Compulsory health insurance
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.);
- other persons, the information on whom is available on the National Health Insurance Fund website.
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