Reimbursement thresholds
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 2019 to 31 December 2019.
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 2019
| Annual personal expenditure on reimbursable medicine before deduction of reimbursement |
Reimbursement for persons |
Reimbursement for persons |
|
DKK 0-980 |
0% |
60% |
|
DKK 980-1,625 |
50% |
60% |
|
DKK 1,625-3,520 |
75% |
75% |
|
In excess of DKK 3,520 |
85% |
85% |
|
Adults: In excess of DKK 19,078 (patient's co-payment= DKK 4,110) |
100% |
|
|
Children and adolescents under the age of 18: In excess of DKK 23,428 (patient's co-payment= DKK 4,110) |
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 2019 - end date for the reimbursement period 9 January 2020
|
Date of purchase |
Reimbursement price |
Balance before purchase |
Balance after purchase |
Patient's co-payment |
Reimbursement in % |
|
10/01/2019 |
980.00 |
0.00 |
980.00 |
980.00 |
0 |
|
27/02/2019 |
645.00 |
980.00 |
1,625.00 |
322.50 |
50 |
|
02/12/2019 |
900.00 |
1,625.00 |
2,525.00 |
225.00 |
75 |
|
23/12/2019 |
995.00 |
2,525.00 |
3,520.00 |
248.75 |
75 |
|
28/12/2019 |
1,000.00 |
3,520.00 |
4,520.00 |
150.00 |
85 |
Reimbursement of medicinal cannabis in the pilot programme
Reimbursement for medicinal cannabis is calculated separately in the Danish Medicines Agency's newly established Central Reimbursement Register for Cannabis (CTR-C).
Special reimbursement thresholds for cannabis products
| Total expenditure per reimbursement period (12 months) | Reimbursement rate | Patient's co-payment |
| DKK 0 - 20,000 | 50% | Up to DKK 10,000 |
| DKK 20,000 - | 0% | Full price of the product |
| For terminally ill patients | 100% | No co-payment |
The Health Minister may adjust the thresholds twice a year.