Medical Botox treatments and Kela reimbursement
Botox is covered by Kela when botulinum toxin is used to treat a medical condition under a doctor’s prescription. Kela reimburses 40% of the cost of the botulinum toxin medication before the prescription drug ceiling is reached. The most common indications covered by Kela reimbursement include chronic migraine, excessive sweating, and bruxism when accompanied by certain functional symptoms.
In this article, the term "Botox" is used as a generic term for all botulinum toxin products available in Finland.
Botox, Migraines & Kela Reimbursement
Botulinum toxin used to treat chronic migraine is a prescription medication. Once a doctor determines that treatment is necessary and writes a prescription, the patient can purchase the medication at a pharmacy with coverage from Kela.
Kela covers 40% of the cost of botulinum toxin medication before the annual deductible—known as the medication cap*—is reached. Once the medication cap is reached, the customer pays €2.50 for the medication.
The reimbursement applies to the medication, not the actual injection procedure.
* In 2026, the annual out-of-pocket limit for prescription drugs will be €636.12
Bruxism, Botox, and Kela reimbursement
Bruxism, or clenching or grinding of the teeth, can lead to overuse of the jaw muscles, jaw pain, and headaches. In some cases, these symptoms can be treated with botulinum toxin.
If bruxism is accompanied by tension headaches and a doctor prescribes a botulinum toxin medication, the patient can purchase the medication at a pharmacy with Kela coverage.
Kela covers 40% of the cost of botulinum toxin medication before the annual deductible—known as the medication cap*—is reached. Once the medication cap is reached, the customer pays €2.50 for the medication.
The reimbursement applies to the medication, not the actual injection procedure.
* In 2026, the prescription drug cap—that is, the annual copayment for prescription drugs—will be €636.12.
Excessive Sweating, Botox & Kela Reimbursement
Botulinum toxin is also used to treat excessive sweating, or hyperhidrosis. The treatment is particularly suitable for severe sweating in the underarms, palms, and soles of the feet when other treatments have not provided sufficient relief.
Once a doctor determines that treatment is necessary and writes a prescription for a botulinum toxin medication, the patient can purchase the medication at a pharmacy with coverage from Kela.
Kela covers 40% of the cost of botulinum toxin medication before the annual deductible—known as the medication cap*—is reached. Once the medication cap is reached, the customer pays €2.50 for the medication.
The reimbursement applies to the medication, not the actual injection procedure.
* In 2026, the prescription drug cap—that is, the annual copayment for prescription drugs—will be €636.12.
Frequently Asked Questions
How much does Kela cover for Botox?
Kela reimburses 40% of the cost of botulinum toxin medication when it is prescribed for the treatment of a medical condition and the eligibility criteria for reimbursement are met. In 2026, the annual out-of-pocket limit for medications, or the medication cap, is €636.12. Once the medication cap is reached, you will only pay a €2.50 copayment for reimbursable medications.
Is Botox treatment covered by Kela?
Yes, if botulinum toxin is used to treat a medical condition and a doctor has written a prescription for the medication. Before the prescription limit is reached, Kela covers 40% of the medication’s cost.
Does Kela cover cosmetic Botox treatments?
No. Botox administered for the treatment of wrinkles or for other cosmetic purposes is not covered by Kela.
Is Botox treatment for migraines covered by Kela?
Yes. Botulinum toxin medication prescribed for the treatment of chronic migraine is available with Kela reimbursement upon a doctor’s prescription.
Is Botox treatment for bruxism covered by Kela?
A prescription botulinum toxin medication may be covered by Kela when used to treat functional headaches associated with bruxism or other symptoms diagnosed by a doctor as requiring treatment.
Is Botox treatment for excessive sweating covered by Kela?
Yes. A botulinum toxin medication prescribed to treat excessive sweating may be eligible for reimbursement by Kela based on a doctor’s assessment.
