Client fees for social and healthcare services starting from 19 May 2026

The service price list in the Wellbeing Services County of Vantaa and Kerava is broken down by service area based on the services provided by the Wellbeing Services County’s various sectors. The Wellbeing Services County of Vantaa and Kerava decides on fee reviews annually, unless the fees are specified by law or regulation.

Applicable legislation. All client fees for social and healthcare services charged by the Wellbeing Services County of Vantaa and Kerava are based on the applicable legislation, the Act on Client Fees in Healthcare and Social Welfare (734/1992, hereinafter referred to as the Client Fees Act) and the Decree on Client Fees in Healthcare and Social Welfare (912/1992). 

Client fees charged by the Keski-Uusimaa Rescue Department are decided by The Rescue Committee. The client fees are based on the applicable legislation, namely the Rescue Act (379/2011), the Chemicals Safety Act (390/2005) and the Health Insurance Act (1224/2004).

Maximum fee amount. “The fee charged for the service may not exceed the costs incurred in providing the service.” (Section 2 of the Client Fees Act) 

Fees determined by the ability to pay. Decisions on fees that are determined by the ability to pay are valid either for a fixed term or until further notice. The client fees based on ability to pay are determined by the client price list in force at the time when the client’s service decision comes into effect. The client fee related to a decision on a long-term service will only change when the fee is reviewed. However, the fee must be reviewed at the request of the client or their representative, or on the initiative of the Wellbeing Services County, if: 

1) the client’s or their family’s income has changed; 

2) the client’s or their spouse’s right to the deductions set out in Sections 10c, 10d or 10g of the Client Fees Act has changed; 

3) the family circumstances have changed; 

4) the fee turns out to be incorrect; 

5) the client plan drawn up for the client is amended in a way that affects the amount of the client fee; 

6) the payment criteria of the Wellbeing Services County are amended in a way that will affect the amount of the client fee. If the decision on a fee has been based on incorrect information provided by the client or their representative, the fee may be adjusted retrospectively for a period of up to one year. (Section 10j of the Client Fees Act) 

Definition of a long-term service. A service is regarded as long-term if it is expected to last for three months or if it has already actually lasted for at least three months. 

(Section 7b of the Client Fees Act)

Patient transport. “A fee may be charged for patient transport by an ambulance, up to the amount specified in the Government Decree. This fee may also be charged in cases where the patient’s condition has improved due to the first aid provided to such an extent that transporting them to a healthcare facility is no longer necessary. The fee set out in Subsection 1 shall not be charged for a transport, as ordered by a doctor, by an ambulance from a health centre or hospital bed to another healthcare facility or home care.” (Section 10 of the Client Fees Act) The fee charged for patient transport is decided by The Rescue Committee. 

Fee for an unused service that has not been cancelled

If a client or their representative has booked an appointment for healthcare services, or a short-term care or residential care placement in social or healthcare, and the client has failed to attend the appointment or the relevant unit at the booked time without cancellation and a valid reason, the Wellbeing Services County may charge the client a fee of up to 73.70 euros. However, the fee may only be charged if doing so is not considered unreasonable and the Wellbeing Services County has, at the time of booking, informed the client of the possibility of a penalty fee and provided instructions on how to cancel the appointment or placement in advance. Information concerning the penalty fee and the cancellation of an appointment or placement must be provided in a way that the client can adequately understand its content. No fees may be charged to a client aged under 18. (Section 3 of the Client Fees Act) 

A fee of 73.70 euros will be charged for services that have been left unused and have not been cancelled, such as:

• Appointments with a health centre doctor
• Oral healthcare appointments 
• Appointments with a geriatric doctor 
• Appointments with a doctor at a maternity clinic 
• Short-term care or residential care placement, one-off payment (disability services, elderly services and social work services for adults) 
• Appointments with a nurse 
• Appointments with a nurse at a maternity clinic 
• Appointments with a speech therapist, physiotherapist, occupational therapist and dietitian at a health centre, as well as group physiotherapy sessions

The fee for an unused appointment will also be applied to remote consultations for the aforementioned services. 

The fee will not be charged for non-cancelled appointments related to substance abuse and mental health. 

Please note! A fee may be charged for a service that has been booked but not cancelled or used, even if the appointment itself is free of charge. 

Fees shared within the Wellbeing Services County:

Medical certificates and reports 60.60 euros per certificate 

• Health centres issue medical certificates and statements, which are required by law or are otherwise necessary, for example, for the purposes of medical treatment, livelihood or studying.  (Section 22 of the Finnish Health Care Act)
• The fee is charged for any certificate or report requested by the client. Medical certificates and reports subject to a fee: 
  • Certificates issued to the client for the purpose of a power of attorney. 
  • Reports commissioned and paid for by other parties, such as Kela or an assault report to be submitted to the police. 
  • E-reports for an insurance company. 
  • Informal reports regarding health and functional capacity (no certificates will be issued for insurance, leisure activities or appointment to a post).
     
• No fee is charged for a certificate related to a client’s treatment. Free medical certificates and reports: 
  • Brief certificate (A certificate) – Confirmation of an illness, defect or injury; diagnosis only. 
  • Comprehensive certificate (B certificate) – Long-term illness, incapacity for work, disability, and the resulting right to social security benefits. 
  • Certificate to apply for a benefit (C certificate) – In cases where the certificate is related to medical treatment. 
  • Certificate issued to the guardianship authority or a court, upon their request, for the purpose of safeguarding interests. (Section 90 of the Guardianship Act) 
  • Stillbirth certificates, death certificates, burial permits and death reports are issued free of charge. 
     
• Certificates and reports issued free of charge to students and people aged under 18: 
  • Certificates issued to justify absence due to an illness, disability or pregnancy. 
  • Statements or certificates issued by the student healthcare for studying purposes. 
  • Statements related to early childhood education, school attendance and studying.
  • Driving licence certificate for pupils and students enrolled in vocational education where the education requires, for example, a driving licence for a bus or truck. 
  • Other aforementioned certificates and statements.

(Section 23 of the Decree on Client Fees) 

Medical certificate for a driving licence 72.80 euros per certificate 

• As a general rule, certificates related to driving capacity assessments are not issued. (Section 22 of the Finnish Health Care Act)
• An appointment fee with a health centre doctor will be charged in addition to the certificate fee.

(Section 23 of the Decree on Client Fees)

• The school or student healthcare is primarily responsible for performing driving capacity assessments on pupils and students enrolled in vocational education whose training requires, for example, a driving licence for a bus or truck. The certificate is free of charge. It is one of the certificates required by law.

CD fee 20.00 euros (one-off payment) 

• CD copies of e.g. fundus photographs or imaging studies requested by the client for personal use. 

Fees on requests for information 

Copies or printouts of documents and information are generally provided free of charge.

The client will be charged for copies or printouts of documents and disclosures of information as follows: 

Fees for copies or printouts of documents

The client is entitled to receive, once per calendar year, a free copy or printout of the same document as referred to in Sections 9 and 11 of the Act on the Openness of Government Activities, after which a fee may be charged depending on the size of the copy or printout as follows: 

A4 = 1 euro 

A3 = 2 euros 

Fees will not be charged for payments under 10 euros. 

Fees for disclosure of information

Pursuant to Section 34 of the Act on the Openness of Government Activities (621/1999, the Openness Act), for a document that cannot be identified or located in the Wellbeing Services County’s document register using its document classification system or the document identifier, or in an electronically maintained register using its search functions.

Pursuant to the General Data Protection Regulation (2016/679, GDPR), if the disclosure of information is unreasonable, unfounded or the request is made repeatedly. When determining the fee, any administrative costs incurred in providing the information or messages, or carrying out the requested action, are taken into account. 

Pursuant to Section 11 of the Act on the Processing of Client Data in Healthcare and Social Welfare (703/2023, the Client Data Act), if the client requests log data that they have already received. In such cases, the Wellbeing Services County may charge a reasonable fee for providing the log data, which must not exceed the direct costs incurred in providing the information. 

In this case, the client will be charged 30 euros for each starting hour.

1.1. Payment ceiling

The maximum amount of client fees (payment ceiling) charged to a client is 815.00 euros per calendar year. Once the payment ceiling has been exceeded, all the services included within the payment ceiling will be free of charge to the client until the end of the relevant calendar year. In case of short-term in-patient care or short-term in-patient services, a maintenance fee of 26.80 euros per day will be charged once the payment ceiling has been exceeded. 

