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HEALTH

EXPLAINED: What foreigners in Norway need to know about healthcare costs

While healthcare in Norway is heavily subsidised, patients are still required to cover some of the costs. Here’s what you can expect to pay.

Pictured is a patient with a hand brace in Norway.
Contrary to popular belief, healthcare in Norway isn't free. Pictured is a patient with a hand brace in Norway. Photo by Tom Claes on Unsplash

Given the country’s famed welfare state and social security safety net, one might assume healthcare in Norway is completely free, but this isn’t quite the case.

Instead, healthcare in the country is heavily subsidised, and patients pay fees when using the public health system. These costs are called eigendelar or user fees.

Some therapists, such as physiotherapists, will also have agreements in place that allow patients to pay fees rather than the full healthcare cost.

Patients’ healthcare costs are capped. After spending more than 3,165 kroner in approved healthcare costs, patients are issued an “exemption card,” which entitles them to free treatment.

However, some outpatient clinics can charge “patient fees”, or pasientbetaling. These fees do not count towards the user fees and can be charged even if you have an exemption card.

Norway also has a private healthcare system, and this is obviously more costly than the public healthcare system.

Doctor’s appointments

One of the most basic healthcare costs is a doctor’s appointment, which will cost between 179 and 301 kroner, as evening appointments are more costly.

Online appointments cost 179 kroner regardless of the time. Opting to go private for a doctor’s appointment will cost anywhere from 700 to 900 kroner.

GP appointments, where the doctor specialises in general medicine, cost 235 kroner when using the public health system. Appointments can cost up to 425 kroner to have a specialist GP visit you in the evening.

Meanwhile, a consultation with a specialist costs 403 kroner.

You can also be charged additional costs while visiting a GP. For example, a lab test, such as blood work, costs 64 kroner, while an X-ray costs 287 kroner.

A sick note, which employers can ask workers for after three working days of sick, or a referral to a specialist costs 64 kroner.

READ ALSO: How long can you take off work without a sick note in Norway?

More information on GP costs can be found on the website of Norway’s digital health portal, Helsenorge.

Some basic costs are not subsidised. These include expenses for dressings and bandages and the printing and issuance of medical certificates.

Hospitals

When being examined in an out-of-hours emergency room, a doctor’s visit costs between 240 and 425 kroner.

However, in-patient treatment at Norwegian hospitals is free of charge to all. Emergency transportation is also free. Non-emergency transportation does come with costs, however.

Examinations, treatments and specialist checkups cost 403 kroner at an outpatient clinic, while an X-ray or ultrasound costs 287 kroner.

Other kinds of healthcare

If you access a psychologist through the public health service, you can expect to pay 403 kroner for a session. Longer sessions cost more, and a three-hour session costs 1,209 kroner. Group therapy is also an option and is cheaper for longer sessions.

Physios charges 201 kroner for a 30-minute examination, and an ultrasound costs 103 kroner. Prices with a physiotherapist start from 144 kroner, with a 46 kroner charge for every ten minutes after the first 20.

Prescriptions

You also pay for prescriptions and medicine in Norway.

Those with long-term prescriptions are issued “blue prescriptions”. If you are issued a blue prescription, you will be expected to pay 50 percent of the cost of medication. However, there is a cap on prescription costs.

Blue prescription holders will pay a maximum of 520 kroner for a three-month supply of their medication. This means prescription fees in Norway can total more than 2,000 kroner a year for those with a long-term prescription.

Exemption cardholders do not need to pay for prescriptions, though.

What about foreigners?

Foreign residents in Norway who are entered into the National Insurance Scheme have the same healthcare rights as Norwegians, so will pay the above costs for treatments.

Tourists from the EEA with a valid EHIC card have the right to access to healthcare and will pay the same healthcare user fees as residents and citizens of Norway.

Those on holiday from countries outside the EU/EEA are entitled to emergency care, but you will likely not be entitled to subsidised healthcare. For that reason, Helsenorge advises you to take out health insurance. Your home country may cover the medical costs, however this isn’t guaranteed.

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For members

DRIVING

What medical conditions can lose you your driving licence in Norway?

Certain medical conditions and disabilities can lead to your Norwegian driving licence being temporarily suspended or taken away. Here's how the system works.

What medical conditions can lose you your driving licence in Norway?

What are your rights to a driving licence in Norway?

You don’t have an absolute right to a driving licence in Norway. In the eyes of the authorities, traffic safety always comes first.

This means that if you already have or develop a health condition that affects your ability to drive safely, you could end up losing your licence, having it suspended for a period, or only being granted a temporary licence valid for one, two or five years rather than the usual 15. 

When getting your licence

When you apply for or renew a licence to drive a car or motorbike in Norway or apply to swap an international licence for a Norwegian one, you need to fill in a form declaring that you do not suffer from any health complications that might affect your ability to drive.

