Who are the insured?

Persons covered by the compulsory health insurance means persons eligible for the compulsory health insurance, who, in the manner prescribed by the Law on Health Insurance, pay themselves contributions in the amount set by the Law on Health Insurance or on behalf of whom contributions in the amount set by the Law on Health Insurance are paid.

 

The following persons shall be eligible for the compulsory health insurance:

1) citizens of the Republic of Lithuania and foreign nationals permanently residing in the Republic of Lithuania;

2) foreign nationals temporarily residing in the Republic of Lithuania, provided that they legally employed in the Republic of Lithuania, and minor members of their families;

3) unaccompanied foreign minors;

4) foreign nationals who have been granted subsidiary protection in the Republic of Lithuania;

5) persons to whom the Law on Health Insurance must apply under EU regulations on the coordination of social security systems.

 

The following persons shall be regarded as persons covered by the compulsory health insurance:

1) persons for whom compulsory health insurance contributions specified in Article 17(1), (3) and (6) of the Law on Health Insurance are paid under the Law on Health Insurance and persons who under the Law on Health Insurance pay compulsory health insurance contributions specified in Article 17(2), (3), (4), (5), (7), (8) and (9) of the Law on Health Insurance;

2) persons listed in Article 6(4) of the Law on Health Insurance who are insured by the state.

 

Persons insured by the state*:

1) persons who receive any type of pension or relief compensation set by laws of the Republic of Lithuania;

2) unemployed persons registered with local labour exchange offices and persons involved in vocational training measures organised by local labour exchange offices, unless they sign an employment contract;

3) unemployed persons of working age who have statutory compulsory state social pension insurance record required for receiving the state social insurance old-age pension;

4) women who are granted a maternity leave and unemployed women during the period of pregnancy 70 days before the child birth (after 28 pregnancy weeks and over) and 56 days after the child birth;

5) one of the parents/adoptive parents raising a child under 8 years of age, one of the guardians providing guardianship for a child under 8 years of age in the family, also one of the parents/adoptive parents raising two or more minor children, one of the guardians/caretakers providing guardianship for/taking care of two or more minor children in the family;

6) persons under the age of 18 years;

7) pupils of general education schools, full-time students of vocational schools, post-secondary and higher education institutions of the Republic of Lithuania, also citizens of the Republic of Lithuania and foreign nationals and stateless persons permanently residing in the Republic of Lithuania, who are full-time students of higher education institutions of the Member States of the European Union;

8) persons supported by the state and provided with a social benefit;

9) one of the parents/adoptive parents, guardian or caretaker nursing at home a person for whom a disability level is established/disabled child or a person who was recognised as having incapacity for work (before 1 July 2005 – a person with disability of category I) before he reached the age of 24, or a person who before he reached the age of 26 was recognised as having incapacity for work (before 1 July 2005 – a person with disability of category I) because of an illness which occurred before he reached the age of 24, or a person who is identified as being in need of permanent nursing (before 1 July 2005 – total disability);

10) persons who have been recognised as disabled in accordance with the procedure laid down by legal acts;

11) persons suffering from publicly dangerous communicable diseases which are included in the list defined by the Ministry of Health;

12) participants of the opposition/resistance – volunteer soldiers, participants of fights for freedom, rehabilitated political prisoners and similar persons, deportees and similar persons, also victims of the events of 13 January 1991 or other events injured while defending Lithuania's independence and statehood;

13) persons who contributed to the post-accident management at the Chernobyl nuclear power plant;

14) former inmates of the ghetto and juvenile prisoners kept at fascist forced confinement places;

15) clergymen of traditional religious associations recognised by the state, students of clergy training schools, novices undergoing monastic formation in novitiates;

16) persons for whom the legal status of participants of the war in Afghanistan is recognised in accordance with the procedure laid down by law;

17) unaccompanied foreign minors;

18) the spouse of the President of the Republic who has not reached the pensionable age and does not have insured income – for the duration of the term of office of the President of the Republic.

19) persons engaged in voluntary hands-on training in accordance with the procedure defined by the Law on Support for Employment.

 

*Except those who must pay or for whom compulsory health insurance contributions are paid under Article 17(1), (2), (3), (4), (5), (6) and (8) of the Law on Health Insurance

Modified: 2014-11-17
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