If you are dissatisfied with Kela’s decision
If you believe that Kela’s decision on your entitlement to care, prior authorisation or reimbursement of medical care provided abroad is incorrect, you can appeal it. If, in Kela’s opinion, the decision cannot be rectified in the way you wish, you can appeal further to the Administrative Court or the Appeal Board.
Decision on entitlement to care
If you are dissatisfied with Kela’s decision on your entitlement to care, you can appeal against it to Kela. If, in Kela’s opinion, the decision cannot be rectified in the way you wish, you can appeal to the Social Security Appeal Board. You can appeal against the decision of the Social Security Appeal Board to the Insurance Court, which is the highest appellate instance. Further information is available on the Kela website.
Decision on prior authorisation or reimbursement of medical care provided abroad
If you are dissatisfied with Kela’s decision on prior authorisation or reimbursement of medical care provided abroad, you can appeal against it to Kela. If, in Kela’s opinion, the decision cannot be rectified in the way you wish, you can appeal further to the Administrative Court. Decisions by the Administrative Court you can be further appealed against to the Supreme Administrative Court if the Supreme Administrative Court grants leave to appeal. The Supreme Administrative Court’s decision is final and cannot be appealed. Further information is available on the Kela website.
You can also appeal to the Administrative Aourt against Kela’s decisions on the reimbursement of costs of treatment in accordance with prior authorisation, as well as the reimbursement of travel, accommodation and medicine costs related to the treatment provided with prior authorisation.