The Health Insurance Fund will reimburse the cost of modern prosthetics
The Compulsory Health Insurance Council has approved the inclusion of a myoelectric humeral prosthesis in the list of reimbursable orthopedic technical devices. This will allow both adults and children who have lost an arm above the elbow to receive modern, functional prosthetics, the cost of which will be fully covered by the Compulsory Health Insurance Fund.
“We are pleased that people who have lost their arms above the elbow will soon be able to benefit from the most advanced technological solutions. Myoelectric prostheses help restore lost arm functions, provide greater independence, self-confidence, and the opportunity to return to an active life,” says Giedrius Baranauskas, Head of the Medical Devices Compensation Division at the National Health Insurance Fund (NHIF).
According to him, the myoelectric humerus prosthesis works with the help of electrical signals from human muscles – the patient can control the prosthesis simply by tensing certain muscles. This method of control allows for precise, natural movements, which is why these prostheses are considered to be among the most modern and functional. Patients can feel like full members of society – working, studying, and participating in everyday life without restrictions.
A prosthesis may be prescribed to patients by a council of doctors from tertiary care institutions, which must include a physical medicine and rehabilitation doctor and an orthopedic traumatologist. A recommendation from an orthopedic technician is also required for the fitting of the prosthesis.
This prosthesis will be reimbursed for children and adults whose physical condition allows them to use it, based on an assessment of muscle tone and strength, electrical potential, and joint range of motion. Adults may also be prescribed a prosthesis for their non-dominant hand when the use of both hands is necessary. In addition, the patient or their parents (guardians) will undertake to ensure that the prosthesis is actively used.
According to calculations by the Health Insurance Fund, an average of 27 humeral prostheses are reimbursed in Lithuania each year, and if the myoelectric option is included, the annual expenses of the fund could reach almost EUR 800,000. The reimbursable price of this prosthesis has been set at nearly EUR 33,600.
The NHIF reminds that, since mid-2021, the fund has been compensating for myoelectric forearm (below the elbow) prostheses, which have been very well received by patients. This innovation expands the possibilities for people who have lost their arm above the elbow.
The new prostheses will soon be reimbursed, once the Minister of Health signs the order.
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Last updated: 03-02-2026
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