Client fees for the following services count towards the payment ceiling:

• Outpatient medical services at a health centre 
• Examination and treatment provided by an outpatient clinic 
• Day-case procedures 
• Fees for oral healthcare appointments and procedures (excluding dental technical expenses, such as dentures, bite splints, orthodontic appliances and sleep apnoea splints) 
• Physiotherapy, neuropsychological rehabilitation, nutritional therapy, foot care, speech therapy, occupational therapy and other comparable treatments provided by healthcare professionals that improve and maintain functional ability 
• Serial treatments 
• Night and day care 
• Temporary home nursing and temporary home care 
• Fees for short-term in-patient care and in-patient services in health and social care institutions 
• Rehabilitation treatment fees 
• Fees paid with social assistance 
• Services provided as purchased services also count towards the payment ceiling if they fall under the Wellbeing Services County’s organisational responsibility
• Doctor’s appointments as part of regular and ongoing home care

The following fees do not count towards the payment ceiling:

• Patient transport 
• Medical certificates 
• Laboratory and imaging tests performed due to a referral from a private doctor 
• Social welfare services (excluding short-term in-patient care) 
• Client fees determined by the ability to pay
• Service voucher co-payments 
• Transport service co-payments 
• Entirely private services, which the Wellbeing Services County is not responsible for providing 
• Home care and support services 

The following are also not taken into account when calculating the payment ceiling:

1. A fee imposed for a treatment that is reimbursable under the Workers' Compensation Act, the Farmers' Accident Insurance Act (873/2015), the Military Injuries Act, the Motor Liability Insurance Act (460/2016), the Patient Insurance Act (948/2019) or any corresponding earlier legislation; 
2. A fee imposed on a person who does not have a municipality of residence in Finland, with the exception of a fee imposed on a person who is entitled to healthcare services on the same terms as a resident of Finland under the European Union legislation or an international agreement binding on Finland, or is treated as equivalent to a resident of the Wellbeing Services County pursuant to Section 14 of the Primary Health Care Act (66/1972) and Section 3(1) of the Act on Specialized Medical Care (1062/1989). 

It is the client’s responsibility to monitor whether the payment ceiling has been exceeded. 

Fees charged for services used by a client aged under 18 may be taken into account together with their guardian’s fees. In such cases, the services are free of charge for all persons whose payments are taken into account collectively pursuant to Subsection 1. 

Once the payment ceiling has been exceeded, the client will be issued a certificate confirming that the payment ceiling has been exceeded at their request. In order to obtain the certificate, the client needs to present the original receipts for fees charged for the services that the client or the minors in their care have received. (Section 6a of the Client Fees Act)

2.2. Free healthcare services 

The following healthcare services are free of charge:

• Primary healthcare services organised pursuant to Sections 13–17, Section 19(1) and Sections 24, 27 and 29 of the Health Care Act, as well as substances used in treatment and medical supplies intended for the treatment of long-term illnesses, for which, however, fees may be charged subject to the conditions set out in Section 5(1) of the Client Fees Act on the basis of (a–e). The aforementioned free services are: 
  • Health advice that promotes health and wellbeing and supports the prevention of illnesses 
  • Contraceptive advice and services promoting sexual and reproductive health 
  • Screenings performed under the national screening programme or other screenings and health checks organised by the Wellbeing Services County 
  • Maternity clinic services for pregnant women, families expecting a child, and children under school age and their families 
  • Student welfare services, which include school healthcare services, student healthcare services for upper secondary and vocational education students, student welfare psychological services and student welfare counsellor services 
  • School healthcare services 
  • Mental healthcare 
  • Counselling in medical rehabilitation as referred to in Section 29 of the Health Care Act, examinations or assessments determining the need for rehabilitation and options thereof, as well as adaptation training and rehabilitation guidance  
  • Assistive devices for medical rehabilitation as referred to in Section 29 of the Health Care Act, as well as the assessment determining the need for such devices, their fitting, necessary replacement, alterations and maintenance, except where the need for an assistive device arises from an accident or occupational disease that is reimbursable under the Workers' Compensation Act, the Farmers' Accident Insurance Act, the Military Injuries Act, the Motor Liability Insurance Act, the Patient Insurance Act or any corresponding earlier legislation 
• Outpatient care services and oral healthcare services for a person aged under 18
• Examination and treatment provided by an outpatient clinic to a person aged under 18 
• Emergency care organised pursuant to Sections 39 and 40 of the Health Care Act, excluding patient transport related to emergency care 
• Services provided by support centres established for the victims of sexual violence, as referred to in Article 25 of the Council of Europe Convention on preventing and combating violence against women and domestic violence
• Examinations, treatments and follow-ups provided by maternal clinics for pregnant women who use substances 
• Treatment provided at a psychiatric outpatient unit, excluding related partial maintenance care
• Care provided to a person who is dependent on a ventilator, as referred to in section 33(1) of the Disability Services Act, maintenance during inpatient care in a healthcare facility, and transports related to such care.
• Vaccinations included in the national vaccination programme as referred to in section 44 of the Communicable Diseases Act, general voluntary vaccinations as referred to in Section 45(1), vaccinations within the Defence Forces and the Border Guard as referred to in Section 46, compulsory vaccinations as referred to in Section 47 and vaccinations for employees and students as referred to in Section 48, the investigation, treatment and medication of a generally hazardous infectious disease as referred to in Section 4(2), the quarantine of a person confirmed to have been exposed to a generally hazardous infectious disease or reasonably suspected of having been exposed to one pursuant to Section 60, the isolation of a person suffering from a generally hazardous infectious disease or reasonably suspected of suffering from one pursuant to Section 63, as well as medicines prescribed for the treatment of the person suffering from a notifiable infectious disease as referred to in Section 4(3), and the examination, treatment and medicines prescribed for the treatment and prevention of HIV infection, syphilis, gonorrhoea and sexually transmitted chlamydial infection 
• Hepatitis C treatment 
• Examination and treatment of a living donor of human organs, tissues or cells 
• Treatment and care provided to a person aged under 18 once the number of treatment days in a calendar year exceeds seven, as well as medical rehabilitation provided as a serial treatment and hyposensitisation, speech and voice disorder, radiotherapy and cytostatic treatment, and other similar treatments, as well as continuous dialysis treatment 
• Transport of an in-patient, as ordered by a doctor, by ambulance from a health centre or hospital bed to another healthcare facility or home care
• Substance abuse and addiction treatment as referred to in Section 28 of the Health Care Act, when it is provided as outpatient care in substance abuse and addiction treatment units 
• Once the payment ceiling has been exceeded, all the services included within the payment ceiling until the end of the relevant calendar year. Notwithstanding this, short-term in-patient care as referred to in Section 67(1) of the Health Care Act or short-term in-patient care as referred to in Section 22 of the Social Welfare Act may incur fees up to a maximum of 26.80 euros per day, even if the payment ceiling has been exceeded.
• Healthcare services for disabled war veterans
• Doctor’s appointments for war veterans, appointments and rehabilitation with specialists at health centres
• Foot care for people with diabetes and rheumatism
• Medical examinations for conscripts 
• The service is free of charge to the client even in cases where the invoice is sent, as required by the law or an agreement, to a paying entity who is obliged to pay the invoice on the customer’s behalf, such as the Prison and Probation Service of Finland, garrison or another specifically named entity
• Health checks for the unemployed 
• Work capacity assessments

(Section 5 of the Client Fees Act)

1.3. Free social services 

The following social services are free of charge:

• Social work 
• Social guidance 
• Social rehabilitation 
• Family work 
• Home help service for families with children
• Parenting and family counselling 
• Supervised meetings between a child and a parent 
• Supported meetings between a child and a parent, and supervised exchanges 
• The custody of children and young people as referred to in the Child Welfare Act 
• Services designated as the responsibility of the Wellbeing Services County under the Marriage Act, the Parenting Act, the Adoption Act, the Child Maintenance Act, the Act on Child Custody and Right of Access, Act on Child Maintenance Allowance, and the Act on the Indexing of Certain Maintenance Allowances to the Cost of Living 
• Documents issued to a person related to their social welfare
• Outpatient services, excluding housing services, which are specifically targeted at substance users or those exhibiting addictive behaviour as referred to in Section 24a of the Social Welfare Act
• Visits evaluating service needs
• Activities supporting the employment of people with disabilities and work-related activities for people with disabilities, excluding transport and meals 
• Special care as referred to in the Act on Special Care for Persons with Intellectual Disabilities. However, a reasonable fee may be charged for the care of a person with an intellectual disability.
• Transport between operational units for persons who have been ordered to receive involuntary special care or undergo a preliminary assessment pursuant to the Act on Special Care for Persons with Intellectual Disabilities
• Various services as referred to in the Disability Services Act, such as training as referred to in Section 7, personal assistance as referred to in Section 9, special support for participation as referred to in Section 12, supported decision-making as referred to in Section 14, intensive multi-professional support as referred to in Section 16, housing support as referred to in Section 18, housing support for children at home as referred to in Section 19, support for accessible housing as referred to in Section 22, short-term care as referred to in Section 24, day activities as referred to in Section 25, work activities for people with intellectual disabilities as referred to in Section 27, mobility support as referred to in Section 28, and the assistance and support included in the other services necessary for the implementation of the Act as referred to in Section 34, maintenance costs associated with morning and afternoon activities organised as short-term care as referred to in Section 24, travel costs for day activities as referred to in Section 25 and for work activities for people with intellectual disabilities as referred to in Section 27, as well as services included in housing support and housing support for children at home 
• However, a fee may be charged for housing support and personal assistance if the person receives compensation for these under legislation other than the Disability Services Act.
• Rehabilitative work activities 
• Support for work ability

(Section 4 of the Client Fees Act)

The free social services also apply to:

• Disabled war veterans (Sections 6 and 6a of the Military Injuries Act) 
• Services provided to front-line veterans and their spouses under the Veterans Rehabilitation Act (1184/1988) 
• Services where the invoice is sent, as required by the law or an agreement, to a paying entity who is obliged to pay the invoice on the customer’s behalf, such as the Prison and Probation Service of Finland, garrison or another specifically named entity 

Service-specific details for free services are presented in the price list for relevant services.