Those with such a condition, will need to get a health certificate from a doctor, psychologist, optician or other specialist before they can be issued with a new licence. 

If you want a licence to drive a heavy vehicle such as a bus or truck, you must have a doctor’s certificate declaring that you do not have a health condition making you unfit to drive. 

If you develop a condition after getting a Norwegian licence

Suppose you, yourself, suspect that you have or are developing a health condition that affects your ability to drive safely. In that case, you have a duty in Norway to visit a doctor, psychologist or optician to have an assessment.

What is most likely to happen, however, is that your doctor, psychologist or optician, while treating you, will themselves take action to have your licence suspended or revoked if they suspect you are no longer safe on the roads.  

They will start by issuing a verbal ban, telling you not to drive until your condition is assessed or until your licence is formally revoked. These can be issued for up to six months, and you have a duty to obey. If police stop you and they learn of the verbal ban, you risk being charged as if you were driving without a licence.

Should you be are involved in an accident, your insurance company will also treat you as driving without a licence. If you disagree with the verbal ban, you can get a second opinion from another doctor who can lift it. But you must still respect it until that examination takes place. 

When a doctor, psychologist, or optician suspects your impairment will last longer than six months, they will contact the local County Governor, or Statsforvalteren, advising them either to revoke, suspend, or limit your driving licence. You can find a Q&A in Norwegian on how County Governors handle driving licence cases here.

In cases where the doctor is not sure how badly the health condition affects driving, they may request a driving assessment by the Norwegian Public Roads Administration. 

If the County Governor judges that you are not safe, they then contact the police calling for your licence to be revoked in full, limited to certain vehicles, or limited in time. 

If you have a temporary licence 

For many health conditions, the guidelines mean you will not be issued a normal 15-year driving licence and instead will be issued with one valid for six months, a year, three years, or five years, after which you will need to have a new health assessment by your doctor, psychologist or optician, or even undergo another driving assessment by the Norwegian Public Roads Administration.  

What health conditions might lead to you losing your licence? 

On the website of the Norwegian Health Services, there is a long list of conditions which could conceivably make you unsafe behind the wheel. Still, they include deteriorating eyesight, cognitive or neurological disorders, strokes, multiple sclerosis, meningitis or encephalitis, brain injuries, brain diseases or tumours, epilepsy, sleep disorders, heart conditions, diabetes, psychiatric disorders, substance abuse, the use of some medicines, particularly painkillers such as opioids, respiratory failure, and kidney failure. 

In many conditions, such as strokes, acute meningitis, being fitted with an implantable cardioverter-defibrillator or pacemaker, epilepsy, schizophrenia or manic episodes, or alcohol or drug abuse, doctors will automatically give you a verbal ban of one week, three months, or six months, depending on the condition, before you can be issued with a health certificate recommending you be given a temporary or permanent driving licence. 

With progressive, degenerative conditions, such as diabetes, multiple sclerosis, or chronic renal failure, you may not get an immediate driving ban but instead have your permanent 15-year licence replaced with a temporary one valid only for two, three, or five years, depending on the condition. 

Psychiatric conditions

Diagnosis with schizophrenia, other psychotic disorders, a manic episode, or a succession of manic episodes, is not in itself enough to prevent you from having a driving licence, but for the first three, you need to be in a stable condition for three months and show good compliance with your treatment before a psychiatrist can give you a health certificate recommending you be granted a driving licence for up to two years.

If you have had a succession of manic episodes, you may have to wait six months before you are allowed to drive. After two years, you can apply for a driving licence with the standard 15-year duration.

Drivers with conditions such as ADHD or ADD who don’t have a conduct disorder diagnosis can get a health certificate immediately recommending a driving licence for up to two years, so long as you have “good cognitive functioning”, after which you can have a normal licence. If you have an ADHD diagnosis and do have contact disorder, you need to show that you are being treated and that the treatment makes you a safe driver, after which you can get a driving licence for two years at a time. 

Those with autism, a personality disorder, or an intellectual disability can get a certificate allowing them to get a normal 15-year driving licence for a car if a doctor or psychologist rules that their functional level is “compatible with the safe driving of a motor vehicle”.

Alcoholic or drug addict 

Substance abuse problems can affect your right to a driving licence. If your licence is taken away because of problem use, you can fulfil the health requirements after six months if a monthly follow-up indicates that you are currently sober, you can then be recommended a driving licence for one year at a time for three years, after which you can have a licence for five years, after which you will be eligible for a 15-year licence. 

Use of medicines that affect driving 

Some medicines can affect your ability to drive, with some treatments leading to a short-term verbal ban. If you are taking opioids for long-term pain management, you can drive, however, so long as the daily dose is less than the equivalent of 300 mg of morphine and it is more than a week since your last dose increase. 

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