Reimbursement of travel costs for persons arriving from abroad

When you are temporarily residing in Finland, EU legislation guarantees your right to receive medical care and treatment related transport in the same manner as the residents of Finland. When seeking treatment in Finland, you will be responsible for the costs of travel.


You can receive reimbursement from Kela for travel costs related to your treatment, if

  • you are permanently residing in Finland or covered by Finnish health insurance
  • you are covered by health insurance in another EU or EEA country, Switzerland or Australia and you have received medically necessary treatment during your temporary residence in Finland
  • you are permanently residing in another EU or EEA country or in Switzerland and Finland is responsible for the costs of your medical care (pensioners)
  • you have received prior authorisation (form E 112 or S2) from your country of residence for treatment in Finland.

You can apply for reimbursement of travel costs from Kela on form SV 4 for six months after your payment.

You will usually be responsible for the costs of treatment when seeking treatment in Finland

If you seek treatment in Finland from another EU country without prior authorisation (form E 112 or S2), you will always be responsible for travel costs related to treatment and the costs of hospital transfers in Finland. If you have prior authorisation (form E 112 or S1) for treatment provided in Finland, you can receive reimbursement for travel costs incurred in Finland retrospectively in the same manner as the residents of Finland.

If another EU or EEA country or Switzerland is not responsible for the costs of your medical care, you will usually be responsible for travel costs related to treatment.

You will receive ambulance transport with the European Health Insurance Card by paying a deductible

In Finland, you will receive transport by ambulance or rescue helicopter by paying the deductible when you present your European Health Insurance Card to the ambulance personnel. In 2016, the customer’s deductible is EUR 25.

If you are permanently residing in another Nordic country, you can present an identity card instead of the European Health Insurance Card. If you are permanently residing in the United Kingdom, you can present your passport instead of the European Health Insurance Card. The ambulance personnel require information concerning your permanent address of residence.

If you are permanently residing in Australia, the medical care convention between Finland and Australia entitles you to receive reimbursement from Kela retrospectively for the costs of ambulance transport.

Cross-border travel

When seeking treatment in Finland, you are responsible for organising and paying for your trip to Finland and the trip back home. Kela will not reimburse travel costs from Finland to your home country; instead, you can contact your local health insurance institute to apply for reimbursement.

If you live in another Nordic country and your illness requires you to use a more expensive means of travel than was originally intended, the Nordic convention on social security enables you to receive reimbursement from Kela for additional costs of a return trip.