Simplified procedure for infusion pumps


2022 09 20


The availability of medical devices, rented from the Compulsory Health Insurance Fund (CHIF) to patients that need them for health care at home, is improving. Soon patients will be able to use a much simpler infusion pump renting procedure, states the National Health Insurance Fund (NHIF) under the Ministry of Health.

According to previous procedure, infusion (or, the so-called ‘pain’) pumps for patients with oncological diseases at home could be prescribed only by a council of doctors of a healthcare institution, offering third-level healthcare services. This was the only way to cover the rent of these medical devices that aid patients under unbearable pain every day from the CHIF funds. However, the patients that need infusion pumps used to find it hard to get to healthcare institutions that provide third-level services and thus access to the rent of the pain pumps was difficult too.

The Compulsory Health Insurance Council approved the new infusion pump prescription procedure. According to this procedure, outpatient treatment using an infusion pump may be prescribed for oncological patients by a council of doctors of healthcare institutions, offering specialized pain diagnosis and treatment services, or institutions, offering inpatient and outpatient palliative care services. The council must include at least one of the following types of experts: an oncologist, a pediatric oncologist, an anesthesiologist-reanimatologist, oncologist-radiotherapist, pediatric oncohematologist, oncologist-chemotherapist and a palliative care physician.

‘We’re glad that the procedure of renting infusion pumps and using them at home will be much easier for patients that experience unbearable pain. Moreover, this is also a financial aid for families of cancer patients, as the CHIF funds will cover the rental costs for these devices 100 per cent.’ emphasized Eglė Valiulytė, Advisor for the Division of Medical Devices  Reimbursement at NHIF.

Treatment at home with an infusion pump for long-term infusion of opioid analgesics is prescribed for patients diagnosed with tumours to ensure continuous control of severe or unbearable chronic pain when injectable or other strong opioid analgesics fail to relieve it.

According to preliminary calculations, NHIF could reimburse infusion pump rental costs for approximately 140 patients every year. It is expected that the CHIF costs to reimburse infusion pump rent will constitute approximately 200 thousand euro.  

Patients wishing to rent an infusion pump should apply to companies that have an agreement with NHIF regarding the reimbursement of the rental costs of medical devices needed for health care at home with a decision of the council of doctors. The company selected and the patient will sign an agreement regarding the issue of device, its warranty service, maintenance and supply of replacement parts.

The new infusion pump prescription procedure will come into force as soon as the Minister of Health signs the order regarding the approval of the procedure for the establishment of basic rental prices, reimbursement of the rental costs of medicinal measures (devices), necessary for health care at home and agreement signing.

(Pexels photo)

The NHIF invites you:

Your questions are welcome by email [email protected] or phone: local (8 5) 232 2222, international +370 5 232 2222