Dækningsrammen

Dækningsrammen is a term used in Danish and Norwegian public administration and insurance to denote the coverage framework within which benefits, reimbursements, or services are provided. It defines the scope of coverage, the financial limits, the duration, and the conditions under which a policy, program, or service will pay or provide support.

A dækningsrammen comprises several components. These typically include the scope of coverage (which items, services, or risks are included or excluded), financial limits (maximum amounts per period or per item), cost-sharing arrangements (co-payments or deductibles), eligibility rules (who qualifies and under what prerequisites), duration and renewal terms, and governance or oversight mechanisms. Documentation and reporting requirements are often specified to ensure transparency and accountability.

Applications of a dækningsrammen are common in health care, social services, disability or unemployment benefits, and municipal or regional budgeting. The frame helps policymakers and providers plan resource allocation, clarify what is funded, and establish predictable access to services for eligible individuals.

In practice, a dækningsrammen is typically established by legislation, regulation, or funding agreements. Once defined, beneficiaries and service providers operate within the frame, applying for coverage and receiving reimbursement under the stated rules. The frame can be adjusted through policy amendments, annual budgets, or program updates to reflect changing needs and financial conditions.

Related concepts include coverage, reimbursement, social security, health financing, and public budgeting.