lääkekorvauksista

Lääkekorvaukset in Finland refer to the system of reimbursements for prescription medicines. This system aims to make essential medications more affordable for individuals. The Finnish Social Insurance Institution (Kela) manages the lääkekorvaus system.

Eligibility for lääkekorvaukset is based on the type of medicine and the patient's health status. Medicines are classified into different groups based on their medical necessity and cost-effectiveness. Some basic medicines are always reimbursed, while others may require a doctor's decision or a specific diagnosis.

There are generally three levels of reimbursement. The highest reimbursement level applies to essential medicines that are crucial for treating serious or long-term illnesses. A medium level of reimbursement is available for other necessary medications. A basic reimbursement level is in place for a wider range of prescription drugs.

To receive a lääkekorvaus, a person typically needs to present their Kela card at the pharmacy. The pharmacy then checks the patient's eligibility and deducts the reimbursement amount from the price of the medicine. There is also an annual deductible for medicines, meaning that individuals pay the full price for their medications up to a certain amount before reimbursements begin to apply. This annual deductible is capped.

Individuals can also apply for an increased reimbursement if their annual medicine expenses exceed a certain threshold. This is known as the high-cost benefits scheme. The lääkekorvaus system is regularly reviewed and updated to ensure its effectiveness and sustainability.