1.4. Impact of a service interruption on the client fee 

Fees for long-term 24-hour residential care, long-term family care, long-term in-patient care, continuous regular home care services and long-term communal living will be charged even if the service is temporarily interrupted for reasons attributable to the client. 

If the service is interrupted for more than five days, no fee will be charged for the period exceeding five days. 

If the service is interrupted for reasons attributable to the Wellbeing Services County or because the client is in in-patient care, no fee will be charged for the aforementioned five days either. 

If the service remains interrupted for the whole month, no fee will be charged. (Section 10 k of the Client Fees Act) 

1.5. Waiver and reduction of client fees 

The client fees for social and health services may be waived or reduced if such fees would undermine the client’s basic conditions of subsistence or jeopardise their ability to fulfil their statutory maintenance obligations. The reduction or waiver of a fee must take precedence over social assistance as referred to in the Act on Social Assistance. (Section 11 of the Client Fees Act) 

The client fee may be reduced or waived entirely based on a case-by-case assessment of needs and circumstances, and any reduction in the fee is based on a calculation of income and expenditure. 

The reduction or waiver of client fees applies to all social welfare client fees, as well as healthcare fees determined by the ability to pay. 

A written decision shall be issued regarding the reduction or waiver of a fee or a negative decision on the application for a fee reduction. 

The client needs to submit an application for a reduction or waiver of a fee in writing. The application must include the following information: 

• The period for which the fee reduction is being applied for; 
• Monthly income and expenditure for the relevant period; 
• Bank statements for all current and savings accounts, covering the past three months from the date of application; 
• A statement of any other assets that may be available. 

An official may decide to reduce or waive a fee without the client having to submit an application, if the official considers that collecting it would jeopardise the client’s basic conditions of subsistence when determining the fee. 

1.6. Rectification requests 

You may appeal against a decision on a client fee and the corresponding invoice by submitting a written request for rectification to the Division of Individual Affairs of the Wellbeing Services County of Vantaa and Kerava. 

You can request a rectification to your invoice for flat-rate fees for health and social care. You can also request a rectification to the payment decision for fees determined by the ability to pay. (Section 15 of the Client Fees Act).

It is not possible to request a rectification to a client fee on financial grounds, that is, on the grounds that paying the invoice would jeopardise the client’s basic conditions of subsistence. Instead, the reason for the rectification request should be dissatisfaction with the accuracy of the invoice. First, you should check and ensure that the invoice is valid and that there is a valid reason for the fee. 

For any questions regarding a payment decision, please contact the decision maker. The contact details are included in the decision. 

Instructions on how to request a rectification are included in the invoice or client payment decision. The request for rectification must be submitted within 30 days starting from the date the decision was notified, excluding that date. The decision shall be deemed to have been served on the party concerned on the seventh day after it was posted, unless evidence to the contrary is adduced. 

The rectification request must specify the decision or invoice for which the rectification is requested, as well as how it should be rectified and on what grounds. The rectification request must be submitted to the Wellbeing Services County of Vantaa and Kerava no later than the last day of the rectification period before the agency closes. The invoice must be paid by the due date, even if you submit a rectification request. 
 

Wellbeing Services County of Vantaa and Kerava

Registry

PO Box 1000, 

01088 Wellbeing Services County of Vantaa and Kerava

Email address: kirjaamo@vakehyva.fi 

2.1. Health centre services 

Appointment with a doctor 30.20 euros per session 

• If an appointment with a nurse is transferred to a doctor’s care, a fee will be charged for an appointment with the doctor.

(Section 7 of the Decree on Client Fees)                          

Remote consultation with a doctor 28.20 euros per session 

• Telephone or video consultation.  

A fee is charged for the first three (3) consultations per calendar year. 

• This does not include appointments with specialists. 

(Section 7 of the Decree on Client Fees) 

Appointment with a specialist 71.30 euros per session 

• An appointment with a specialist at a health centre, equivalent to a specialist healthcare appointment, which requires a referral from a primary care doctor.

(Section 8 of the Decree on Client Fees)

Fee for an unused service that has not been cancelled 73.70 euros (one-off payment) 

• Appointments with a doctor, including remote consultations 
• Nursing visits, including remote consultations
• The fee applies to people aged 18 and over.      
• The client will be charged a fee, if the client or their representative has booked an appointment for healthcare services or a short-term care or residential care placement in social or healthcare, and the client has failed to attend the appointment at the booked time without cancellation and a valid reason. A fee will not be charged if there is a valid reason for failing to cancel a booked appointment or if it would be considered unreasonable to charge a fee. 

(Section 3 of the Client Fees Act) 

2.2.  Hospital and rehabilitation services 

Doctor’s home visit or remote consultation 27.60 euros per session

• At-home hospital home care, housing services.

(Section 3 of the Decree on Client Fees)

At-home hospital care, nurse’s home visit or remote consultation 17.50 euros per session

(Section 3 of the Decree on Client Fees)

• A fee of up to 66.90 euros per day may be charged for individual visits of temporary home care.

Hospital's outpatient clinic fee 71.30 euros per session 

(Section 8 of the Decree on Client Fees)

Physiotherapy 19.90 euros per session 

• Personalised physiotherapy is based on a treatment and service plan drawn up for the client and is carried out as individual treatment sessions, either as an appointment, via remote consultation or in the client’s own environment.

(Section 7 of the Decree on Client Fees) 

Remote physiotherapy consultation for 60 mins 19.90 euros per session

• Telephone or video consultation.

Remote physiotherapy consultation for 30 mins 10.00 euros per session

• Telephone or video consultation.

Group physiotherapy 6.60 euros per session 

• A fee is charged for a maximum of 45 treatment sessions per calendar year.

Nutritional therapy 19.90 euros per session

• Personalised nutritional therapy is based on a treatment and service plan drawn up for the client and is carried out as individual treatment sessions, either as an appointment, via remote consultation or in the client’s own environment. 

Remote nutritional therapy consultation for 60 mins 19.90 euros per session

• Telephone or video consultation.

Remote nutritional therapy consultation for 30 mins 10.00 euros per session

• Telephone or video consultation.

Group nutritional therapy 6.60 euros per session 

• A fee is charged for a maximum of 45 treatment sessions per calendar year.

Occupational therapy 19.90 euros per session

• Individual occupational therapy is based on a treatment and service plan drawn up for the client and is carried out as individual treatment sessions, either as an appointment, via remote consultation or in the client’s own environment. 

Occupational therapy remote consultation for 60 mins 19.90 euros per session

• Telephone or video consultation.

Occupational therapy remote consultation for 30 mins 10.00 euros per session

• Telephone or video consultation.

Group occupational therapy 6.60 euros per session 

• A fee is charged for a maximum of 45 treatment sessions per calendar year.

Speech therapy 19.90 euros per session

• Individual speech and language therapy is based on a treatment and service plan drawn up for the client and is carried out as individual treatment sessions, either as an appointment, via remote consultation or in the client’s own environment. 

Remote speech therapy consultation for 60 mins 19.90 euros per session

• Telephone or video consultation.

Remote speech therapy appointment for 30 mins 10.00 euros per session

• Telephone or video consultation.

Group speech therapy 6.60 euros per session 

• A fee is charged for a maximum of 45 treatment sessions per calendar year.

Fee for an unused service that has not been cancelled 73.70 euros (one-off payment) 

• Appointments with doctors and nurses, including remote consultations. 
• Speech therapists, physiotherapists, occupational therapists and nutritional therapists, including remote consultations.
• The fee applies to people aged 18 and over. 
• The client will be charged a fee, if the client or their representative has booked an appointment for healthcare services or a short-term care or residential care placement in social or healthcare, and the client has failed to attend the appointment at the booked time without cancellation and a valid reason. A fee will not be charged if there is a valid reason for failing to cancel a booked appointment or if it would be considered unreasonable to charge a fee.

(Section 3 of the Client Fees Act)             

Short-term in-patient care 71.50 euros per day 

• Treatment period for in-patient care. Diagnosis, treatment and rehabilitation of acute and short-term illnesses when other services are insufficient. 
• Apart from the client fee, no separate fees will be charged for meals or other services included in the short-term in-patient care service package.

(Section 12 of the Decree on Client Fees)

Daily fee after the payment ceiling has been exceeded  26.80 euros per day 

• Daily care fee for short-term in-patient care once the payment ceiling has been exceeded. 

