Reimbursement thresholds

Updated 13 February 2019

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
over the age of 18

Reimbursement for persons
under the age of 18

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.


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