188体育

Lithuanian residents usually pay into the national health insurance scheme called Privalomasis Sveikatos Draudimas (PSD). Medical care is mostly free for people covered by the scheme.

Healthcare is managed by a national health insurance fund and Territorial Health Insurance Funds (THIF) in each of the 5 regions of Lithuania, using funds from PSD.

UK nationals usually access the Lithuanian healthcare system in one of these ways:

• registering as a resident and paying into the national health insurance scheme
• using a UK-issued GHIC or EHIC for temporary stays when studying, or as a 鈥榩osted鈥� (detached) worker
• registering a UK-issued S1 form with one of the insurance funds (see 鈥楿K-funded healthcare: getting and using an S1 form in Lithuania鈥� below)

Healthcare if you live and work in Lithuania

If you are planning on moving to Lithuania, see the guidance on Living in Lithuania for more information about visa and residency requirements.

You must show proof of healthcare cover:

• before you can register as a resident
• when you apply for a visa

For details about the healthcare cover required for residency applications, contact local authorities in Lithuania or the appropriate Lithuanian embassy or consulate in the UK.

You need to register as a resident before signing up to pay into the national health insurance scheme.

If you鈥檙e employed by a Lithuanian employer they will automatically enrol you on to the national health insurance scheme. Your dependants will be covered too.

If you鈥檙e self-employed or not working, you need to join the national health insurance scheme directly.

You may be entitled to a Lithuanian EHIC for travel, including visits to the UK.

You may also have the right to apply for a UK S1 if you start drawing a UK State Pension (see 鈥楿K-funded healthcare: getting and using an S1 form in Lithuania鈥� below).

How to register for healthcare

Apply for temporary or permanent residency. You鈥檒l need to apply online then visit a Migration Department office. .

Sign up to the national health insurance scheme (PSD). Your employer will enrol you and arrange for contributions to come out of your salary.

If you鈥檙e self-employed or not working, you need to .

You can choose your GP from a list of health centres in your municipality.

How much you鈥檒l pay

You need to pay the national insurance fund around 508 euros a year or around 42 euros a month.

If you鈥檙e employed, this will be taken directly out of your salary.

Healthcare services and treatment are free. You may need to pay towards some prescription medicines.

If your UK employer has sent you to Lithuania temporarily (鈥榩osted workers鈥�)

A posted worker, also known as a 鈥榙etached worker鈥�, is someone employed or self-employed in the UK, but temporarily sent to a European Economic Area (EEA) country.

UK posted workers can access healthcare in Lithuania using a GHIC, EHIC or S1 form.

HMRC has a helpline for National Insurance enquiries from non-UK residents. They can answer questions about posted worker status and explain which documents you will need to get healthcare while posted.

UK-funded healthcare: getting and using an S1 form in Lithuania

There鈥檚 different guidance if you have an S1 as a 鈥榩osted worker鈥� (see 鈥業f your UK employer has sent you to Lithuania temporarily (鈥榩osted workers鈥�)鈥� above).

You may be entitled to state healthcare paid for by the UK if you鈥檙e a resident in Lithuania and receive a UK State Pension or an exportable benefit. See on the NHS website for more information about eligibility.

You may also be entitled to an S1 form if you鈥檙e a frontier worker (someone who works in one state and lives in another). You must contact HMRC National Insurance enquiries to find out if you鈥檙e eligible.

Once you have an S1 form, you must register it on the Lithuanian system.

This will mean you and your dependants will be entitled to healthcare in Lithuania on the same basis as a Lithuanian citizen.

You鈥檒l also get:

• a UK-issued GHIC or EHIC for travel
• planned treatments in other EU countries

You can find out more about and the rules on on the NHS website.

Dependants and family members may be classified differently in Lithuania than the UK.

Check with the local authorities when you register your S1 form.

If you鈥檙e entitled to an S1 form as a dependant of a State Pensioner, your health cover will be cancelled once you begin claiming your UK State Pension.

You will be sent a new S1 form to your registered address from NHS Overseas Healthcare Services. You must register this form to ensure continuation of healthcare cover.

You are responsible for informing NHS Overseas Healthcare Services if you change your address or your circumstances change.

How to get an S1 form

If you have a UK State Pension or another qualifying exportable benefit, you must request an application form by phone from NHS Overseas Healthcare Services (see contact details above).

How to use an S1 form in Lithuania

You must register your S1 with your nearest Territorial Health Insurance Fund office. You鈥檒l need 2 copies of your S1 form and proof of ID such as a passport.

Once registered, you鈥檙e entitled to healthcare on the same basis as a Lithuanian citizen.

Studying in Lithuania

You should apply for a Student GHIC to get medically necessary, state-provided healthcare for the duration of your study period in Lithuania, whether this is for part or all of your course. This means that you鈥檒l get necessary healthcare services on the same basis as a Lithuanian citizen either for free or at a reduced cost.

If you already hold a valid Student EHIC you can use this until the card expires.

on the NHS website.

Getting treatment in the UK

Because the NHS is a residency-based system, under NHS rules UK nationals who move abroad on a permanent basis may lose their entitlement to free NHS healthcare.

If you are a UK national and move to the EU, you should not expect to be able to use NHS services for free when visiting the UK unless you have an EHIC, PRC or S2 to show your healthcare costs are funded by the EU country in which you now live, or another exemption applies.

Some former UK residents do not have to pay for NHS treatment when visiting England. This includes:

• UK war pensioners
• UK government employees
• UK nationals living in the EU on or before 31 December 2020, once they have a registered, UK-issued S1

Read more about using the NHS when you no longer live in the UK (see 鈥楿K nationals who no longer live in the UK鈥� in Healthcare for visitors to the UK from the EU).

If you return to live in the UK you鈥檒l be able to use the NHS like any other UK resident.

Read more about using the NHS when you return to live in the UK.