As an adult, you must pay an amount according to set rates (user fee) when you visit the out-of-hours medical service, a GP or the specialist healthcare service.
The amounts vary but are often between NOK 150 and 350. There is nothing to pay if you are admitted to hospital. You will still receive help if you are unable to pay the user fee.
In some cases, you will also be entitled to remain in Norway until you have finished your treatment.
Exemption card for public health services
Asylum seekers who have been assigned a D-number are also entitled to an exemption card for public health services after reaching the user fee threshold of NOK 3,040. With an exemption card, you do not have to pay any more user fees in the calendar year.
If you need to present your exemption card, you can show the paper exemption card you received in the post from the Norwegian Health Economics Administration (Helfo). You can also find a digital version at Helsenorge.
Asylum seekers without a D-number must remember to save the receipts for any user fees paid
If you need to pay user fees before being assigned a D-number, you need to save all receipts from pharmacies, doctor’s appointments and other healthcare that count towards the exemption card accrual. These are not automatically recorded until you are assigned a D-number.
- The receipts must include
- your name
- your date of birth and gender
- the name of the treatment provider
- the date of the treatment
- user fee amount approved
When you have been assigned a D-number/national identity number, you will need to submit the specified receipts and any valid documentation to the Norwegian Health Economics Administration (Helfo) for the user fees to be recorded.
Valid documentation includes a copy of a valid asylum seeker certificate or a copy of a document showing that an appeal relating to a rejected asylum application is being processed. Please submit your receipts and documentation to