How does health insurance work in Lithuania?
In Lithuania, as in many European countries, compulsory health insurance has been introduced, that is, permanent residents of Lithuania are required to pay compulsory health insurance contributions.
The state guarantees the insured persons free health care provision in state and municipal health care institutions (except where certain medical tests or procedures are not paid from the State Patient Fund budget) and private institutions that have concluded agreements with Territorial Patient Fund. The individuals not covered with the compulsory health insurance are required to pay for health care services themselves.
An indicative list of basic health services is available on this website. There is no general price list for paid services in public health – the prices is each medical treatment facility are set, in accordance with the basic price list, by each treatment facility.
State Patient Fund is a public authority executing the compulsory health insurance in the Republic of Lithuania.
The groups of the individuals covered by compulsory health insurance in Lithuania are the following:
- persons who pay compulsory health insurance contributions themselves (those working under business licenses, self-employment certificates and other persons who are not insured by the employer or the state)
- persons whose compulsory health contributions are paid by their employers (those working under employment contracts, civil servants, the individuals working under royalty agreements);
- persons insured by the state (the individuls registered with the Labour Exchange, having a temporary permit to reside in the Republic of Lithuania, if they did not work in Lithuania for 6 months prior to their registration with the Labour Exchange), women on pregnancy and maternity leave, a single parent raising a child up to the age of 8 as well as a single parent raising two underage children, the retired and beneficiaries of relief compensation, persons up to the age of 18, schoolchildren, full-time students, the individuals receiving social assistance, etc.);
- other persons, the information on whom is available on the State Patient Fund website.
Foreign nationals who are members of the Lithuanian nationals’ family, (both from the European Union and third countries) can belong to any of the specific categories, if they work and are insured by the employer, are self-insured or are insured by the state. Nationality has no effect on compulsory health insurance whatsoever. Any person, whose place of residence is declared in Lithuania, may fall under one of these categories. It means that any person covered by compulsory health insurance receives free health services.
All persons (both insured and not covered by compulsory health insurance) have access to public and municipal as well as private health care institutions. The difference is that non-insured persons are required to pay for all healthcare services provided both in private and public as well as municipal health care institutions.
If you return to Lithuania from the European Union (EU) country where you were insured for health insurance under the applicable law of the country in question, you need to bring with you an E104 form certificate issued by a competent authority of compulsory health insurance of that particular country or the electronic document (SED) S041 which replaces the above mentioned certificate. This document should be submitted to the territorial Patient Fund according to the place of your residence in Lithuania.
The document issued by EU members states has to certify that at the time when the person did not pay compulsory health insurance contributions in Lithuania (for example, if the person did not declare his/her departure from Lithuania) or did not live in Lithuania (if he/she declared his/her departure from Lithuania), he/she was insured in the country which issued the certificate.
Relevant information about health care is available in the publications produced by the State Patient Fund.
Health care in Lithuania: the facts everyone should know (in Lithuanian)
ABC of compulsory health insurance for a family (in Lithuanian)
You might also be interested in:
- For those returning from the EU/EEA countries or Switzerland – E 104 certificate form
- In what way and how many health insurance contributions should be paid?
- How should one register with a healthcare institution?
- How should one get free emergency medical assistance during a short visit to Lithuania?
- Can I be insured in one country and receive treatment in another?
- Aggregation of insured periods acquired abroad to qualify for a sickness benefit