SAKA – sickness fund for HOK-Elanto
SAKA, the sickness fund for HOK-Elanto employees, is one of HOK-Elanto’s most significant personnel benefits. As a person insured through SAKA, you can receive 70% compensation for expenses such as doctors’ fees, dentists and dental hygienists’ services, medication, physiotherapy, and health centre fees. Every HOK-Elanto employee is added to SAKA as an insured person once their employment
Part of the health support package
SAKA complements free occupational healthcare
Health support at HOK-Elanto consists of statutory occupational healthcare, general practitioner-level medical care and the sickness fund SAKA, which supplements them. As part of the health support package, the sickness fund provides HOK-Elanto employees with access to extensive health and medical care services.
For every HOK-Elanto employee
Our SAKA
Every HOK-Elanto employee is added to SAKA as an insured person once their employment relationship has lasted six months. At the beginning of the seventh month, you will receive your new Kela card by letter at your home. The sickness fund is an employee benefit that costs HOK-Elanto employees €20 per month.
Benefits
What you get from SAKA
In addition to the normal Kela compensation, insured persons of the sickness fund receive an additional compensation from the sickness fund. For example, you can get 70% compensation for expenses such as doctors’ fees, dentists and dental hygienists’ services, medication, health centre fees, and physiotherapy. For more details on compensation, please see the link below.
Read more about the benefitsContract partners
Where can I get the benefits?
When you are insured through SAKA, you get significant discounts at several pharmacies, medical institutions and doctors. At our contract partners, the compensation is deducted directly from the total amount of the invoice, in which case you only pay a deductible of 30%. We recommend using the same clinic where your own occupational healthcare is arranged.
Contract partnersClaiming compensation
How to claim SAKA benefits
Compensation from the sickness fund is applied for with forms that you can send either by mail, HOK-Elanto’s internal mail or scanned by email. The claim period for compensation is six months.
How to claim compensationLearn more about SAKA
The SAKA service number is available from Monday to Friday from 9 am to 1 pm at +358 10 76 60150 (local network charge/mobile phone charge) and by email at hok-elanto.sairauskassa (at)sok.fi Street address: Tripla Workery West. Postal address: Firdonkatu 2 T 111, 00520 Helsinki.
Privacy policy of HOK-Elanto’s sickness fund:
Privacy policy
The HOK-Elanto sickness fund also processes benefits in accordance with the Health Insurance Act.
administrative register_privacy policy
You can learn more about data protection and the processing of personal data at https://www.kela.fi/data-protection
Frequently Asked Questions about SAKA
1. What do I need to do to join the sickness fund?
You will be automatically added to the sickness fund from the beginning of the next month after six months have passed since the start of your employment relationship. You will automatically receive a new Kela card at your home by mail within about two weeks.
2. When do I get a new Kela card?
A new Kela card will arrive in the mail within about two weeks of your insurance relationship starting.
3. Can I use the sickness fund’s benefits if I have not yet received a Kela card with the sickness fund’s information?
If you are insured with the sickness fund but have not yet received a new Kela card, you can use the benefits of the sickness fund. We recommend that you check with the sickness fund if you are unsure.
4. Where do I send claims for compensation and daily allowance applications?
Send your claim with the necessary attachments to HOK-Elannon sairauskassa, Firdonkatu 2 T 111, 00520 Helsinki, or alternatively to the office’s internal mail address “HOK-Elannon sairauskassa”.
5. Is it necessary to fill in section 5, “Power of attorney” in the application for the compensation of medical expenses?
It is unnecessary if you are applying for compensation yourself, and the compensation is paid to you (fill in sections 1–4).
6. What medical care expenses does the sickness fund cover?
As a general rule, the fund compensates the same costs as those compensated under the Health Insurance Act. In addition, public healthcare costs, glasses, etc. are covered. You can read more about compensation in the fund’s rules.
7. I have purchased medication that costs €16.00. Why am I not receiving compensation?
For medication covered by Kela, compensation in accordance with the Health Insurance Act is granted only when the annual medical costs exceed the initial deductible. The initial deductible is €50.00.
8. Does the sickness fund cover annual oral and dental examinations?
Oral and dental examinations performed by a dentist are covered once every other calendar year (70%). However, an oral and dental examination by a dentist may be covered once per calendar year if the patient’s state of health requires it. However, oral and dental examinations cannot be covered more than once a year.
9. Can I buy glasses as soon as my insurance relationship has started?
You cannot. You must be insured by the sickness fund for one year (12 months). Note: From the start of the insurance relationship, not the employment relationship.
10. I have bought glasses. What forms do I need to fill out to receive compensation?
Fill in the medical compensation application SV 127 and return it with the purchase receipt for the glasses to the sickness fund. Also include a billing breakdown showing the cost of the frame and lenses.
11. Where can I buy glasses, and can I make use of special offers when buying glasses (e.g. two sets of glasses for the price of one)?
You can buy glasses from anywhere.
Special offers do not matter. The sickness insurance fund covers one set of glasses every two years (12 months from the beginning of the insurance relationship).
12. Does the sickness fund cover compression socks and support insoles?
The sickness fund does not cover compression socks.
The sickness fund only covers support insoles (compensation every two years).
13. Does the sickness fund cover vaccines?
No, it does not.
14. Does the sickness fund cover fees charged by private clinics for institutional, medical, pharmaceutical and other expenses?
No, it does not.
15. I am on unpaid leave. Will my insurance relationship be maintained during unpaid leave, and will I be entitled to the additional benefits of the sickness fund?
Your insurance relationship is maintained during your period of unpaid leave.
You are not entitled to the additional benefits of the sickness fund during unpaid leave.
16. Do I receive additional benefits if I visit a care facility that is not a contract partner?
You can only receive additional benefits for dental treatments and doctor’s appointments with our contract partners. Ophthalmologist, gynaecologist and urologist services are an exception to this.
Examinations and treatment, as well as physical treatment, can also be undertaken at places other than contract partners. If you do so, pay the full price yourself and then apply for compensation separately from the sickness fund.
17. I am on a long period of sick leave/parental leave. Where can I check the daily allowance payment dates?
You can check the daily allowance payment dates in the Kela e-service or in your daily allowance decision (if your period of sickness allowance continues, the date of payment of the last instalment may change).
18. What attachments do I need to include when applying for partial sickness allowance?
As an attachment to the partial sickness allowance application, submit an SV 28 notification of part-time work and a medical certificate A from an occupational health doctor or a doctor otherwise familiar with the working conditions. Based on a medical certificate A, partial sickness allowance can usually be granted for a maximum of 60 days. After this, a more comprehensive medical certificate B is required.