Infertility treatment outside the EU/EEA
You can apply for reimbursement for your expenses for infertility treatment provided outside the EU/EEA if you are entitled to extended subsidisation. Go through all the steps in this guide to understand your rights and what you need to do. You will find the claim form in step 5.

Illustration: Morten Rakke / Helfo
Your rights
You can apply for reimbursement of your expenses for infertility treatment that is provided outside the EU/EEA if you are entitled to extended subsidisation.
As a member of the Norwegian National Insurance Scheme with the right to extended subsidisation, you can claim reimbursement of your expenses for infertility treatment outside the EU/EEA.
You must be a woman who is married, cohabiting in a marriage-like relationship or single. You will be considered single if you live alone or only with children you are responsible for.
You and your partner, if you have one, must fulfil the conditions for infertility treatment set out in the Norwegian Biotechnology Act (lovdata.no) and use treatment methods that are approved in Norway. For example, there are strict conditions for obtaining permission to use PGT (preimplantation genetic testing). The method PGT-A, which analyses the number of chromosomes, is not permitted in Norway.
If you intend to use donated eggs or sperm, the treating physician must select a suitable donor. You cannot choose the donor yourself. We recommend that you familiarize yourself with the permitted methods and applicable conditions before traveling abroad for treatment.
Regardless of whether you receive the treatment in Norway or abroad, you will only be eligible for the reimbursement of your expenses for a total of three cycles (‘attempts’) per child. Read more about infertility treatment and what is considered to be one attempt.
Example
Caroline works at the Norwegian Embassy in Washington, D.C. She is married to Bjørn and they have tried unsuccessfully to conceive for many years. They need treatment from a fertility clinic and, as Caroline is entitled to extended subsidisation, the couple are eligible to have their expenses reimbursed. They make sure that the treatment they receive follows the rules set by the Norwegian Biotechnology Act.
For what can you be reimbursed?
If all the conditions for infertility treatment are met, you may be eligible for partial reimbursement of necessary expenses related to drugs and/or treatment in connection with assisted reproduction.
There are various rules for the reimbursement of expenses related to drugs and treatment in connection with assisted reproduction.
Treatment related to assisted reproduction
If you have incurred expenses for assisted reproductive treatment, the user fee is 25 per cent of the actual expenses. The user fees paid do not count towards the user fee limits for an exemption card in Norway.
The user fee limit for healthcare expenses abroad is NOK 2,459 in 2025. After you reach this limit, you will be covered for your actual expenses.
Drugs used in infertility treatment
If you purchase drugs for infertility treatment, you will have to pay a user fee of NOK 20,761 (in 2025). After this, expenses for the drugs will be covered in full.
You may be reimbursed for hormone drugs and other drugs that directly or indirectly affect sex hormones and fertility. Expenses for syringes and needles are considered part of the medication costs related to infertility treatment.
The drugs must be marketed in Norway or contain the same active ingredient as drugs covered by a marketing authorisation in Norway.
Example
Caroline and Bjørn will receive infertility treatment with IVF treatment (in vitro fertilisation). In connection with the IVF treatment, Caroline must take drugs. Caroline and Bjørn know that they can have some of the cost of the drugs and the IVF treatment reimbursed.
Don’t forget the documentation!
It is important that you obtain all the necessary documentation.
You must send the following documentation to Helfo together with your application:
- a childcare certificate of conduct from the Norwegian police or equivalent documentation from your country of residence and/or the country you are staying in
- an assessment from a healthcare professional describing the need for treatment
- documentation from the healthcare provider concerning the types of treatments performed, such as medical records
- the original itemised invoice from the healthcare provider showing the type of treatment, treatment date and price per treatment
- original receipts for all expenses or other documentation showing that the expenses have been paid and when
- a completed and signed declaration from the treating physician – the declaration must indicate that the treatment complies with Norwegian legislation (see the form below)
You will also need a signed personal statement from you and your partner as an attachment to your reimbursement application:
This is the form you must arrange to have filled out and signed by the treating physician:
In order for Helfo to reach a decision concerning a claim, we must be able to understand the documents. This basically means that they must be in Norwegian, Danish, Swedish or English. You should therefore try to get the documents issued in one of these languages. If the documents are in another language, Helfo may ask you to have them translated. You will have to pay for the translation yourself. If you submit a translation, you must also submit the original.
Example
Because Caroline and Bjørn know they can claim reimbursement of part of the cost of the drugs and the IVF treatment, they keep all their receipts and other relevant documentation, which they attach to the application they will send to Helfo.
Travel expenses may be covered
Travel expenses abroad are covered according to the same rules that apply in Norway.
As in Norway, the general rule is that your travel expenses will be reimbursed at a standard rate per kilometre, regardless of the mode of transport that you use. You must travel to the geographically closest location at which the health service can be provided.
In order to be reimbursed, the journey must be longer than ten kilometres each way and cost more than the local minimum fare by public transport. You must pay one user fee per trip.
Read more about user fees and rates for patient travels.
If you are applying for the reimbursement of travel expenses, you should do so on the same form that you use when applying for the reimbursement of your healthcare expenses. The form can be found in step 5.
Example
Caroline and Bjorn live on the outskirts of Washington, D.C. and travel to a clinic near where they live. The trip costs no more than the local minimum rate by public transport, so they are not able to claim reimbursement for their travel expenses.
Submit your application
You can apply for reimbursement of expenses for infertility treatment provided outside the EU/EEA using a digital form.
For the treatment, forms and documentation must be submitted to Helfo within six months from the date of treatment. If you paid retrospectively rather than upfront, we will determine the deadline from the payment date.
You can apply for the reimbursement of your expenses for fertility drugs when you and your partner, if you have one, reach and exceed the user fee of NOK 20,761 (2025). You do this by submitting all receipts within six months from the date on which you exceed the user fee limit. For additional expenses after this, a reimbursement application must be submitted within six months of each drug purchase.
For details about the applicable documentation requirements, see "Don't forget the documentation!"
The processing period is up to 12 weeks if Helfo has received the documentation necessary to process the application.
Paper form
If you are unable to use our digital form, you can instead fill in and submit the following form with the necessary documentation to Helfo, Postboks 2415, 3104 Tønsberg:
Example
Caroline and Bjørn have completed two IVF cycles over the course of ten months and are now expecting twins. They have made sure to submit documentation to Helfo within the application deadline of six months from the time each treatment was received and paid for. They made sure they sent receipts for the drugs within the application deadline of six months from the date on which the user fee limit was reached. They have also submitted all receipts for the drugs they purchased before the user fee amount was reached.
Contact Guidance Helsenorge
Contact Guidance Helsenorge if you are not sure whether you are entitled to a European Health Insurance Card or coverage for healthcare services abroad:
- Telephone: +47 23 32 70 00
- Fax: +47 33 34 73 73