Application to receive document S1 – click here.
When does document S1 issued by the THIF expiry?
Document S1 validity may be terminated:
If the person insured in the Republic of Lithuania is employed in country of residence or another EU country, he/she must inform the Lithuanian THIF that issued the document S1.
How to use document S1 issued by the THIF?
Document S1 issued by the THIF must be submitted immediately to the institution responsible for registration of persons for healthcare in the EU Member State of residence. This could be the territorial health insurance fund, social security institution, or another institution that performs such functions.
After registration of document S1 in an institution of an EU country of residence, the person acquires the right to receive healthcare in that country under the same conditions as persons insured in that country. The cost of the healthcare provided to him/her shall be covered by the institution where document S1 was registered. Meanwhile, these costs shall be reimbursed by the NHIF.
Information for people insured in other EU Member States
Why is it necessary to have document S1 if the person has decided to move his residence to Lithuania?
After registering document S1 in the THIF, the personal data will be included in the Register of Persons Insured with the Compulsory Health Insurance. Since then, the person will be able to receive healthcare services in healthcare institutions having contacts with THIF under the same conditions as Lithuania residents insured by the compulsory health insurance. After registering document S1 the person does not have to pay the compulsory health insurance contributions as Lithuanian. The costs of provided healthcare services or reimbursable medicines will be covered by the Compulsory Health Insurance Fund. Subsequently, for Lithuania, these costs will be reimbursed by the competent institution of the country where the person is covered by the social insurance.
In order to receive the state-guaranteed medical services smoothly, it is important to submit document S1 to the THIF immediately after arriving to Lithuania.
If the insured person of another EU Member State moved to the Republic of Lithuania without having an S1 document, it is possible to apply to the THIF with a request for mediation.
The THIF will apply to the competent institution of the EU Member State where the person is covered by social insurance for the issuance of document S1.
Contacts of Territorial Health Insurance Funds – click here.
Application for mediation regarding issuance of document S1 – click here.
Is it possible to visit a medical institution immediately after submitting document S1 to the THIF? Will a special card or other document be issued to prove entitelment to healthcare at the medical institution?
Upon registration of document S1 in the THIF, the person will be able to immediately receive the healthcare services reimbursed by the Compulsory Health Insurance Fund in the same manner as other persons insured with the Compulsory Health Insurance in Lithuania.
Lithuanian medical institutions identify the residents according to the submitted identification document, special cards are not issued.
How can an S1 document holder get free healthcare services in Lithuania?
If the person residing in Lithuania has document S1 issued by the competent institution, he/she should:
Document S1 may be delivered to the THIF by an authorized person or sent by post.
After registering document S1 in the THIF, the personal data will be recorded in the Register of Persons Insured with the Compulsory Health Insurance. Since then the person will be able to receive healthcare services in healthcare institutions having contacts with THIF under the same conditions as Lithuania residents insured by the compulsory health insurance: when applying to a healthcare institution, a person must present an identity document, a person can choose an institution providing primary health care services and a family doctor, the specialized health care or inpatient treatment is provided upon the referral of the family doctor 9 in case of emergency the referral system is not applicable).
After registering document S1 the person does not have to pay the compulsory health insurance contributions in Lithuania. The costs of provided healthcare services or reimbursable medicines will be covered by the Compulsory Health Insurance Fund. Subsequently, for Lithuania, these costs will be reimbursed by the competent institution of the country where the person is covered by the social insurance.
Contacts of Territorial Health Insurance Funds – click here.
Is it necessary to translate document S1 into Lithuanian?
Document S1 must be submitted in the original language, no translation into Lithuanian is required.
Contacts of Territorial Health Insurance Funds – click here.
The person works in Denmark. What documents should be submitted in order to receive healthcare services in Lithuania?
A person working in one EU Member State and residing in Lithuania should apply to the competent institution of the country of employment (this may be a health insurance fund, a social insurance institution or another institution) for the document S1. After registering the document S1 in any Lithuanian THIF, a person will be able to use healthcare services covered by the Compulsory Health Insurance Fund on the same conditions as persons who pay the Compulsory Health Insurance contributions in Lithuania.
Useful links
What is document S2?
Document S2 is a document certifying the person’s right to receive certain scheduled health care services in the Member States of the European Union (EU), European Economic Area, Swiss Confederation and the United Kingdom. When the persons submit this document to a foreign medical institution, the healthcare services are provided, and their expenses are paid in accordance with the legal acts of the respective foreign country – as if the persons had social health insurance of that country.
To whom document S2 is issued?
Document S2 is issued to persons insured by the compulsory health insurance in Lithuania and referred for health care services to the Member States of the EU, European Economic Area, the United Kingdom, or the Swiss Confederation in accordance with the procedure established by the Order No V-729 of the Minister of Health of the Republic of Lithuania of 16 August 2010.
Who makes decision regarding the patient’s referral for consultations, examinations and/or treatment abroad?
The decision to refer the patient for consultations, examinations and/or treatment abroad is made by the commission established by the NHIF director. The Commission notifies the patient and/or his/her representative as well as the hospital that submitted the request for patient’s referral about the decision in writing within 5 business days.
What is the validity term of document S2?
Document S2 is valid for one calendar year. The patient has to refer to the foreign medical institution indicated in the Commission’s decision within this period.
The validity of the Commission’s decision may be extended for the period not exceeding one year when the Commission receives the conclusion from the university hospital together with recommendation from foreign medical institution to continue the treatment abroad if:
Useful links