Šiauliai Territorial Health Insurance Fund (HIF) received an inquiry from a female emigrant who returned to the homeland. The woman inquired why she was asked at health facility to pay for health care services that were provided to her young child. The applicant was interested what does she need to do to get the Compulsory Health Insurance (CHI) cover and become entitled to free health care services that are provided to insured individuals not only for herself but also for her son who was born in Lithuania.
The first thing that you need to do is to declare your place of residence in Lithuania. If before leaving the homeland you have declared the change of your place of residence, then after return to Lithuania you should again declare your place of residence here. This can be done on E-Government Gateway website www.epaslaugos.lt
or in the nearest eldership office. You should also declare the place of residence of your children in Lithuania together with one of the parents because the children of the emigrants who returned to their homeland will become entitled to free of charge health care services only after they will become the permanent residents of our country.
After an individual declares the place of residence in Lithuania, he or she becomes liable to pay CHI contributions. The resident for whom statutory CHI contributions are paid or who pays them by himself or herself and does not have a debt of CHI contributions, is considered to be an individual insured with CHI. Only timely paid CHI contributions of fixed value guarantee the right to receive medical services, medicines, medical aids and other services that are compensated from the budget of the Compulsory Health Insurance Fund (CHIF). Persons employed and paid wages in Lithuania are considered to be insured from the date on which their employment commences. Thus, an emigrant who returned to Lithuania and became employed, since the very first day of employment becomes insured with the Compulsory Health Insurance, and whenever necessary such a person is provided with health care services that are compensated from the budget of the CHIF.
Some individuals who permanently return to Lithuania can be insured with the CHI using public funds. These individuals include minors, unemployed persons registered in the Territorial Labour Exchange divisions, recipients of pension benefits and social allowances, disabled persons, one of the parents raising a child under the age of 8 or two children, and other individuals belonging to the population groups specified in the Law on Health Insurance. The residents who are insured using public funds are considered to be insured from the date of acquisition of this status to the date of its loss. Thus, an individual who returned from abroad and declared his or her place of residence in Lithuania can be insured using public funds if such an individual falls within the groups of population that are insured by the state.
Some people must pay CHI contributions by themselves, for example, persons engaged in individual activities under a certificate and under a business license, farmers, housewives. The residents who pay CHI contributions by themselves must each month pay CHI contributions of a fixed value (from 1 January 2019 – EUR 38.74), and must ask for the fee codes at "Sodra".
Choose a primary personal health care facility and register there to become a permanent patient. After returning from abroad, a person should choose an outpatient clinic, family centre or other primary personal health care facility and register there to become a permanent patient, and should also choose a general practitioner. Treatment services that are paid from the budget of the CHIF are provided in facilities that have entered into contracts with Territorial HIF.
The NHIF invites you:
Your questions are welcome by email firstname.lastname@example.org or phone: local (8 5) 232 2222, international +370 5 232 2222