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HEALTH

How Norway’s health insurance scheme works and the common problems foreigners face

Learning about Norway's National Health Insurance Scheme is essential. So here's a look at some common problems foreigners in Norway come up against and how to avoid them.

How Norway's health insurance scheme works and the common problems foreigners face
Here's how to avoid common problems with the National Health Insurance Scheme. Photo by National Cancer Institute on Unsplash

Norway’s National Health Insurance Scheme

The word ‘free’ is used loosely when it comes to describing healthcare in the Scandinavian country. Norway’s healthcare system is financed through national and municipal taxes. So residents are supporting their ‘free’ services through tax. Truly free health insurance is only offered to those under 16 years of age who do not pay taxes to Norway. 

Access to Norway’s healthcare and social services is not determined by whether you are a Norwegian citizen, nor whether you are registered in the National Population Register or pay taxes in Norway. It is based on residence or employment. But before you settle in and assume you’re covered from day one, there are some provisions.

  • To be considered a resident of Norway, you must have plans to live in the country for at least twelve months.
  • Membership with Norway’s National Health Insurance Scheme is only available for those who are in the country legally.
  • If you are planning on staying in Norway for less than twelve months, are not working, but have strong ties to the country, then you may be entitled to voluntary membership of Norway’s National Health Insurance Scheme.

If you are legally living in Norway but plan on studying or working abroad for a period of time, look here to see your healthcare membership eligibility while outside the country. 

And the common problems foreigners need to overcome?

  • Signing up 

According to the Norwegian Labour and Welfare Administration (NAV), you will be automatically enrolled in the Norwegian National Health Insurance Scheme if you are legally working or living in Norway.

Processing times can range from a few days to a month, and you will usually receive confirmation through the post when you have been added to the system.

Healthcare is a large part of the Norwegian National Health Insurance Scheme, as are social services such as welfare. If you need economic support, you can apply for assistance if you are legally living in the country. How much you will receive depends on your situation and application processing times vary between each individual evaluation and municipality. 

READ MORE: Seven things foreigners in Norway should know about the healthcare system 

There are many rules and guidelines if you decide to apply for economic assistance. To see what procedures, information, and advice you are entitled to, look here.

Self-employed workers are also entitled to the same benefits as traditional employees in Norway. Though it is up to them to register events like sick leave on their own. 

  • Somethings are not free

The healthcare system in Norway is of a high standard and covers most expenses. Because it is so comprehensive, many new to the country assume that all health matters are covered by national health insurance. It is important to remember that vision and dental insurance are not a part of the public health care plan. 

Dental treatment is free for those between one and 18 years of age. If you are 19 or 20 years old, you must pay 25 percent of the total bill. If you are 21 or older, then you are required to foot the bill. 

However, there are exemptions for special cases. You can find out more about the payment exceptions here.

Eye exams, contact lenses, and glasses are not covered by public health insurance. These are normally services offered by private companies such as Spec Savers and Brilleland.

In addition to vision and dental, cosmetic surgeries are also not covered by public health insurance. 

Here is a price list for common services in Norway.

What is a frikort?

frikort or an “exemption card” is a card given out once you have reached the maximum limit of fees the public is required to pay per calendar year. In 2021, the maximum amount in fees you are expected to pay is 2,460 kroner before being eligible for a frikort

  • Many things have gone digital 

Many newcomers to Norway are surprised to find how digitalised health services in the country are. After you have become a member of the national insurance scheme, you can go online to order prescriptions, find available appointments with your GP, have digital communication with their doctor, and look at summaries of past medical appointments. 

For an overview of all the services and information, you can use online, look here.

  • Finding your GP

While your acceptance into the National Health Insurance Scheme may be automatic, it is up to you to choose your GP. 

There are a few guidelines to be aware of if you, for some reason, want to change from your original choice. You are allowed to change your GP up to two times in one year. You can also choose to switch if you officially change your address or if your GP cuts their patient list. You can find a list of general practitioners at legelisten.no.

