Quick examination and treatment

PFA Health Insurance

PFA Health Insurance gives you access to quick examination and treatment at hospitals, clinics and by specialists. Normally, examination and treatment are initiated within 2 - 10 weekdays.

How to use PFA Health Insurance

1. Contact your doctor

You always need to start by contacting your own doctor, who must assess your need for treatment and give you a referral or recommendation.

*for instance, you need a recommendation if your doctor assesses that you need to see a reflexologist or acupuncturist as you cannot get a traditional doctor's referral for these types of treatment.

2. Call PFA's Health Centre at
(+45) 70 12 50 00

Usually, you will receive immediate approval. Examination and treatment must be approved by PFA before it is initiated. Additionally, you will receive a letter with the approval either by post or in your e-Boks.

You can also report your injury and have your treatment approved at My PFA under ‘Your Insurance cover’.

3. Get started with examination and treatment

We will, as a rule, direct you to a treatment facility within PFA’s quality-assured network. Normally, PFA will settle the payment directly with the treatment facility so that you do not need to pay upfront and claim the payment back later.

PFA Health Insurance – what is covered?

 What is covered?

         
PFA Health Insurance covers (not exhaustive):

- Expenses for pre-examinations, treatments and re-examinations at hospitals, clinics or by specialists
- Treatment of abuse of alcohol, medicine and other intoxicants (up to DKK 132,000)
- Psychologist (needs-based)
- Emergency counselling (24-hour service)
- Treatment by psychiatrists (up to 12 consultations)
- Chiropractor and physiotherapist (needs-based)
- Acupuncturist and reflexologist (up to 12 sessions per year in total)
- Dietician in case of BMI under 18 or above 30 (up to 12 consultations)
- Rehabilitation (up to 24 months)
- Recuperation stay (up to 3 months)
- Medical follow-up treatment
- Temporary home help and home nursing care (up to 3 months)
- Transportation of patients in Denmark
- Quick help dealing with stress without a doctor’s referral

You can use the examination and treatment options, etc. right from the day when you become covered by the health insurance plan; however, the need for treatment must have occurred during the insurance period.

PFA Health Insurance does not cover (not exhaustive):

- Chronic illnesses that occurred before you became covered by PFA Health Insurance
- Cosmetic surgery
- Glasses, contact lenses, hearing aids or dental treatment
- Infertility treatment
- Emergency treatments (for instance in relation to situations that require doctors from the emergency service and casualty ward)
- Treatment needs that occurred before you became covered by PFA Health Insurance
- Alternative treatment
- Organ transplant
- Chronic dialysis treatment
- Treatment of compulsive gambling
- Corns and warts on feet and hands
- Sexually transmitted diseases
- Heart diseases that are covered by the public heart treatment packages. However, diagnosing is covered
- Cancer illnesses that are covered by the public cancer treatment packages. However, diagnosing is covered
- Recuperation from stress

Read more in the terms and conditions at My PFA
       

Advice on job dissatisfaction, stress symptoms or substance abuse over the phone

If you experience stress symptoms or do not thrive, you can get advice and guidance from a psychologist by contacting the new Mental well-being hotline. The psychologist will also assess whether you need further help. Call the Mental well-being hotline at (+45) 71 96 76 60.

If you are battling abuse of alcohol, medicine or other intoxicants, you can get advice on dealing with substance abuse and treatment by contacting the Alcohol and drug hotline at (+45) 71 96 77 60.

Get help during menopause

If you are in menopause, you can get treatment for any issues from an acupuncturist, reflexologist, gynaecologist and dietitian (no overweight or underweight requirement). In addition, you can get psychological counselling via the Mental well-being hotline or a traditional psychologist session. 

Your children under the age of 24 have the same cover as you

Your children under the age of 24 are automatically covered by your Health Insurance. This means that they have the same advantageous treatment and examination options that you do. If you have a domestic partner, your domestic partner’s children will also be covered.

Register your partner and children above age 24

Your children under 24 years of age are automatically covered by your health insurance. This means they can get the same prompt treatment. This also applies to your domestic partner’s children if they are still living at home.

PFA Health Insurance for children over 24 years of age

You have the option of taking out PFA Health Insurance for your children between the age of 24 and 28. The annual price is DKK 2,610 (2024-2026) and payment must be made through Betalingsservice. If the insurance plan is taken out not later than 3 months after your child has attained 24 years of age, any pre-existing illnesses and illnesses that have arisen as a consequence thereof will be covered by the insurance. If the insurance is taken out later, the said illnesses will not be covered for the first 6 months. 

Registration
Click here to fill out a registration form (PDF)
Then send the completed registration form to PFA by uploading it at pfa.dk here.
  

PFA Health Insurance for your partner

Your spouse or cohabiting partner can also take out PFA Health Insurance at an advantageous cost. Your partner’s Health Insurance must be paid annually through Betalingsservice. The price per year is DKK 2,546 (2024-2026). Please note that any pre-existing illnesses and illnesses which have occurred as a consequence of a pre-existing illness cannot be covered until 6 months after the establishment of your partner’s Health Insurance.

Registration
Click here to fill out a registration form (PDF)
Then send the completed registration form to PFA by uploading it at pfa.dk here.