(Section 6a of the Client Fees Act)

Fee for an unused service that has not been cancelled 73.70 euros (one-off payment) 

• The fee applies to people aged 18 and over. 
• The client will be charged a fee, if the client or their representative has booked an appointment for healthcare services or a short-term care or residential care placement in social or healthcare, and the client has failed to attend the appointment at the booked time without cancellation and a valid reason. A fee will not be charged if there is a valid reason for failing to cancel a booked appointment or if it would be considered unreasonable to charge a fee. 

(Section 3 of the Client Fees Act)

Long-term residential care  monthly fee 

• The client fee is determined by the client’s ability to pay. The fee may not exceed 85% of the client’s net monthly income. The client is allocated 15% of their income as monthly disposable funds, subject to a minimum of 131.00 euros. If the spouse with the higher income is in in-patient care, the client fee may not exceed 42.5% of the combined income of both spouses. 
• The Wellbeing Services County may, at its discretion, deduct the client’s regular income, receivables and benefits according to Section 14 of the Client Fees Act, and use these to offset the client fee. 
• Clients aged under 16 will be charged a fee based on their ability to pay. Social security benefits, such as maintenance payments, child benefit and disability allowance, may be deducted at the discretion of the authorities to cover expenses. Based on the child’s individual needs, 15% of income or at least 131.00 euros is allocated as monthly disposable funds. 

(Section 15 of the Decree on Client Fees, Sections 7b, 7c, 10b, 10c and 14 of the Client Fees Act) 

2.3.  Oral healthcare services 

Dental hygienist 14.80 euros per visit 

Dentist 19.10 euros per visit 

Specialist dentist 28.10 euros per visit 

Outpatient fee for specialist oral and maxillofacial care organised by the health centre 71.30 euros per visit (Section 9 of the Decree on Client Fees)

• In addition to the aforementioned consultation fees, the following procedure fees will be charged for oral and dental examinations and treatment. 
• Any work performed by dental technicians is not included in the procedures. 

Oral examination, brief 12.30 euros per procedure 

Basic oral examination 27.60 euros per procedure 

Specialized oral examination 27.60 euros per procedure 

Oral health promotion 12.30 euros per procedure 

Day-case procedure 233.80 euros per procedure 

(Sections 8a, 9 and 12 of the Decree on Client Fees) 

X-ray examinations:

Dental X-ray examination 12.30 euros per procedure 

X-ray examination of the jaws and the entire dentition 27.60 euros per procedure 

3D modelling of the dentition 27.60 euros per procedure 

Panoramic X-ray 27.60 euros per procedure 

(Section 9 of the Decree on Client Fees) 

Photographs of the mouth and face:

Photography of teeth or mouth 27.60 euros per procedure 

Photography of the facial area 27.60 euros per procedure 

(Section 9 of the Decree on Client Fees) 

Treatment of illnesses:

Complexity level 0–2 12.30 euros per procedure 

Complexity level 3–4  27.60 euros per procedure 

Complexity level 5–7 54.70 euros per procedure 

Complexity level 8–10 80.20 euros per procedure 

Complexity level 11+ 112.50 euros per procedure 

(Section 9 of the Decree on Client Fees)

Prosthetic procedures:

Denture relining 80.20 euros per procedure 

Denture repair 54.70 euros per procedure 

Acrylic partial and full dentures 268.30 euros per procedure 

Dental crowns and bridges per tooth  268.30 euros per procedure 

Removable partial denture 325.60 euros per procedure 

(Section 9 of the Decree on Client Fees) 

Home visits:

Dentist’s home visit  27.60 euros per visit 

Home visit carried out by another healthcare professional 17.50 euros per visit (Section 3 of the Decree on Client Fees) 

If the patient has caused the loss or damage of an orthodontic appliance due to obvious negligence or failing to follow the instructions for use, they may be charged for the dental laboratory costs incurred in procuring a new orthodontic appliance or repairing the damaged one, up to the amount of the actual costs, even if they are aged under 18. (Section 9 of the Decree on Client Fees)                

Fee for an unused service that has not been cancelled 73.70 euros (one-off payment) 

• The fee applies to people aged 18 and over.
• The client will be charged a fee, if the client or their representative has booked an appointment for healthcare services or a short-term care or residential care placement in social or healthcare, and the client has failed to attend the appointment at the booked time without cancellation and a valid reason. A fee will not be charged if there is a valid reason for failing to cancel a booked appointment or if it would be considered unreasonable to charge a fee. 

(Section 3 of the Client Fees Act)

The service is free of charge to the client in cases where the invoice is sent, as required by the law or an agreement, to a paying entity who is obliged to pay the invoice on the client’s behalf, such as those performing military or civilian service, or prisoners / detainees. 

No fees will be charged to those who have a front-line soldier badge, front-line service badge, front-line badge, veteran's badge or a certificate as referred to in Section 2 of the Act on Rehabilitation for Persons Who Served in Specified Duties in Wartime (1039/1997) for participation in mine clearance operations as referred to in Section 1, Subsection 1, Paragraph 3 of the Act. Free treatment applies to all services covered by the oral healthcare system. (Section 9 of the Decree on Client Fees)

2.4.  Substance abuse services

2.4.1 In-patient care under the Health Care Act

Short-term in-patient care at a substance abuse rehabilitation unit 71.50 euros per day 

(Section 12 of the Decree on Client Fees) 

Daily fee after the payment ceiling has been exceeded 26.80 euros per day

(Section 6a of the Client Fees Act) 

Short-term medical rehabilitation at an individual care facility for substance, medication and/or behavioural addictions 71.50 euros per day 

(Section 12 of the Decree on Client Fees) 

Daily fee after the payment ceiling has been exceeded 26.80 euros per day 

(Section 6a of the Client Fees Act) 

2.4.2 In-patient care under the Social Welfare Act

Short-term rehabilitation at an individual care facility for substance, medication and/or behavioural addictions 71.50 euros per day

(Section 12 of the Decree on Client Fees) 

Daily fee after the payment ceiling has been exceeded 26.80 euros per day

(Section 6a of the Client Fees Act) 

Short-term in-patient rehabilitation for families 71.50 euros per day

(Section 12 of the Decree on Client Fees) 

Daily fee after the payment ceiling has been exceeded  26.80 euros per day

(Section 6a of the Client Fees Act) 

• In-patient services refer to the arrangement of care and rehabilitation activities within a unit that provides continuous care.
• Apart from the client fee, no separate fees will be charged for meals or other services included in the short-term in-patient care service package. 

Client fees will not be charged according to the items listed in Chapters 1.2 and 1.3.

Home help service for families with children   free of charge

Fee for an unused service that has not been cancelled 73.70 euros (one-off payment) 

• Fee for an unused maternity clinic appointment with a doctor that was not cancelled. 
• Fee for an unused maternity clinic appointment with a nurse that was not cancelled. 
• The fee applies to people aged 18 and over.
• The client will be charged a fee, if the client or their representative has booked an appointment for healthcare services or a short-term care or residential care placement in social or healthcare, and the client has failed to attend the appointment at the booked time without cancellation and a valid reason. A fee will not be charged if there is a valid reason for failing to cancel a booked appointment or if it would be considered unreasonable to charge a fee. 

(Section 3 of the Client Fees Act)

4.1.  Housing services

Short-term assessed supported housing 42.40 euros per day 

• The client pays a daily rate, which covers the housing and meals. 

Short-term communal housing 42.40 euros per day 

• The client pays a daily rate, which covers the housing and meals. 

Short-term assessed communal housing 42.40 euros per day 

• The client pays a daily rate, which covers the housing and meals. 

Short-term 24-hour supported service housing 42.40 euros per day 

• The client pays a daily rate, which covers the housing and meals. 

Short-term assessed 24-hour service housing 42.40 euros per day 

• The client pays a daily rate, which covers the housing and meals. 

Communal housing monthly fee 

• The client will be charged for the rent, meals and other support services that facilitate living at home according to the client price list, as well as a monthly fee for continuous and regular home-based care. 

(Sections 7b, 10e, 10f, 10g and 14 of the Client Fees Act)

Supported housing monthly fee

• The client will be charged for the rent, meals and other support services that facilitate living at home according to the client price list, as well as a monthly fee for continuous and regular home-based care. Social guidance and social work provided at home are free of charge.

(Sections 7b, 10e, 10f, 10g and 14 of the Client Fees Act)

Fees for continuous and regular home-based care in communal and supported housing

The Wellbeing Services County may charge a monthly fee for continuous and regular home-based services, which is determined by the number of service hours specified in the service decision, the client’s ability to pay and the size of the family.

The fee does not include housing expenses. 

The fee cannot be higher than the payment percentage in the following table, based on the gross monthly income that exceeds the income threshold. 

The income thresholds are as follows:

Family size, number of people	1	2	3	4	5	6
Income threshold, in euros per month	699	1290	2025	2503	3030	3481

If there are more than six people, the income threshold is increased by 416.00 euros for each additional person.

