Your rights
To be eligible for reimbursement of expenses for an orthopaedic device, an application must be submitted by an approved specialist; the application is approved when NAV has made a positive decision.
The following specialists are authorized to apply: Specialist in orthopedic surgery, internal medicine, rheumatology, pediatrics, neurology, physical medicine and rehabilitation and hospital physician with authorization.
Read more about the criteria for getting an approved requisition for orthopaedic aids on Lovdata's website here
(https://lovdata.no/dokument/SF/forskrift/1997-04-18-336 )
Referral and self-payment
A prerequisite for receiving benefits is that a supplier with a framework agreement with NAV delivers the orthopaedic device.
Deductible
NAV has notified the following about rates for self-payment/benefit amounts:
ORTHOPEDIC AIDS
- Own payment, custom-made orthopedic footwear and special shoes, adults from NOK 655 - NOK 1065 per couple
- Own payment, specially made orthopedic footwear and special shoes, children under 10 years from NOK 405 – 495 per couple
- Self-payment footbeds KR. 225 per unit
Deductible – footbeds.
There is a deductible of KR. 225 per footbed, KR. 450 per couple. If the specialist has approved that the user needs frequent replacement of footbed due to the prevention or treatment of severe ulceration in diabetes mellitus, the expenses for more than a couple of footbeds per year are fully covered.
Deductible – orthopedic custom sewn footwear.
Allowance is provided for the purchase of up to two pairs of orthopedically sewn shoes per year. year. An exemption from this provision may be granted. There is a deductible of NOK. 655-1065 per pair for adults and NOK 405-665 per pair for children under 10 years. When a dispensation from the number restriction is granted, the expenses are fully covered from and including couple number three (from the 2nd year).
Self-payment – special shoes.
The benefit is provided for the acquisition of up to two pairs of special shoes per year. Exemptions may be granted from this provision. The National Insurance Scheme covers the first NOK. 1.605 (incl. VAT) of the retail price of special shoes.
For example: If the special shoes cost NOK. 2,260 incl. VAT, the patient's self-payment will be NOK. 655 incl. VAT. When an exemption from the quantity limit is granted, the expenses are fully covered from par no. three (from 2nd year).
Your rights at NAV
To receive support for orthopaedic aids, you must have a permanent (more than two years) disability in your arms, legs or back.
The assistive device must be necessary to maintain a normal level of function, and it must be ordered by an approved specialist.
National Insurance Act §10-7
Part IV. Sickness benefits, etc.
Chapter 10.
Benefit to compensate for expenses to improve work ability and functional ability in daily life.
Regulation
F18.04.1997 No. 336
Regulations on benefits to cover expenses for orthopaedic aids, breast prostheses, facial defect prostheses, eye prostheses and wigs