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Compulsory health insurance and emergency medical care in Lithuania503 views 55 LikedIn Lithuania, as in many European countries, there is a compulsory health insurance system (MHI), first aid for...Read more
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Compulsory health insurance and emergency medical care in Lithuania
Like many other European States Lithuania has put in place the compulsory health insurance (privalomasis sveikatos draudimas or PSD in Lithuanian) system which means that residents of Lithuania are obliged to obtain health insurance coverage (i.e. 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 National Health Insurance Fund (Valstybinė ligonių kasa) budget) and private institutions that have concluded agreements with Territorial Health Insurance Fund (Teritorinė ligonių kasa). 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. 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.
National Health Insurance Fund (Valstybinė ligonių kasa) is a public authority executing the compulsory health insurance in the Republic of Lithuania.
The groups of the individuals covered by PSD 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 individuals registered with the Labour Exchange, (except foreigners 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.);
Are foreigners insured with the Compulsory health insurance (PSD)?
PSD contributions have to be paid by every permanent resident in Lithuania (except if the contributions are paid for them by the state). Foreigners who live in Lithuania with a permanent residence permit or a card of the permanent residence permit in the country of a family member of an EU citizen (hereinafter referred to as ‘a card of the EU permanent residence permit’), are subject to pay PSD contributions. If a permanent resident of Lithuania is employed the employer pays the PSD contribution for the employee. Permanent residents who are self-employed should pay the PSD contributions individually (read more).
Foreigners who are not considered as permanent residents of Lithuania (those with the Schengen visa, national (D) visa, temporary residence permit or a Temporary Residence card of a family member of a Union citizen) cannot be insured with PSD, except if they are employed, or have worked in Lithuania for 6 months and registered with the Labour Exchange after that). In 2019, the monthly contribution is 38,74 EUR.
Source: National Health Insurance Fund
Mandatory medical care includes first aid and emergency medical care, which is provided by healthcare institutions that provide outpatient services and (or) hospitals. When contacting a healthcare institution for emergency medical care, a doctor’s referral is not mandatory.
Compulsory medical care services are provided free of charge to all residents of Lithuania, that is, to persons permanently residing in the Republic of Lithuania, regardless of their citizenship and availability of a compulsory medical insurance policy.
In the case when a foreign citizen does not have a document confirming his resident status (with apermit of a resident of the Republic of Lithuania to reside in the European Union (i.e. a residence permit) or a certificate confirming the right of a citizen of a Member State of the European Union to reside permanently in the Republic of Lithuania), he must cover the cost of medical services at his own expense or contact a private insurance company in which he acquired health insurance upon arrival in Lithuania.
Free compulsory medical care in the Republic of Lithuania is guaranteed: to
persons insured under the compulsory medical insurance policy in Lithuania;
To residents of the Republic of Lithuania, irrespective of their citizenship and regardless of their compulsory medical insurance policy;
Persons insured in the countries of the European Union, the European Economic Area or the Swiss Confederation, who can present a document confirming their right to receive payments in kind from the competent authority of the country (European health insurance card or certificate of temporary replacement of this card). For such persons, the costs of providing compulsory medical care in Lithuania are paid (compensated) by the insurance company of the country that issued the European health insurance card or certificate of temporary replacement of this card.
The source of the material is taken from the official website of the International Organization for Migration (IOM) - United Nations Agency for Migration