care or treatment for both immediate (necessary) and non-urgent care.

Foreigners with a domicile in Finland who are covered by Finnish health insurance or who have a valid proof of entitlement to care allowances and benefits in Finland shall be charged the same client fees as persons living permanently in Finland.