  • The waiting times

As previously stated, the standard of health care in Norway is high, and you can visit your GP or a specialist as often as you need them. But it is not uncommon to have to wait a few weeks before you find an available appointment. The same goes for non-critical surgeries. It is not unusual to wait up to six months for a non-life-threatening yet necessary surgery.

Useful Vocabulary

egenandel – deductible

fastlege – general practitioner 

optiker – optometrist 

tannlege – dentist 

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For members

HEALTH

Everything you need to know to survive Norway’s pollen season

Pollen season in Norway begins earlier every year. Here are several tips to hopefully help get you through the season unscathed.

Everything you need to know to survive Norway's pollen season

Plan ahead

The best place to check for pollen forecasts in Norway is the Norwegian Asthma and Allergy Association.

Their forecast has an overview of pollen spread per county and the type of pollen spreading. It uses a colour-coded system to let you know what to expect.

This can help you get a more detailed overview. For a quicker look, you can use the weather app YR, which lists any pollen warnings in your general area.

Having a general overview of when pollen spreads in the different parts of Norway is also quite handy.

Pollen warnings aside, also be sure to check the weather. Warm, dry weather and wind will spread much more pollen.

The pollen season varies across Norway

Over the past 10-15 years, the pollen allergy has begun as early as February.

The pollen season begins with alder and hazel in western Norway before spreading to eastern Norway.

However, those in northern Norway and mountainous areas in southern Norway avoid the alder and hazel pollen season altogether.

Birch pollen season is April, May, and June, and as a lot of pollen is released, this can cause trouble for allergy sufferers.

The salix, or willow, pollen season is generally between April and May.

Grass pollen, on the other hand, doesn’t begin in Norway until June, meaning those with a grass allergy have quite a bit of time to prepare. This season will last until August.

Most allergy sufferers in Norway begin to feel symptoms in mid-April. It is recommended that they start renewing prescriptions before this.

Those with a pollen allergy are also advised to take medication before symptoms become too severe.

The mugwort pollen season begins in July and August.

However, in mountainous regions and northern Norway, the pollen season won’t arrive until a month later.

Medicines

There are a variety of non-prescription allergy medicines that you can buy over the counter in Norway.

These come in the form of allergy tablets, eye drops and nasal sprays to relieve symptoms.

Many newer varieties of antihistamines are available in Norway, and they don’t have the traditional side effects of fatigue and drowsiness.

When purchasing nasal sprays, you must be careful with their use. Overusing nasal sprays can cause the user to feel more congested than they were originally and may lead to dependence.

You can also try an allergy vaccination treatment. This lengthy process involves giving tiny doses of the allergens you are allergic to. Eventually, the body gets used to the allergen and stops reacting to it.

Over-the-counter medications are recommended for mild and moderate symptoms. If your symptoms are long-lasting or particularly severe, you should contact your GP.

Once you’ve made an appointment, your doctor will ask about your medical history. If you already know you have a pollen allergy and which allergen you are allergic to, you should let the doctor know.

If the symptoms are new, the doctor may schedule some allergy tests to identify the allergen. These allergy tests can typically be done without a referral.

The doctor will likely perform a blood and “prick” test. This is when you are pricked with a small concentration of suspected allergens.

Even if you have previously been diagnosed with an allergy, the doctor may decide to run tests anyway.

Doctors will generally prescribe the medicine they think best relieves your symptoms.

Other tips

During pollen season, don’t hang any laundry outside as this could lead to your clothes, bedding and towels being covered in allergens.

A vacuum cleaner with a HEPA (high efficiency particulate air) filter may also be a wise investment as these are designed to catch pollen and other particles.

You will also need to make sure that pets are groomed regularly, as they typically catch pollen in their fur and could spread pollen all over your home.

Simple acts like shutting vents when the pollen level is high and keeping your bedroom door closed during the day to minimise the spread of pollen from the rest of the house are also worthwhile.

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