User fees at the family doctor

When you go to a family doctor, you will have most of the cost of your treatment covered. You will normally have to pay a user fee which counts towards your exemption card for health services.

Helfo-toppsak-egenandeler hos lege

Illustration: Morten Rakke / Helfo

You must pay any expenses that are not approved user fees. These expenses do not count towards your exemption card for health services.

This could be fees for bandages and equipment which is necessary for your treatment. Your family doctor/general practitioner (fastlege) may only require you to pay the user fee stipulated in the Regulations concerning subsidies to cover expenses for examination and treatment by a doctor. (Only in Norwegian.)

​General rule for payments to doctors

Most patients must pay a user fee when they visit a doctor's office.

Some groups are exempt from paying user fees for examination and treatment by a doctor. For example this applies to:

  • children under the age 16
  • children and adolescents under the age of 18 who receive psychotherapeutic treatment
  • patients who have received a decision concerning an occupational injury from NAV
  • soldiers serving compulsory military service (førstegangstjeneste)
  • pregnant women attending antenatal checkups
  • patients suffering from an infectious disease which constitutes a risk to public safety, such as the coronavirus (coronavirus, 2019-nCoV/SARS-CoV-2), chlamydia and gonorrhoea, and persons suspected of having such a disease
  • initial medical examination for individuals seeking emergency care after being subjected to violence in close relationships and/or sexual abuse

Healthcare following an occupational injury

User fees and exemption cards

Only approved user fees count towards an exemption card for health services. The maximum user fee for 2021 is NOK 2,460.

Doctor's offices must put up a notice stating the main user fees and other charges.

Here is a summary of the main user fees that count towards an exemption card:


​User fee daytime ​User fee evening
​Consultation with GP/out-of-hours primary care service ​160 kroner ​280 kroner
​Consultation with GP/out-of-hours primary care service where the doctor specialises in general medicine ​212 kroner ​332 kroner
​Medical visit by GP/out-of-hours primary care service ​223 kroner ​357 kroner
​Medical visit by GP specialising in general medicine ​261 kroner ​395 kroner
​Consultation with or medical visit from a specialist ​375 kroner
​Enquiry, advice upon attendance or by courier ​58 kroner  
​Laboratory tests ​59 kroner
​X-ray ​267 kroner



Supplement for specialist in general medicine

166 kroner

52 kroner

​Basic patient contact resulting in issuing of a sick-note or referral to a specialist

​69 kroner

Please note that most of these user fees were raised at the 6th of July 2020.

Two exemption card schemes become one

From 1 January 2021, there will only be one single exemption card scheme in Norway, instead of two schemes, as before.

This means that you can use the same exemption card for all the health services that are currently covered by the two different exemption cards.

With an exemption card for health services, you do not have to pay user fees for the rest of the calendar year. There will be a common user fee ceiling for all the services that are currently included in the exemption card scheme. The new user fee ceiling is NOK 2460.

The purpose of the merger is to make the scheme easier for the inhabitants, and to alleviate the users who currently have the highest expenses.

The services that currently earn user fee credit towards exemption cards for health services, will continue to do so.

You can find your exemption card, check registered user fees and change your account number in the Exemption card and user fees ("Frikort og egenandeler") service at Remember that most therapists may check if you have a free card by using the Norwegian Directorate of Health's inquiry service.

User fees from treatment by a doctor, physiotherapist, psychologist, outpatient clinic, laboratory and X-ray institute can provide user fee credit towards exemption cards. There may also be user fees for medicines on "blue prescription", some dental treatments, some rehabilitation stays and some treatment trips abroad.

Payment for medical specialists

​​A family doctor may sometimes refer you to a medical specialist, such as a doctor at a hospital. You can read more about user fees at hospitals and outpatient clinics here (in Norwegian).

The same rules normally apply to user fees and contributions for medical specialists as for family doctors. If you are referred to a specialist at a private practice, it is a condition that the specialist has an operating subsidy agreement with a regional health trust authority. Below are links to the websites of each health region, with an overview of medical specialists who have an agreement with Helfo. The following pages are only available in Norwegian:

The groups that are exempt from user fees are the same for medical specialists as for doctors if the specialist has an operating subsidy agreement.

You will have to pay the full cost of your treatment yourself if you visit a medical specialist who does not receive an operating subsidy. This applies even if you have a referral from a family doctor.