Table 4. Illustrations of Cost-Sharing Within Publicly Financed Healthcare .
| Compulsory Deductible | Cost-Sharing (Co-payments and Co-insurance Above Maximum Reimbursement) | |
| The Netherlands | €360 | ~€95 medical transportation per year |
| €69 (<16 year) and €137.6 (≥16 year) orthopedic shoes per year | ||
| €4 per hour maternity care | ||
| €20 per session with a psychologist | ||
| €32 per day for nonmedical maternity care | ||
| 25% of the costs of a dental prosthesis | ||
| €125 for prosthesis or dental implant | ||
| 25% of the price of a hearing aid | ||
| Belgium | No | 10%-40% co-payments for most services (depending on preferential reimbursement and service type) |
| Co-payments for medicines up to 80%, depending on reimbursement category and preferential | ||
| reimbursement (0%-25%-50%-60%-80%); however the co-payments are maximized in some reimbursement | ||
| categories | ||
| €40 for first hospital day; subsequently €13 per day; plus €0.62/day for medicines, €7.44 for biological | ||
| testing/stay, €6.20 for radiology and €16.40/stay | ||
| Maximum: €450-1800 depending on level of income; €10.8-13.5 per prescription drug in some | ||
| reimbursement categories | ||
| Germany | No | €5-10 for medicines |
| €10 per hospital day or day at rehabilitation center (until max 28 days) | ||
| 10% cost-sharing physiotherapy + €10 per visit | ||
| Maximum: 2% income | ||
| England | No | €10 for medicines |
| €240 for dental trajectory | ||
| Maximum: people who are not entitled to free subscriptions but expect to need more than 3 prescriptions | ||
| in 3 months may opt for a prescription prepayment certificate at the cost of £104 per year. | ||
| France | €50a | 20%-50% for different services: general practitioner, hospital, dentist, laboratory |
| Co-payments 85% for drugs according to category (0%-35%-65%-85%), depending on medical benefit and | ||
| seriousness of the pathology | ||
| Scotland | No | 80% dental costs with a maximum of €450 |
| Sweden | €122-333b | €11-22 per general practitioner visit |
| €25-35 per visit to a medical specialist | ||
| €9 per hospitalization day | ||
| Cost-sharing for paramedic care and medical devices differ between regions | ||
| Maximum: €122 for general practitioner/medical specialist, €220 for devices, €600 for drugsc | ||
| Switzerland | €250 | 10% for all services |
| €8 for hospital admission | ||
| Maximum: €570 |
Abbreviations: SHI, social health insurance; NHS, National Health Service.
a Beneficiaries pay a deductible for a range of services (medicines, doctors, ambulance, hospital), which are deducted from reimbursement and are not insurable.
b Medicines deductible €122; deductible for dental care €333.
c After the deductible amounts, the government subsidy gradually increases up to 100%. The maximum co-payment for prescribed drugs is €244 per year.
Sources: Health Systems in Transition, European Observatory on Health Care Systems; International Profiles of Health Care Systems 2012, The Commonwealth Fund; MISSOC; WHO Medicines Documentation (http://apps.who.int/medicinedocs/en/d/Jh2943e/11.3.html)