The payment percentages are as follows:
	Payment percentage by family size
Service hours per month	1	2	3	4	5	6
4 hours or less	8.00	7.00	6.00	6.00	6.00	6.00
5–8	10.00	8.75	7.50	7.50	7.50	7.50
9–12	17.00	14.75	12.50	12.50	12.50	12.00
13–16	21.00	17.75	14.50	14.50	14.00	12.00
17–20	24.50	20.50	16.50	16.00	14.00	12.00
21–24	26.50	22.50	18.50	16.00	14.00	12.00
25–28	28.50	24.00	19.00	16.00	14.00	12.00
29–32	30.50	24.00	19.00	16.00	14.00	12.00
33–36	32.50	24.00	19.00	16.00	14.00	12.00
37–38	34.50	24.00	19.00	16.00	14.00	12.00
39 hours or more	35.00	24.00	19.00	16.00	14.00	12.00

(Sections 10e, 10f and 10g of the Client Fees Act)
 

24-hour service housing monthly fee 

• The client fee is determined by the client’s ability to pay. The fee may not exceed 85% of the client’s net monthly income. The client is allocated 15% of their income as monthly disposable funds, subject to a minimum of 195.00 euros. 
• The fee takes into account Kela’s annual limit on out-of-pocket medicine costs, which is 53.01 euros per month.
• If the spouse with the higher income is residing at a housing unit, the client fee may not exceed 42.5% of the combined income of both spouses. 
• The client pays separately for housing and services that they use, meaning that the client fee is divided into two separate fees: 
  • The client enters into a rental agreement with the service provider pursuant to the Act on Residential Leases and pays the rent to the service provider. The rent is taken into account as a deduction from the service fee, after housing allowance has first been deducted from the rent. 
  • The client pays the service fee to the Wellbeing Services County. 
• The services include care and support tailored to the client’s needs, activities designed to maintain and promote functional ability, meal, laundry, personal hygiene and cleaning services, as well as services that promote participation and social interaction. The services are provided 24 hours a day based on the client’s needs. 
• The Wellbeing Services County may, at its discretion, deduct the client’s regular income, receivables and benefits according to Section 14 of the Client Fees Act, and use these to offset the client fee

(Sections 7c, 10b, 10c, 10d and 14 of the Client Fees Act) 

Fee for an unused service that has not been cancelled 73.70 euros (one-off payment) 

• The fee applies to those aged 18 and over.
• The client will be charged for a fee, if a client or their representative has booked an appointment for healthcare services or a short-term care or residential care placement in social or healthcare, and the client has failed to attend the appointment at the booked time without cancellation and a valid reason. A fee will not be charged if there is a valid reason for failing to cancel a booked appointment or if it would be considered unreasonable to charge a fee. 

(Section 3 of the Client Fees Act)

4.2.  Meals 

Meals provided during day and work activities free of charge

Snacks

• For example, breakfast, afternoon snack or evening snack 
  • Snack  2.34 euros per meal 
  • Snack, special diet ERV2 meal 2.79 euros per meal
  • Snack, special diet ERV3 3.15 euros per meal

Main meals                                                                                       

• For example, lunch or dinner                                                 
  • Main meal 5.69 euros per meal
  • Main meal, special diet ERV2 6.81 euros per meal
  • Main meal, special diet ERV3 7.72 euros per meal

The Social Welfare Act is the general legislation governing social welfare. The services for people with disabilities are, in principle, organised as part of general social services. Only if the general services are insufficient or unsuitable, and the person with a disability meets the specific conditions set forth by the law, should the general social services be supplemented as necessary under specific legislation such as the Disability Services Act. The Wellbeing Services County is responsible for organising the services.

The Disability Services Act applies to a person (with a disability) who: 
1) has a physical, cognitive, psychological, social or sensory impairment resulting from a disability or illness that is long-term or permanent; 
2) has a disability or illness, which combined with barriers present in society, prevents participation in society on an equal basis with others; and 
3) requires as a necessity the services pursuant to this Act to achieve independent life, participation or equity.

 Services provided under the Disability Services Act are, in principle, free of charge (as set out in section 1.3). 

If a decision on disability services or a decision pursuant to the Act on Special Care for Persons with Intellectual Disabilities was issued based on the provisions in effect prior to 1 January 2025, the client fee or the exemption from the fee shall be determined based on the provisions of the Client Fees Act in effect prior to 1 January 2025. If a decision on disability services or a decision pursuant to the Act on Special Care for Persons with Intellectual Disabilities was issued based on the provisions that entered into force on 1 January 2025, the client fee or the exemption from the fee shall be determined based on the provisions of the Client Fees Act that entered into force on 1 January 2025.

The client fee for a decision on long-term service will only change when the fee is reviewed, within a transition period of no more than three years, that is, by the end of 2027.

5.1. Services that support living at home

Temporary home care, home visit by a doctor 27.60 euros per visit

• A fee of up to 66.90 euros per day may be charged for individual visits as part of temporary home care. 

(Section 3 of the Decree on Client Fees)

Temporary home care, home visit by a different healthcare professional  17.50 euros per visit

• A fee of up to 66.90 euros per day may be charged for individual visits as part of temporary home care. 

(Section 3 of the Decree on Client Fees)

Physiotherapy or occupational therapy as part of home-based rehabilitation 19.90 euros per visit

• Separate fees of up to 66.90 euros per day may be charged for home rehabilitation unit visits. 
• The physiotherapy fee for home-based rehabilitation is charged for a maximum of 45 sessions per calendar year. 
• The client fee is taken into account in the payment ceiling. 
• Client fees will not be charged according to the items listed in segments 1.2 and 1.3. 

(Section 7 of the Decree on Client Fees)

In case of one-off visits:

• No client fee is charged if the family’s income falls below the income thresholds set out in the monthly fee table for continuous home care. 
• No client fee is charged to clients who pay the monthly fee for continuous home care.

5.2.  Meals

Meal options for clients living at home: 

Meals delivered to your home

• Meal delivered to your home 14.12 euros per day
• Meal delivered to your home, special diet ERV2 16.76 euros per day
• Meal delivered to your home, special diet ERV3 18.69 euros per day

Smart meal dispenser service  9.96 euros per meal

Meal options for communal living and supported housing: 

Snacks

• For example, breakfast, afternoon snack or evening snack 
  • Snack  2.34 euros per meal 
  • Snack, special diet ERV2 2.79 euros per meal
  • Snack, special diet ERV3 3.15 euros per meal

Main meals                                                                                       

• For example, lunch or dinner                                       
  • Main meal 5.69 euros per meal
  • Main meal, special diet ERV2 6.81 euros per meal
  • Main meal, special diet ERV3 7.72 euros per meal

Meal options during work and day activities:

Snacks

• For example, snack 
  • Snack 2.34 euros per meal 
  • Snack, special diet ERV2 2.79 euros per meal
  • Snack, special diet ERV3 3.15 euros per meal

Main meals                                                                                       

• For example, lunch                                
  • Main meal 5.69 euros per meal
  • Main meal, special diet ERV2 6.81 euros per meal
  • Main meal, special diet ERV3 7.72 euros per meal

5.3.  Work and day activities

Work and day activities free of charge

• If the client eats at the activity centre, meal fees will be charged according to the client price list. 

(Section 4 of the Client Fees Act)

• Client fee for the use of transport service 5.00 euros per journey 
• Travel to day activities for persons with disabilities, as referred to in the Disability Services Act, is free of charge, if the person has particular difficulties with mobility and is unable to use public transport independently without undue difficulty, and has been granted a decision on exemption from fees. (Section 25 of the Disability Services Act)
• Travel to work activities for persons with intellectual disabilities, as referred to in the Disability Services Act, is free of charge, if the person has particular difficulties with mobility and is unable to use public transport independently without undue difficulty, and has been granted a decision on exemption from fees. (Section 27 of the Disability Services Act)
• The client is responsible for their own travel expenses in work-related activities and activities that support employment for persons with disabilities pursuant to the Social Welfare Act. 

5.4.  Services that support mobility 

Mobility support organised as a transport service under the Disability Services Act.

Co-payment: Transport services for people with disabilities provided under the Social Welfare Act and the Disability Services Act, will incur a co-payment for a single trip based on the public transport fare in force in the relevant location at the time.

• Client fees for the transport service are charged based on the actual trips taken. 
• The client fee for the transport service is based on the season ticket, multi-trip ticket or discount ticket systems used in public transport. If the client is entitled to discounts, such as student or pensioner discount, it needs to be taken into account when determining the fee. If the client requires transport services on a regular basis, such that they would have a 30-day season ticket or multi-trip ticket when using public transport, it also needs to be taken into account when determining the fee.

Co-payment will not be charged for trips by students with disabilities who are covered by the extended compulsory education scheme.

(Section 7f of the Act on Client Fees)

5.5    Family care

Family care is provided under the Social Welfare Act, and the service will incur a maintenance fee. 

Part-time family care at the client’s home 20.00 euros per half-day 

• The client fee covers care and support tailored to the client’s needs, as well as other activities designed to maintain and promote their functional capacity.

