The EU Directive on the application of patients’ rights in cross-border healthcare came into force on the 25th October 2013. Directive sets out the conditions under which patients from EU Member States, Iceland, Liechtenstein and Norway may travel to another country to receive safe and high-quality medical care and be reimbursed by their own health insurance scheme. It also encourages cooperation between national healthcare systems.

After paying for the healthcare services at their own expense, the insured people have the right to apply to the competent institution of their home country where they are insured for reimbursement of these costs. If they are entitled to that healthcare at home, then they will receive reimbursement.

It is important to know that countries have chosen different ways to reimburse cross-border healthcare costs. Some countries have prior authorization system in place. The person must obtain the prior authorisation from his competent institution before going to another country for some specific healthcare services. Therefore, if you want to come to Lithuania for cross-border healthcare, firstly you should find out about the reimbursement procedure for cross-border healthcare in the country where you are insured and ascertain if prior authorization is required in order to receive your chosen services. This information will be provided to you by the National Contact Point for Cross-Border Health Care in the country where you are covered by social insurance.

Reimbursement deadlines and the amounts of reimbursable costs for your cross-border healthcare will be determined by the competent institution of the country where you are covered by social (and health) insurance in accordance with national legislation.

If you are insured with social insurance in Lithuania, you can go for cross-border treatment to any EU member State or Iceland, Liechtenstein, and Norway without prior authorisation.

You could claim reimbursement no later than 1 year after the provision of cross-border healthcare services or acquisition of medicines or medical devices in the Member State of treatment.
Claiming for the reimbursement of the costs of cross-border healthcare the patient should present the application form for reimbursement of the costs of cross-border healthcare, an identity document, original financial documents and copies of medical records as well as the referral for such treatment to Territorial Health Insurance Fund (THIF).

The Directive does not cover treatment that is not available in Lithuania. The Directive does not apply to services of long-term care to support people in their daily routines (such as in care homes), organ transplants, or national vaccination campaigns. If you are unsure whether you are entitled to reimbursement of costs of a particular treatment, please, contact THIF before making any arrangements abroad.

What costs are not reimbursed?

  • Costs related to cross-border healthcare: travel costs, accommodation, food, transport costs, translation services, etc.
  • Patient fees paid to the healthcare provider in the Member State of treatment;
  • Expenditure on healthcare services which are not included into the list of reimbursable services approved by the Minister of Health of the Republic of Lithuania;
  • Expenditure on medicines, medical devices and medical aids which are not included into the lists approved by the Minister of Health of the Republic of Lithuania.

Last updated: 28-05-2024