CHI participants

Compulsory health insurance (CHI) covers:

• citizens of the Republic of Lithuania and foreigners permanently residing in the Republic of Lithuania;
• foreigners holding a temporary residence permit in the Republic of Lithuania (except for persons to whom the Law on Health Insurance of the Republic of Lithuania must apply in accordance with the regulations of the European Union social security systems), who work in the Republic of Lithuania or have worked in the Republic for at least 6 months and are registered in Lithuania In the territorial employment services of the Republic as unemployed and minors of their families;
• spouses of the persons referred to in points 1 and 2, or persons with whom a registered partnership agreement has been concluded, and/or their minor family members holding a temporary residence permit in the Republic of Lithuania;
• citizens of the United Kingdom of Great Britain and Northern Ireland and members of their families who, before the transitional period set for 24 January 2020 Agreement signed in Brussels and London on the withdrawal of the United Kingdom of Great Britain and Northern Ireland from the European Union and the European Atomic Energy Community, had acquired the right of residence in the Republic of Lithuania and are legally resident in the Republic of Lithuania. Family members shall be understood as they are defined in the Law of the Republic of Lithuania "On the legal status of foreigners";
• persons temporarily residing in the Republic of Lithuania, who receive any type of pension in accordance with international agreements of the Republic of Lithuania and to whom the application of legal acts of the Republic of Lithuania regulating health insurance is provided for in these international agreements;
• unaccompanied minor foreigners;
• foreigners who have been granted subsidiary protection in the Republic of Lithuania;
• persons to whom, in accordance with the regulations of the European Union for the coordination of social security systems, the Law on Health Insurance of the Republic of Lithuania must be applied;
• displaced persons;
• foreigners who have been granted temporary protection in the Republic of Lithuania and who are persons under the age of 18 years or persons receiving a retirement pension, incapacity for work pension or social disability pension, as defined by the laws of the Republic of Lithuania, or persons receiving social security compensation, after they have reached the age of retirement pension, as defined by the Law on Social Insurance Pensions of the Republic of Lithuania, or have been recognised as having a loss of 60 per cent or more of the capacity for participation in the labour market (by 31 December 2023, they will have a loss of 60 per cent or more of the capacity for work), or an old-age or disability pension in accordance with the legislation of the country from which the persons who have withdrawn have been granted temporary protection, or have been recognised as a person with a disability in accordance with the procedure laid down by the legislation of the Republic of Lithuania or of the country from which they have been granted temporary protection.

The following shall be considered as insured persons under the CHI: the population paying CHI premiums (the groups of the population obliged to pay CHI premiums are listed in Article 17 (2) to (11) of the Law on Health Insurance of the Republic of Lithuania), for whom compulsory health insurance is in force in accordance with the procedure laid down in the Law on Health Insurance of the Republic of Lithuania, as well as the population covered by the state, as referred to in Article 6 (4) of the Law on Health Insurance of the Republic of Lithuania.

Residents insured with state funds (except for employed persons who are obliged to pay CHI contributions) specified in part 4 of Article 6 of the Law on Health Insurance of the Republic of Lithuania:

• persons receiving any type of pension or social assistance compensation established by the laws of the Republic of Lithuania;
• the unemployed who are registered with territorial employment services and persons participating in vocational training measures organized by territorial employment services, if employment contracts are not concluded with them;
• persons of working age who do not have the required length of service of the state social pension insurance established by law to receive the state social insurance old-age pension;
• women who have been granted maternity leave in accordance with the procedure established by law, and women who are not working during pregnancy for 70 days (28 weeks or more) before childbirth and 56 days after childbirth;
• one of the parents (adoptive parents) raising a child under 8 years of age, one of the guardians caring for a child under 8 years of age in the family, as well as one of the parents (adoptive parents) raising two or more minor children, one of the guardians (caregivers) caring) two (two) or more minor children;
• persons under 18 years of age;
• Students of higher education institutions of the Republic of Lithuania studying according to full-time study programs, persons studying according to full-time study programs of higher education institutions of the Member States of the European Union (as well as the United Kingdom of Great Britain and Northern Ireland students (including adults) studying in general education programs of the Republic of Lithuania and the Member States of the European Union (including the United Kingdom of Great Britain and Northern Ireland if the education was started before the end of the transition period) in schools according to general education programs (except for adults studying according to the adult primary, basic, secondary education programs) and (or) formal vocational training programs;
• deprived people receiving social benefits;
• one of the parents (adoptive parents), a guardian or caregiver caring at home for a person with a determined level of disability (disabled child) or a person declared incapable of work (until 1 July 2005 - a group I disabled person) up to 24 years of age, or recognized as incapable of work (until 1 July 2005 - a group I disabled person) of up to 26 years due to illnesses occurring before the age of 24, or a person with a special need for permanent care (until 1 July 2005 - total disability);
• persons recognized as disabled in accordance with the procedure established by legal acts;
• persons suffering from communicable diseases dangerous to the public, which are included in the list approved by the Minister of Health;
• participants of resistance - military volunteers, participants of freedom struggles; rehabilitated political prisoners and persons treated as such, deportees and persons treated as such, and victims of the defence of Lithuania's independence and statehood in the events of 13 January 1991 or other events;
• persons who contributed to the liquidation of the consequences of the Chernobyl nuclear power plant accident;
• former ghetto and former juvenile prisoners of fascist forced detention facilities;
• clergy of state-recognized traditional religious communities, students of clergy training schools, and newcomers to monastic formation in monastic novitiates;
• persons who have been granted the legal status of participants in the war in Afghanistan in accordance with the law;
• unaccompanied minor foreigners;
• the spouse of the President of the Republic who has not reached the retirement age and has no insured income - during the term of office of the President of the Republic;
• persons performing voluntary practice in accordance with the procedure established by the Law on Employment;
• displaced persons.
• Persons constantly or temporarily residing in the Republic of Lithuania, who receive any type of pension in accordance with international agreements of the Republic of Lithuania and to whom the application of legal acts of the Republic of Lithuania regulating health insurance is provided for in these international agreements;
• detainees and convicts serving arrest, suspended imprisonment and life imprisonment.

Law on Health Insurance of the Republic of Lithuania