Short-term family care at the client’s home 42.40 euros per day 

• The client fee covers care and support tailored to the client’s needs, as well as other activities designed to maintain and promote their functional capacity.

Short-term family care at the family carer's home, ages under 16 12.80 euros per day

• The client fee is charged to cover the cost of maintenance, which includes meals, housing and other supplies and equipment needed for maintenance. 

Part-day family care at a family carer’s home, ages 16 and over 20.00 euros per half-day

• The client fee is charged to cover the cost of maintenance, which includes meals, housing and other supplies and equipment needed for maintenance.

Short-term family care at the family carer's home, ages 16 and over 42.40 euros per day

• The client fee is charged to cover the cost of maintenance, which includes meals, housing and other supplies and equipment needed for maintenance.

Long-term family care  monthly fee

Long-term family care organised pursuant to the Social Welfare Act.

• The client fee is determined by the client’s ability to pay. The fee may not exceed 85% of the client’s net monthly income. The client is allocated 15% of their income as monthly disposable funds, subject to a minimum of 195.00 euros. 
• The fee takes into account Kela’s annual limit on out-of-pocket medicine costs, which is 53.01 euros per month. 
• Clients who pay the monthly fee for family care are not charged any other fees for short-term social care services at the same time, such as meal charges for day activities. 
• The Wellbeing Services County may, at its discretion, deduct the client’s regular income, receivables and benefits according to Section 14 of the Client Fees Act, and use these to offset the client fee.
• Clients under the age of 16 will be charged a fee based on their ability to pay. Social security benefits, such as maintenance payments, child benefit and disability allowance, may be deducted at the discretion of the authorities to cover expenses. Depending on the child's individual needs, 15% of the income is allocated as monthly disposable funds, subject to a minimum of 195.00 euros. 

(Section 10b of the Act on Client Fees)

Long-term family care organised pursuant to the Disability Services Act.

• Fees determined by income will not be charged for long-term family care provided under the Disability Services Act. (Section 7b of the Client Fees Act)
• Long-term family care organised under the Disability Services Act will incur a fee to the client for the services provided at the family carer’s home (according to section 5.7.1). 
  • Maintenance fee 40.00 euros per month 
  • The meal fee will be charged based on the actual number of meals provided (according to section 5.2).
  • Housing fee
    • Housing fee for a single room (ages 16 years and above) 228.80 euros per month

5.6.  Informal care

Family care services provided during a caregiver’s time-off (at the client’s home or at a family care home) 13.70 euros per day

• Apart from the client fee, no separate fees will be charged for meals or other services included in the service package. 

Respite care days in informal care support 

for short-term 24-hour service housing 13.70 euros per day

• Apart from the client fee, no separate fees will be charged for meals or other services included in the service package.

(Sections 6b and 6c of the Client Fees Act)

• Any additional days will be charged according to the client price list in the Chapter for Short-term family care (5.5) or Short-term 24-hour service housing (5.7.1). 

5.7.  Housing services

5.7.1    Housing support, short-term accommodation

Clients aged below 16:

Short-term care, maintenance fee 6.40 euros per half-day 

• The client fee is charged to cover the cost of maintenance, which includes meals, housing and other supplies and equipment needed for maintenance. 

Short-term care, maintenance fee 12.80 euros per day

• The client fee is charged to cover the cost of maintenance, which includes meals, housing and other supplies and equipment needed for maintenance. 

Clients aged 16 and above:

Short-term care, maintenance fee  21.20 euros per half-day

• The client fee is charged to cover the cost of accommodation, which includes meals, housing and other supplies and equipment needed for accommodation. 

Short-term care, maintenance fee  42.40 euros per day

• The client fee is charged to cover the cost of accommodation, which includes meals, housing and other supplies needed for accommodation. 

Housing training 16.00 euros per day

• The client fee for housing training is charged to cover the cost of accommodation, which includes meals, housing and supplies. The client will be assisted with preparing meals and buying supplies as necessary. If the client uses meal services, the meals will be charged separately according to the price list. Guidance and training are free services. 

Fee for an unused service that has not been cancelled  73.70 euros (one-off payment)

• The fee applies to those aged 18 and over.
• The client will be charged for a fee, if a client or their representative has booked an appointment for healthcare services or a short-term care or residential care placement in social or healthcare, and the client has failed to attend the appointment at the booked time without cancellation and a valid reason. A fee will not be charged if there is a valid reason for failing to cancel a booked appointment or if it would be considered unreasonable to charge a fee. 

(Section 3 of the Client Fees Act)

5.7.2 Housing support, long-term accommodation

Maintenance fee 40.00 euros per month

• The Wellbeing Services County of Vantaa and Kerava charges a monthly fee for the care of people with intellectual disabilities and people with disabilities. (Sections 4 and 7e of the Client Fees Act)
• The maintenance fee covers, for example, the maintenance of communal areas and supplies (such as hygiene and cleaning products, laundry detergents, cleaning equipment, supplies for communal areas, dishes and household appliances, and shared leisure and recreational supplies), as well as any expenses related to general comfort.
• The fee does not require the resident to make regular use of all the aforementioned support measures, supplies or equipment.
• Meals will be charged separately based on how many have been provided.

Maintenance fee (charged together with the maintenance fee if the service provider has not specified a rent)

• Maintenance fee for a 2-person room (aged 16 or above) 182.00 euros per month 
• Maintenance fee for a single-person room (aged 16 or above) for 24-hour accommodation 296.50 euros per month 
• Maintenance fee for a single-person room (aged 16 or above) for communal accommodation 228.80 euros per month

 

5.7.3. Supported housing  free of charge

• If supported housing is provided somewhere else other than the client’s own home, the client will be charged for the meals based on how many have been provided.
• Social guidance is free of charge.
• The rent or maintenance fee is charged separately.

5.7.4 Housing support for a child provided outside their home  

The Wellbeing Services County charges a fee if the housing support for a child is provided outside their home. The fee is determined based on the family’s maintenance obligations and income. The fee will be determined separately for each parent.

If a parent is obliged to pay child support under an agreement approved by the Wellbeing Services County or a court order, the Wellbeing Services County will charge the child support or maintenance allowance for the child for the period during which the housing support for the child is provided outside their home. The total amount of fees shall be a maximum of €534.60 per month (in 2026). In such situations, no client fee will be imposed and the right of collection from the person liable for support arises directly under Section 7d of the Client Fees Act. 

• If a parent is obliged to pay child support, the Wellbeing Services County may collect the child support or maintenance allowance for the period during which the child is residing outside their home.
• The fee may also be collected from the child’s income, allowances or receivables, while ensuring that the child retains disposable funds for personal use.
• The total amount of fees shall be a maximum of €534.60 per month (in 2026). The amount will be reviewed using an index every two years.
• The fee must not exceed the actual cost of the service.

The child must be left with sufficient disposable funds for personal use:

• In family care, at least the amount that is equal to the disposable funds for long-term family care.
• In a small group home, at least the amount that is equal to disposable funds for 24-hour service housing.

(Section 7d of the Client Fees Act)

5.7.5 Communal living

Communal living under the Social Welfare Act monthly fee

• The client pays for the rent and the used services (such as home care, meal and support services) according to the client price list. The monthly fee for regular home-based care (home care) is charged only if the client receives the service. 
• The monthly fee is determined by the number of service hours specified in the service decision, the client’s ability to pay and the size of the family (according to the table in Chapter 6.1).

(Sections 10e, 10f and 10g of the Client Fees Act)

Maintenance fee 40.00 euros per month

• The Wellbeing Services County of Vantaa and Kerava charges a monthly fee for the care of people with intellectual disabilities and people with disabilities. (Sections 4 and 7e of the Client Fees Act)
• The maintenance fee covers, for example, the maintenance of communal areas and supplies (such as hygiene and cleaning products, laundry detergents, cleaning equipment, supplies for communal areas, dishes and household appliances, and shared leisure and recreational supplies), as well as any expenses related to general comfort.
• The fee does not require the resident to make regular use of all the aforementioned support measures, supplies or equipment.
• Meals will be charged separately based on how many have been provided.

Housing support in communal living under the Disability Services Act.             

• Treatment, care, guidance and assistance are provided free of charge. 
• The client pays separately for accommodation (rent or accommodation fee);
  • The client enters into a rental agreement with the service provider pursuant to the Act on Residential Leases and pays the rent to the service provider. The client can apply for housing allowance during accommodation.
• Meals are charged separately based on how many have been provided (5.2.).
• Maintenance fee 40.00 euros per month
• The Wellbeing Services County of Vantaa and Kerava charges a monthly fee for the care of people with intellectual disabilities and people with disabilities. (Sections 4 and 7e of the Client Fees Act)
  • The maintenance fee covers, for example, the maintenance of communal areas and supplies (such as hygiene and cleaning products, laundry detergents, cleaning equipment, supplies for communal areas, dishes and household appliances, and shared leisure and recreational supplies), as well as any expenses related to general comfort.
  • The fee does not require the resident to make regular use of all the aforementioned support measures, supplies or equipment.

