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Unforeseen medical treatment - Latvia

Emergency

Nacionālais veselības dienests (Latvian National Health Service)
Tel: +371 67043700; +37180001234
Email: nvd@vmnvd.gov.lv

Treatment, coverage & costs

Doctors

  • The European Health Insurance Card (EHIC) entitles you to state-funded healthcare if you require urgent/necessary medical care during a temporary stay in Latvia.
  • State-funded healthcare is provided by healthcare providers working under contract to the Latvian National Health Service.
  • You must show a valid EHIC and a passport (or other identification document) to receive state-funded healthcare. If you do not, the healthcare provider may ask you to pay the full cost.
  • You need to pay a patient's fee to see a doctor. There is no charge for
    • patients under 18
    • pregnant women being treated in connection with their pregnancy
    • certain groups of patients with particular diagnoses.
  • For specialised medical care, you will need a referral from a doctor, usually your general practitioner.
  • If you are suffering from one of a list of condition, you do not need a referral to see any of the following: gynaecologist, ophthalmologist, children's surgeon, paediatrician, psychiatrist, addiction specialist, phthysiopneumonologist (lung doctor specialising in tuberculosis), dermatovenerologist (skin doctor specialising in sexually transmitted diseases), endocrinologist, oncologist.
  • The patient's fee cannot be refunded in Latvia, but you can claim reimbursement when you get home.

Dentists

  • State-funded dental care is only available for children.
  • Adults must pay for dental treatment, which is not refundable in Latvia.
  • If dental treatment is covered in your home country, contact your national health insurance provider when you get home to claim a refund.

Hospital treatment

  • If you are admitted to hospital (in an emergency), show your EHIC and passport (or other identification).
  • You will be charged a patient's fee for in-patient treatment, starting from your second day of hospitalisation. There is nu such fee no for:
    • patients under 18
    • patients hospitalised because of pregnancy or childbirth
    • patients undergoing dialysis or some other treatments (e.g. for certain infectious diseases, mental illness).
  • There are additional fees for:
    • CT scans (computed tomography)
    • MRI scans (magnetic resonance imaging).
  • In addition to the patient's fee, the healthcare provider may charge a co-payment for a surgical procedure carried out in an operating theatre.
  • These payments cannot be refunded in Latvia, but you can claim reimbursement when you get home.

Prescriptions

  • As an EHIC holder, you are entitled to medicine on the basis of a prescription (special prescription form) written by a doctor working under contract to the Latvian National Health Service.
  • Go to a pharmacy operating under contract to the National Health Service. To buy prescription drugs, show:
    • your EHIC,
    • your passport (or other identification)
    • your prescription.
  • The state refunds 100%, 75% or 50% of the cost of prescription drugs depending on the condition diagnosed.
  • The amount you pay upfront cannot be refunded in Latvia, but you can always claim reimbursement when you get home.

Ambulance

  • You can use an ambulance free of charge if it has been sent by the 113 service.

Air ambulance

  • The same rules apply as to other ambulance types.
Reimbursement
  • Latvia operates a benefit-in-kind healthcare system, so there is no reimbursement system. You should only be charged the patient's share of the treatment.
  • If you have to pay for care, contact your national health insurance provider once you return home to seek reimbursement.
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  • Out-patient examinations by a general practitioner& – €1.42.
  • Specialist examinations cost between €4.27& and €35.57.
  • In-patient treatment costs €10 a day, starting on the second day of hospitalisation.
  • In-patient treatment in a nursing home or nurse care unit costs €7.11, starting on the second day of hospitalisation.
  • Patients with certain conditions pay reduced fees.
  • Additional diagnostic examinations cost between €14.23 and €35.57.
  • In addition to the patient's contribution, the healthcare provider may charge a co-payment of up to €31, depending on the amount of time the patient spends in the operating theatre.
Dialysis, oxygen & chemotherapy
  • Chronic hemodialysis, haemodiafiltration and peritoneal dialysis are free of charge with a referral from a specialist.
  • Oxygen therapy expenses are not covered by the National Health Service.
  • Chemotherapy is free of charge with a referral from an oncologist.
Loss of card

Contacts for holders of EHICs issued in Latvia

Nacionālais veselības dienests (Latvian National Health Service)

Tel: +371 67043700

Email: nvd@vmnvd.gov.lv


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