THE SICKNESS FUND COMPENSATIONS AND CONDITIONS BRIEFLY
Please notice that this is a summary.
The valid official guidelines and rules in Finnish are followed in the interpretation and decision-making.
According to the fund rules and directives, a prerequisite for receiving compensation is that the treatment is necessary and stems from illness, pregnancy or childbirth AND that
1) the examination has been made or treatment has been given by a doctor or other person that has had proper professional training and who is registered in the Central Register of Healthcare Professionals
2) the examination has been made or treatment has been given in a private health care unit as referred to in the Health Insurance Act, Chapter 3, Section 3 and Subsection 1.
Medical treatment that has general medical approval and is carried out according to good healthcare practice is considered as medically necessary treatment or examination that should be compensated. A doctor’s referral must be obtained before the compensable event and the referral is valid for 12 months. One referral can be compensated for up to 15 examination or treatment sessions, if the examination or treatment has been provided within 12 months of when the doctor gave you the referral.