Exemption card for public health services
You receive an exemption card (in Norwegian: frikort for helsetjenester) for public health services once you have paid more than a certain amount in user fees. When you show the exemption card, you do not have to pay user fees for the remainder of the calendar year.
You will receive the exemption card for health services within three weeks from the date you have paid more than a total of NOK 2,961 (in user fees).
If you have paid to much in user fees, you will automatically get back the right amount.
By logging in to the service Exemption card and user fees («Frikort og egenandeler») at helsenorge.no you can view your exemption card and user fees.
You will receive an SMS or e-mail depending on what notifications settings you have made at helsenorge.no. Although the sceme is automatic, you should take care of your receits for selv-inspection.
To use the service "Exemption card and user fees" you must consent to Basic or a higher level of access.
Treatment and service providers are responsible for reporting all approved user fees to Helfo within 14 days. Your user fees are registered automatically.
Check exemption card and user fees
You can find more information about payments and user fees for different treatment providers on the following pages:
- outpatient clinic (hospital)
- laboratories and radiology department
- medicines and equipment on the "blue prescription" (in Norwegian)
- dental diseases
There are certain terms and conditions that must be fulfilled in order to get your user fees for these treatments approved:
Physiotherapy: Examination and treatment by a physiotherapist who has a contract with or is permanently employed by the municipality.
Dental diseases: Dental diseases and conditions that affect dental health. User fees for the following treatments are included in the scheme:
- Diseases and abnormalities (malformations) in the mouth and jaw (in Norwegian: anomalier)
- Treatment of certain forms of periodontitis (in Norwegian:periodontitt)
Dentists and dental hygienists are not bound by the defined reimbursement rates. They set their own prices. Even if you have an exemption card, you must still pay the difference between the price charged by the dentist/dental hygienist and the amount covered by the Norwegian National Insurance Scheme.
Rehabilitation: User fees at approved rehabilitation centres that have a contract with a regional health authority.
Travelling abroad for treatment: User fees for treatment trips abroad that are arranged by the Oslo University Hospital – Rikshospitalet. Adult patients pay a user fee, while children and adolescents receive the service for free. If you travel with someone, their costs are not included when Helfo calculates your exemption card entitlement.
Groups which are exempt from paying user fees
Children under 16 do not have to pay user fees. Some other groups are also exempt from paying user fees for examination and treatment.
You can find out more about exemption from user fees for recognised occupational injuries here.
Recipients of the minimum state pension are exempt from paying user fees for blue prescriptions. If, despite this, a recipient of the minimum state pension still has to pay the user fee at a pharmacy or medical supplies store, Helfo will automatically reimburse the user fee afterwards. Once Helfo has received information from the pharmacist or medical supplies store about the user fee that has been paid, it will take seven working days for the amount to be reimbursed.
Some recipients may find that their status as a recipient of the minimum state pension changes. If you have any questions about the reason for your status, please contact NAV (nav.no).
Via the helpline for helsenorge.no (23 32 70 00), you can find out whether you are exempt from having to pay user fees and whether you have the status of a minimum pension recipient.
Account number, refunds and minimum refunds
Exemption card refunds are paid out as soon as possible. It may take three work days for the payment to reach your bank account.
You can check which address and bank account number we have registered for you by logging into helsenorge.no.
Each year, the Norwegian Parliament sets the threshold amount (the user fee limit) for receiving an exemption card for public health services. If you pay more than this limit, the amount you are entitled to have refunded will be paid into your (bank) account.
From 1 January 2022, the minimum amount limit of NOK 200 in the National Insurance Act § 22-19 second paragraph has been removed, so that all excess amounts are paid out. Amounts under NOK 200 from before 2022 will not be paid out.
Check exemption card and user fees
Coverage of travel expenses for medical treatment
Travel to and from treatment counts towards the user fee limit for the exemption card for health services. Log in to the Patient-travel service at helsenorge.no (in Norwegian) and send an application for cover of travel expenses for patient travel.
User fee reporting and exemption card look-ups
Your user fees are reported to us by your treatment/service provider. All treatment providers who charge user fees must report the user fees within 14 days. It is necessary for the treatment provider to do this in order for you to receive your exemption card within three weeks.
Treatment/service providers have the option of using a look-up service to check if you have to pay user fees or not. If the treatment provider has access to use this look-up service, you do not need to show your exemption card. If your treatment provider does not use the look-up service, you must continue to show your exemption card in order to avoid paying user fees.
Power of Attorney over exemption card communications
To contact Helfo on behalf of someone else you need to have power of attorney. Parents/guardians also require power of attorney for children over 16. This is because the legal age of majority in Norwegian health care is 16 years.
Health records contain sensitive information and should not be sent by e-mail. We therefore request that you send the power of attorney to Helfo by letter post. Remember to enclose a copy of valid proof of your identity. Complete the Power of Attorney form and send it to Helfo, Postboks 2415, 3104 Tønsberg.
Log in to check your user fees and exemption card status
In the event that a user fee is missing from your user fees and exemption card status overview, please contact your healthcare practitioner/service provider and request that they submit the user fee to Helfo. Please be aware that it may take up to three weeks before your healthcare practitioner/ service provider submits the user fee to Helfo.
Other important exemption card information:
What is not covered by the exemption card schemes
You yourself must pay charges that are not approved user fees. Such charges do not count towards the user fee limits for exemption cards.
They may include fees for bandaging and equipment necessary for your treatment.
If you use private treatment providers who do not have reimbursement agreements, you will have to cover all the costs yourself.
Opting out of storing user fee information
You may opt out of the exemption card schemes (in Norwegian). In that case, you will not be included in the scheme for automatic issue of exemption cards for health services. If you opt out, treatment providers and health personnel will not be able to find out from the exemption card look-up service whether you are required to pay user fees or not.
You yourself must send the itemised receipts as soon as you reach the maximum user fee limit.