Health Insurance in Lithuania (SODRA / PSD)

What is PSD health insurance?

In Lithuania, access to most healthcare services depends on compulsory health insurance, known as PSD (privalomasis sveikatos draudimas). This is managed by SODRA, the State Social Insurance Fund, and it determines whether you can visit a family doctor, see a specialist, or receive reimbursed medicines at a lower cost.

Without PSD coverage, you may still access emergency care (see the emergency care guide), but you will generally be required to pay the full cost of routine healthcare out of pocket.

Who is covered

• Employees: If you work legally in Lithuania under an employment contract, your employer is responsible for paying your PSD contributions on your behalf. Coverage begins when employment is registered.
• Self-employed persons and individual activity licence holders: You pay contributions yourself. The amount is calculated based on your income.
• Unemployed persons registered at the Employment Service (Užimtumo tarnyba): In general, registered unemployed people are covered by the state.
• Children and certain other groups: Children, pensioners, pregnant women, and some other groups are typically covered by the state. Check with SODRA for your specific situation.
• Others not in employment: If you do not fall into a state-covered category, you can pay PSD contributions voluntarily yourself to maintain coverage.

How to check your insured status

You can check whether you currently have PSD health insurance by:

• Logging into the SODRA self-service portal at sodra.lt using your Lithuanian electronic identity (e-signature or banking login)
• Asking your employer's HR department
• Contacting SODRA directly by phone or in person at a local SODRA office

It is a good idea to verify your status shortly after starting a new job or changing your employment situation.

Why it matters

Having active PSD coverage means you can:

• Register with a family doctor (šeimos gydytojas) and receive consultations at a reduced or no out-of-pocket cost
• Be referred to specialists and hospitals under the public health system
• Access reimbursed (compensated) medicines, reducing your pharmacy costs

If there is a gap in your coverage, it is worth resolving it promptly. A migrant support organisation or SODRA directly can help you understand your options.