5.7.6. 24-hour service housing                                                                     

24-hour service housing under the Social Welfare Act monthly fee                                               

• The client fee is determined by the client’s ability to pay. The fee may not exceed 85% of the client’s net monthly income. The client is allocated 15% of their income as monthly disposable funds, subject to a minimum of 195.00 euros. 
• The fee takes into account Kela’s annual limit on out-of-pocket medicine costs, which is 53.01 euros per month. 
• If the spouse with the higher income is residing at a housing unit, the client fee may not exceed 42.5% of the combined income of both spouses. 
• The customer pays separately for housing and services that they use, meaning that the client fee is divided into two separate fees: 
  • The client enters into a rental agreement with the service provider pursuant to the Act on Residential Leases and pays the rent to the service provider. The rent is taken into account as a deduction from the service fee, after housing allowance has first been deducted from the rent. 
  • The client pays the service fee to the Wellbeing Services County. 
• The services include care and support tailored to the client’s needs, activities designed to maintain and promote functional ability, meal, laundry, personal hygiene and cleaning services, as well as services that promote participation and social interaction. The services are provided 24 hours a day based on the client’s needs. 
• The Wellbeing Services County may, at its discretion, deduct the client’s regular income, receivables and benefits according to Section 14 of the Client Fees Act, and use these to offset the client fee. (Sections 7b, 7c, 10b, 10c, 10d and 14 of the Client Fees Act).

24-hour service housing under the Disability Services Act:

• Treatment, care, guidance and assistance are provided free of charge. 
• The client pays separately for accommodation (rent or accommodation fee);
  • The client enters into a rental agreement with the service provider pursuant to the Act on Residential Leases and pays the rent to the service provider. The client can apply for housing allowance during accommodation.
• Meals are charged separately based on how many have been provided (5.2.).

Maintenance fee 40.00 euros per month

• The Wellbeing Services County of Vantaa and Kerava charges a monthly fee for the care of people with intellectual disabilities and people with disabilities (Sections 4 and 7e of the Client Fees Act)
  • The maintenance fee covers, for example, the maintenance of communal areas and supplies (such as hygiene and cleaning products, laundry detergents, cleaning equipment, supplies for communal areas, dishes and household appliances, and shared leisure and recreational supplies), as well as any expenses related to general comfort.
  • The fee does not require the resident to make regular use of all the aforementioned support measures, supplies or equipment.

5.8.  In-patient services

Short-term in-patient care 71.50 euros per day

• In-patient social welfare services refer to the provision of care and rehabilitation activities within the unit that provides continuous care. 
• Apart from the client fee, no separate fees will be charged for meals or other services included in the short-term in-patient care service package. (Section 12 of the Decree on Client Fees)

Daily fee after the payment ceiling has been exceeded 26.80 euros per day

• Once the payment ceiling has been exceeded, short-term in-patient care will incur a fee of 25.10 euros per day.

(Section 6a of the Client Fees Act)

Rehabilitation assessment period 24.60 euros per day

• Rehabilitation care provided as in-patient care for people with disabilities. 
• Apart from the client fee, no separate fees will be charged for meals or other rehabilitation services included in the service package. 
• Client fees will not be charged in accordance with the items listed in Chapters 1.2 and 1.3., with the exception of clients aged under 18, who will be charged a client fee for a maximum of seven days per calendar year. No client fee will be charged once the number of treatment days has exceeded seven. 

(Section 14 of the Decree on Client Fees)

Long-term in-patient care monthly fee

• The client fee is determined by the client’s ability to pay. The fee may not exceed 85% of the client’s net monthly income. The client is allocated 15% of their income as monthly disposable funds, subject to a minimum of 131.00 euros. 
• If the spouse with the higher income is in in-patient care, the client fee may not exceed 42.5% of the combined income of both spouses. 
• The Wellbeing Services County may, at its discretion, deduct the client’s regular income, receivables and benefits according to Section 14 of the Client Fees Act, and use these to offset the client fee. 
• If the client is aged under 16, social benefits granted to them, such as child support, child benefit and disability allowance, may be deducted to cover the costs of caring for the client. Based on the child’s individual needs, 15% of income or at least 131.00 euros is allocated as monthly disposable funds. 

(Section 15 of the Decree on Client Fees, Sections 7c, 10b, 10c and 14 of the Client Fees Act)

The client fees for social and health services may be waived or reduced if such fees would undermine the client’s basic conditions of subsistence (Section 11 of the Client Fees Act). 

In addition to the provisions of Section 11 of the Act on Client Charges in Healthcare and Social Welfare concerning the reduction or waiver of a fee, the fee for social and healthcare services organised under primary legislation must not be imposed or collected, or it must be reduced, if the fee prevents or substantially impedes the individualised provision of services to a person with a disability, or if there are grounds for doing so due to welfare considerations. (Section 2 of the Disability Services Act)

6.1.  Services that support living at home:

Small-scale home renovation 50.00 euros (one-off payment)

Cleaning service 35.70 euros (one-off payment)

• Eligibility for the service requires fulfilling the client criteria.

Security service 38.00 euros per month

Additional security service products:

• Personal alarm as a bracelet or pendant 22.00 euros per item per month
• Door or window alarm 15.00 per item per month 
• Fall detection device 15.00 euros per item per month
• Stove guard 10.00 per item per month
• Smoke, fire, carbon monoxide or pull-string alarm10.00 per item per month
• Separate accessibility button for the alarm 10.00 per item per month

No client fee is charged if the client’s income is below the guarantee pension set out by Kela.

Remote group activities 40.00 euros per month

• Clients have the opportunity to participate in remote group activities, depending on their individual needs, once or several times a week.
• Does not apply to clients receiving regular remote home care.

Temporary home care visit                                                                             

• Less than 1 hour 9.50 euros per visit
• 1–2 hours 11.80 euros per visit
• 2–4 hours 14.10 euros per visit
• The client fee for a temporary home care visit also applies to rehabilitative activity sessions or assistance with daily tasks at the client’s home (e.g. A home visit by a ‘Hyvä työ’ support worker, assistance by a caregiver). 

Temporary home care, home visit by a different healthcare professional  17.50 euros per visit

• A fee of up to 66.90 euros per day may be charged for individual visits as part of temporary home care.

(Section 3 of the Decree on Client Fees)

Medical services are invoiced according to Chapter 2.2. Hospital and rehabilitation services

Physiotherapy or occupational therapy as part of home-based rehabilitation 19.90 euros per visit

• Separate fees of up to 66.90 euros per day may be charged for home rehabilitation unit visits.
• The physiotherapy fee for home-based rehabilitation is charged for a maximum of 45 sessions per calendar year. 
• The client fee is taken into account in the payment ceiling. 
• Client fees will not be charged according to the items listed in Chapters 1.2 and 1.3. 

(Section 7 of the Decree on Client Fees)

In case of one-off visits:

• No client fee is charged if the family’s income falls below the income thresholds set out in the monthly fee table for continuous home care. 
• No client fee is charged to clients who pay the monthly fee for continuous home care.
• Specialised services related to housing support under the Disability Services Act are provided free of charge to the client.

Continuous and regular home-based care, regular home care as part of elderly care services monthly fee

• Home care services may include home services under Section 19 of the Social Welfare Act and home nursing under Section 25 of the Health Care Act. Home care or home service is considered continuous and regular if the client receives the service at least once a week and the service is expected to last for at least two months or the service has actually already lasted for at least two months. Continuous and regular home care incurs a reasonable monthly fee determined by (1) the quality and quantity of the service, (2) the size of the family, and (3) the service user’s ability to pay. 

Fees for continuous and regular home-based care

The Wellbeing Services County may charge a monthly fee for continuous and regular home-based services, which is determined by the number of service hours specified in the service decision, the client’s ability to pay and the size of the family. 

The fee does not include housing expenses. 

The fee cannot be higher than the payment percentage in the following table, based on the gross monthly income that exceeds the income threshold. 

Family size, number of people	1	2	3	4	5	6
Income threshold, in euros per month	699	1290	2025	2503	3030	3481

If there are more than six people, the income threshold is increased by 416.00 euros for each additional person.

The payment percentages are as follows:
	Payment percentage by family size
Service hours per month	1	2	3	4	5	6
4 hours or less	8.00	7.00	6.00	6.00	6.00	6.00
5–8	10.00	8.75	7.50	7.50	7.50	7.50
9–12	17.00	14.75	12.50	12.50	12.50	12.00
13–16	21.00	17.75	14.50	14.50	14.00	12.00
17–20	24.50	20.50	16.50	16.00	14.00	12.00
21–24	26.50	22.50	18.50	16.00	14.00	12.00
25–28	28.50	24.00	19.00	16.00	14.00	12.00
29–32	30.50	24.00	19.00	16.00	14.00	12.00
33–36	32.50	24.00	19.00	16.00	14.00	12.00
37–38	34.50	24.00	19.00	16.00	14.00	12.00
39 hours or more	35.00	24.00	19.00	16.00	14.00	12.00

(Sections 10e, 10f and 10g of the Client Fees Act)

Please note: Assistance and support provided at home under the Disability Services Act (e.g. personal assistance and housing support) are free of charge for the client, and no client fee is charged for them.
(Section 4 of the Client Fees Act)

6.2.  Meals

Meal services are primarily a service that individuals arrange for themselves, meaning that the client can choose their preferred service provider. The client pays for the meal and delivery fees according to the price list of the service provider that they have chosen. The Wellbeing Services County ensures the availability of services, and the Senior Counselling helps clients find the right service. 

