About health insurance funds
Health insurance funds do not provide health care services. The health insurance funds guarantee that the Compulsory Health Insurance Fund will cover the costs of health care services provided to persons covered by compulsory health insurance. This purpose of health insurance funds and its other areas of activity are provided for in the Law on Health Insurance, as well as its the mission, vision and values. As well as the history of the activities of health insurance funds in Lithuania, which began at the end of the 19th century. All in all, this is needed to make it easier to understand how and why health insurance funds operate.
Vision
The National Health Insurance Fund is reliable, open to change, and a professionally run institution, ensuring the financial sustainability of the health system in order to assure the safety and access for everyone to the benefits of compulsory health insurance.
Mission
The National Health Insurance Fund offers protection to everybody, either healthy or sick, by guaranteeing healthcare to the insured through remunerating its costs and using the funds in a transparent and efficient manner.
Values
The National Health Insurance Fund operates in compliance with the principles of justice and solidarity. The institution has renewed its values as organization for 2024. They are as follows:
- Openness
- Cooperation
- Responsibility
The founder of Territorial Health Insurance Funds (THIF) - Vilnius THIF, Kaunas THIF, Klaipėda THIF, Šiauliai THIF, Panevėžys THIF- is the National Health Insurance Fund under the Ministry of Health (NHIF), which supervises their activities in accordance with the procedure established by legal acts. Each THIF is accountable to NHIF for its activities.
The THIF has at its disposal a part of the funds of the Compulsory Health Insurance Fund (CHIF) transferred to the NHIF, which is used to pay for the services provided by medical institutions and to reimburse the costs of purchasing medicines and medical aids.
Scope of THIF activities:
- concluding contracts with medical institutions and paying them for health care services provided to the population;
- concluding contracts with pharmacies and paying them for reimbursable medicines and medical aids issued to the population;
- management of the register of insured persons with compulsory health insurance;
- providing residents with data on CHIF budget expenditures for their health care;
- issuing the European Health Insurance Card;
- reimbursement of the costs of emergency medical care provided in the country of the European Union to the insured;
- cross - border healthcare;
- reimbursement of the costs of medical rehabilitation and sanatorium treatment;
- reimbursement of dental prosthesis costs;
- recovery of damage to the CHIF budget;
- control of the costs of medical institutions and pharmacies, control of the quantity and quality and availability of health care services provided to the population;
- funding prevention programs;
- services to residents.
Last updated: 28-05-2024