Service fees and co-payments for healthcare services
Service fees
| Issuing a certificate of incapacity for work | free of charge |
| Issuing a prescription | free of charge |
| Fee for issuing a document (including medical certificates) | A reasonable fee that does not exceed the average cost of issuing a document for minors. The fee may not be charged if the document is required by the Estonian Health Insurance Fund, the police, a court or another healthcare provider. Nor may the fee be charged if the document is needed for an incapacity for work examination, an assessment of capacity for work, or to determine the severity of the disability. Please note! The healthcare provider who has received the fee must issue the patient a document certifying that the fee has been received. Please note! A family physician may not charge a fee for the certificate required for service in the Defence Forces, but must invoice the national defence department of the place of residence of the person eligible to be drafted |
| A medical record extract | If a person wants to obtain an extract from their medical record (for example, when changing their family physician), the medical institution may charge a fee of up to 19 cents for each page issued, starting from the 21st page. |
Visit and in-patient fees until 31 March 2025
Visit and in-patient fees are extra fees that the health care provider is entitled to charge the insured person for health care services paid for by the Health Insurance Fund.
| Visit to the family physician | free of charge |
| Family physician home visit | Up to 5 euros Please note! Pregnant people whose pregnancy has been confirmed by a doctor and children under the age of 2 are not subject to the home visit fee. |
| Visit to a medical specialist (including a dentist) | Up to 5 euros
Please note! If a patient fails to appear for a service on the agreed time or cancels their booked appointment less than 24 hours before the start of the visit or procedure, the healthcare provider has the right to charge the patient double the amount of the visit fee for the next visit (subsection 70 (6) of the Health Insurance Act). |
| Hospital in-patient fees (including independent in-patient nursing care) | Up to 2.50 euros per day. Up to 10 days per case, or a maximum of 25 euros per stay.
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Visit and in-patient fees starting from 1 April 2025
Visit and in-patient fees are extra fees that the health care provider is entitled to charge the insured person for health care services paid for by the Health Insurance Fund.
The Health Insurance Act sets the maximum limit for visit and hospital bed fees. Charging these fees is a right, not an obligation, for healthcare providers, and they may apply a lower fee for the individual.
| Visit to the family physician free of charge | free of charge |
| Home visit by a doctor, including a family physician | Up to 5 euros Please note! Pregnant people whose pregnancy has been confirmed by a doctor and children under the age of 2 are not subject to the home visit fee. |
| Visit to a medical specialist (including a dentist), physiotherapist, clinical psychologist, or speech therapist, or emergency department | Up to 20 euros
Please note! Visit fees may not be charged:
Please note! If the patient fails to turn up at the agreed time for the provision of the service or cancels their visit less than 24 hours before the start of the visit or procedure, the health care provider has the right to charge the double visit fee for the next visit (subsection 70 (6) of the Health Insurance Act). |
| Hospital in-patient fees (including in-patient nursing care) | Up to 5 euros per day Please note! No in-patient fee may be charged:
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Co-payments for healthcare services
The co-payment is the amount that an insured person has to pay for certain healthcare services. The co-payment amount for healthcare services is determined in accordance with the additional conditions laid down in the Estonian Health Insurance Fund’s list of healthcare services.
| Healthcare service / co-payment percentage of total cost of service | Co-payments in 2025 |
|---|---|
| Induced abortion at own request, 30% | 60,02 euros |
| Abortion at own request using medicinal products, 50% | 24,29 euros |
| In-patient fee for independent in-patient nursing care, 10% | 14,18 euros |
| Enteral nutrient solution 1000 kcal (home care), 50% | 1,83 euros |
| Oral standard wholesome nutritional supplement 600 kcal (home care), 25% (co-payment does not apply in case of hereditary metabolic disease) | 1,78 euros |
| Oral wholesome nutritional supplement with custom composition 600 kcal (home care), 25% (co-payment does not apply in case of hereditary metabolic disease) | 9,89 euros |
| Oral non-wholesome nutritional supplement with custom composition for enhancing normal diet 600 kcal (home care), 25% (co-payment does not apply in case of hereditary metabolic disease) | 2,23 euros |
Cost-sharing in prescriptions with a discount
In case the price agreement/reference price of a prescription drug is lower than the retail price, the patient pays the amount exceeding the price agreement/reference price.
| Discount % for medicinal products | Cost-sharing in 2025 |
|---|---|
| Prescription with a discount rate of 50% | 3,50 euro |
| Prescription with a discount rate of 75% (90%) | 3,50 euro |
| Prescription with a discount rate of 100% | 3,50 euro |
Frequently asked questions - FAQ
A visit fee is an additional fee charged from the insured person when providing a health service that is covered by the Health Insurance Fund. It is the right of the health care provider to charge a visit fee. Restrictions on charging visit fees are established in the Health Insurance Act.
You can find information about visit fees on the website of the Health Insurance Fund. Information about current visit fees must be available and visible to patients in every medical institution.
The Health Insurance Fund will not reimburse a paid visit to a specialist if an appointment is chosen outside the waiting list. In this case, the patient waives services funded by the Health Insurance Fund and pays the full amount for both the visit and their treatment to the medical institution themselves.
If a person does not have health insurance, they must pay for health services themselves. Each medical institution has established its own price list. Therefore, they should ask the specific medical institution for more information.
The availability of a family physician is considered the most important, which is why patients do not have to pay a visit fee when visiting a family physician. An appointment with a specialist is more expensive, and the visit fee has been set so that people do not go to a specialist unnecessarily, but instead start solving their health concerns with their family physician.
A family physician may not charge a visit fee, except in the case of home visits (up to 5 euros). Read more about the service fees applicable to the provision of health services on the website of the Health Insurance Fund.
No. The visit fee for one home visit may not exceed 5 euros, regardless of the number of insured persons per home visit.
If the family physician charged more than 5 euros, please provide the details of the physician and a receipt proving payment along with an application to the Health Insurance Fund.