Can I be insured in one country and receive treatment in another?
If you are covered with compulsory health insurance within the European Union, Iceland, Liechtenstein, Switzerland or Norway, you are entitled to healthcare service provision in any of these countries, including Lithuania.
Cross-border health care establishes the right for EU citizens to seek healthcare in any of the above mentioned countries and to seek reimbursement in the country where they are insured for any expenses incurred during healthcare provision.
- Compensation shall be paid out by the competent authority of the country where you are insured
Suppose you live and have compulsory health insurance in Ireland. In such a case, if you decide to consult a medical professional in Lithuania, you will have to pay for the professional consultation. Upon returning to Ireland you will have to submit health care invoices to the Irish Patient Fund claiming reimbursement.
- You are entitled to reimbursement only of the healthcare service expenses and only on the basis of the tariffs as established in the country where the person is insured.
E.g., you go from Lithuania to a private clinic in Germany to seek a professional medical opinion. Suppose, a professional opinion of a Lithuanian medical specialist working in this area is 30 Euros whereas in Germany a public clinic charges EUR 80 and a private clinic will send you an invoice of 150 Euros. Upon submission of your application and all the relevant documents certifying your expenses to the Territorial Patient Fund, the reimbursable amount will be 30 Euros. You can address both public and private clinics. You will just need to pay a higher amount and be aware that the price difference between the tariffs established in the country and the amount paid will not be reimbursed.
Some member states of the European Union choose to implement the provisions of Cross Border Healthcare Directive by establishing a system of prior authorisation, that is, before going to another country for treatment, it is important to find out in which cases you need to obtain a prior authorisation to receive the services you have chosen. You can find out this information in the institutions responsible for the implementation of health insurance in the country where you are insured.
More information available on: http://www.lncp.lt/en
You might also be interested in:
- General information about healthcare and health insurance in Lithuania
- Can I be insured in one country and receive treatment in another?
- How should one get free emergency medical assistance during a short visit to Lithuania?
- Provision of emergency medical assistance
- For those returning from the EU/EEA countries or Switzerland – E 104 certificate form