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Reimbursement thresholds

Updated 04 February 2016

The more expenses you have for reimbursable medicine, the more reimbursement you will receive within a period of one year (the reimbursement period).

The amount of reimbursement depends on whether you are younger or older than 18 at the start of the reimbursement period.

The thresholds in the table below are effective from 1 January 2016 to 31 December 2016.

The one-year reimbursement period starts when you buy reimbursable medicine for the first time after the expiry of the preceding period.

The table below shows the relationship between the amount of reimbursement and your total annual expenditure for reimbursable medicine before deduction of reimbursement.

Reimbursement thresholds in 2016

Annual personal expenditure on reimbursable medicine before deduction of reimbursement

Reimbursement for persons
over the age of 18

Reimbursement for persons
under the age of 18

DKK 0-935

0%

60%

DKK 935-1,535

50%

60%

DKK 1,535-3,325

75%

75%

In excess of DKK 3,325

85%

85%

Adults: In excess of DKK 17,975 (patient's co-payment= DKK 3,880)

100%

Children and adolescents under the age of 18: In excess of DKK 22,115 (patient's co-payment= DKK 3,880)

100%

Example

Your medicine purchases in a reimbursement period could look like this if you are older than 18:

Start date for the reimbursement period 10 January 2016 - end date for the reimbursement period 9 January 2017

Date of purchase

Reimbursement price

Balance before purchase

Balance after purchase

Patient's co-payment

Reimbursement in %

10/01/2016

935.00

0.00

935.00

935.00

0

27/02/2016

600.00

935.00

1,535.00

300.00

50

02/12/2016

900.00

1,535.00

2,435.00

225.00

75

23/12/2016

890.00

2,435.00

3,325.00

222.50

75

28/12/2016

1,000.00

3,325.00

4,425.00

150.00

85