In some circumstances, the meal service may be provided as a support service organised by the Wellbeing Services County, for example for veterans. In these cases, the service can be provided via smart meal dispenser service or as ready-made, ready-to-heat or hot meal delivered to the client’s home.  

Prices of meals provided by the Wellbeing Services County as a support service

Meal options for clients living at home:

Meals delivered to the client’s home

• Meal delivered to the client’s home 14.12 euros per day
• Meal delivered to the client’s home, special diet ERV2 16.76 euros per day
• Meal delivered to the client’s home, special diet ERV3 18.69 euros per day

Smart meal dispenser service  9.96 euros per meal

Meal options in communal living:

Snacks

• For example, breakfast, afternoon snack or evening snack 
  • Snack 2.34 euros per meal 
  • Snack, special diet ERV2 2.79 euros per meal
  • Snack, special diet ERV3 3.15 euros per meal

Main meals                                                                                       

• For example, lunch or dinner                                       
  • Main meal 5.69 euros per meal
  • Main meal, special diet ERV2 6.81 euros per meal
  • Main meal, special diet ERV3 7.72 euros per meal

6.3. Day activities

Rehabilitative day activities 20.00 euros per half-day

• Apart from the client fee, no separate fees are charged for meals.

Transport fee 5.00 euros per one-way

• Eligibility for the service requires fulfilling the client criteria.

Half-day group activities 15.00 euros per session                                                                     

• The client fee covers a supervised group session of rehabilitative day activities lasting less than 4 hours, including a snack or meal depending on the time of day. The fee does not include transport. 

6.4. Services that support mobility

Co-payment: Transport services provided under the Social Welfare Act will incur a co-payment for a single trip based on the public transport fare in force at the time in the relevant location.

(Section 1 of the Client Fees Act)

6.5. Family care

Part-time family care at the client’s home 20.00 euros per half-day

• The client fee covers care and support tailored to the client’s needs, as well as other activities designed to maintain and promote their functional capacity.

Short-term family care at the client’s home 42.40 euros per day

• The client fee covers care and support tailored to the client’s needs, as well as other activities designed to maintain and promote their functional capacity.

Part-time family care at the family carer’s home 20.00 euros per half-day

• The client fee covers care and support tailored to the client’s needs, as well as other activities designed to maintain and promote their functional capacity. The client fee also covers meals and other living expenses.

Short-term family care at the family carer’s home 42.40 euros per day

• The client fee covers care and support tailored to the client’s needs, as well as other activities designed to maintain and promote their functional capacity. The client fee also covers meals and other living expenses.

Long-term family care monthly fee

• The client fee is determined by the client’s ability to pay. The fee may not exceed 85% of the client’s net monthly income. The client is allocated 15% of their income as monthly disposable funds, subject to a minimum of 195.00 euros. 
• The fee takes into account Kela’s annual limit on out-of-pocket medicine costs, which is 53.01 euros per month.
• Clients who pay the monthly fee for foster care are not charged any other fees for short-term social care services at the same time, such as meal charges for day activities. 
• The Wellbeing Services County may, at its discretion, deduct the client’s regular income, receivables and benefits according to Section 14 of the Client Fees Act, and use these to offset the client fee 
• Social security benefits, such as maintenance payments, child benefit and disability allowance, may be deducted at the discretion of the authorities to cover expenses. 

(Section 10b of the Client Fees Act)

• The Wellbeing Services County may charge a fee if the service is assessed as long-term from the start or if it has already lasted for at least three months. 

(Section 7b of the Client Fees Act)

6.6.  Informal care

Family care services provided during a caregiver’s time-off (at the client’s home or at a family care home) 13.70 euros per day

Part-time fee for rehabilitative day activities, 

daily fee during respite care days in informal care support 13.70 euros per day

Respite care days in informal care support for short-term 24-hour service housing 13.70 euros per day

(Sections 6b and 6c of the Client Fees Act)

6.7.  Housing services

Part-time care fee for 24-hour service housing 20.00 euros per half-day

Short-term 24-hour supported service housing  42.40 euros per day

Assessment and rehabilitation period 42.40 euros per day

• The period is carried out as a social care service within a unit tailored to the client’s service needs. The fee covers housing, meals, and the necessary guidance, rehabilitation, care and support.

Fee for an unused service that has not been cancelled 73.70 euros (one-off payment)

• The fee applies to people aged 18 and over.
• The client will be charged a fee, if the client or their representative has booked an appointment for healthcare services or a short-term care or residential care placement in social or healthcare, and the client has failed to attend the appointment at the booked time without cancellation and a valid reason. A fee will not be charged if there is a valid reason for failing to cancel a booked appointment or if it would be considered unreasonable to charge a fee. 

(Section 3 of the Client Fees Act)

Communal housing  monthly fee

• The client will be charged for the rent, meals and other support services that facilitate living at home according to the client price list, as well as a monthly fee for home care. 

Communal housing refers to housing organised by the Wellbeing Services County in an accessible and safe residential unit, where each person has an apartment that meets their needs and where activities that promote social interaction are available to the residents. (Section 21b of the Social Welfare Act)

• The Wellbeing Services County of Vantaa and Kerava charges a basic fee of 34.00 euros per month for activities that promote social interaction

The client fees for communal housing are charged according to the current price list. The customer is billed according to their individual care and service plan, which includes care and support provided at home according to the service plan.

Moreover, the client pays separately for 

• the necessary support services according to the price list for support services (6.1),             
• the meal fees according to the meal price list (6.2), and
• the rent for the apartment.

(Sections 10e, 10f and 10g of the Client Fees Act)

Fees for continuous and regular home-based care

The Wellbeing Services County may charge a monthly fee for continuous and regular home-based services, which is determined by the number of service hours specified in the service decision, the client’s ability to pay and the size of the family. 

The fee does not include housing expenses. 

The fee cannot be higher than the payment percentage in the following table, based on the gross monthly income that exceeds the income threshold. 

Family size, number of people	1	2	3	4	5	6
Income threshold, in euros per month	699	1290	2025	2503	3030	3481

If there are more than six people, the income threshold is increased by 416.00 euros for each additional person. 

The payment percentages are as follows

	Payment percentage by family size
Service hours per month	1	2	3	4	5	6
4 hours or less	8.00	7.00	6.00	6.00	6.00	6.00
5–8	10.00	8.75	7.50	7.50	7.50	7.50
9–12	17.00	14.75	12.50	12.50	12.50	12.00
13–16	21.00	17.75	14.50	14.50	14.00	12.00
17–20	24.50	20.50	16.50	16.00	14.00	12.00
21–24	26.50	22.50	18.50	16.00	14.00	12.00
25–28	28.50	24.00	19.00	16.00	14.00	12.00
29–32	30.50	24.00	19.00	16.00	14.00	12.00
33–36	32.50	24.00	19.00	16.00	14.00	12.00
37–38	34.50	24.00	19.00	16.00	14.00	12.00
39 hours or more	35.00	24.00	19.00	16.00	14.00	12.00

(Section 10e of the Client Fees Act)

24-hour service housing monthly fee

• The client fee is determined by the client’s ability to pay. The fee may not exceed 85% of the client’s net monthly income. The client is allocated 15% of their income as monthly disposable funds, subject to a minimum of 195.00 euros. 
• The fee takes into account Kela’s annual limit on out-of-pocket medicine costs, which is 53.01 euros per month.
• If the spouse with the higher income is residing at a housing unit, the client fee may not exceed 42.5% of the combined income of both spouses. 
• The client pays separately for housing and services that they use, meaning that the client fee is divided into two separate fees: 
  • The client enters into a rental agreement with the service provider pursuant to the Act on Residential Leases and pays the rent to the service provider. The rent is taken into account as a deduction from the service fee, after housing allowance has first been deducted from the rent. 
  • The client pays the service fee to the Wellbeing Services County. 
• The services include care and support tailored to the client’s needs, activities designed to maintain and promote functional ability, meal, laundry, personal hygiene and cleaning services, as well as services that promote participation and social interaction. The services are provided 24 hours a day based on the client’s needs. 
• The Wellbeing Services County may, at its discretion, deduct the client’s regular income, receivables and benefits according to Section 14 of the Client Fees Act, and use these to offset the client fee. 

(Sections 7c, 10b, 10c, 10d and 14 of the Client Fees Act)                                     

6.8. In-patient services

Billing according to Chapter 2.2. Hospital and rehabilitation services.