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Unforeseen medical treatment - Latvia

Emergency

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

Treatment, coverage & costs

Doctors

  • You will be charged a standard fee for seeing a doctor. Children under 18 and pregnant women, receiving treatment relating to their pregnancy, as well as several patient groups according to certain diagnosis, are not charged.
  • If you need to see a specialist, you will need a referral from a doctor, usually your general practitioner.
  • You do not need a referral to see a gynaecologist, an ophthalmologist, a children's surgeon, a pediatrician, a psychiatrist, an addiction specialist, a phthysiopneumonologist (lung doctor specialising in tuberculosis), a dermatovenerologist (skin doctor specialising in sexually transmitted diseases), an endocrinologist, an oncologist if you are suffering from certain diseases.
  • The standard fee is non-refundable in Latvia, but you can always seek reimbursement once you return home.

Dentists

  • Dental treatment is not covered, except for children up to 18 years old, who receive free treatment.

Hospital treatment

  • You will be charged a standard fee for in-patient treatment, starting with the second day staying in the hospital.
  • There are no patient fees for children under 18, for cases related to pregnancy and childbirth, for dialysis and some other specific treatments (certain infectious diseases, mentally ill persons etc).
  • There are additional charges applied for diagnostic examinations (treatment provided during a hospital stay) for CT examinations and Magnetic Resonance Imaging.
  • In addition to the patient's contribution, the medical institution may charge a co-payment for the surgical procedure done in the operating room.
  • These payments are non-refundable in Latvia, but you can always seek reimbursement once you return home.

Prescriptions

  • Medicines are partly covered if prescribed by a doctor. The amounts that you must pay are non-refundable in Latvia, but you can always seek reimbursement once you return home.

Ambulance

  • Ambulance services are free of charge if sent by the 113 service.

Air ambulance

  • The same rules apply as for the ambulance.

Reimbursement

  • Latvia does not operate a reimbursement system. You should only be charged the amount of your own contribution.
  • If the healthcare provider does not have a contract with the National Health Service you cannot use your European Health Insurance Card. You will be charged as a private patient. These charges are not refundable in Latvia.
  • If you have to pay for care, contact your national health insurance provider once you return home to seek reimbursement.

Co-payment

  • Out-patient examinations by a general practitioner (GP) - €1.42.
  • Specialist examinations are charged between €4.27 and €35.57.
  • The fee for in-patient treatment is €10.00 per day starting from the second day of hospitalisation.
  • The fee for in-patient treatment in a nurse hospital or nurse care unit is €7.11 from the second day of hospitalisation.
  • Reduced fees are applied to patients with certain diagnoses.
  • Additional diagnostic examinations are charged between €14.23 and €35.57.
  • In addition to the patient's contribution the medical institution may charge a co-payment of no more than €31.00 per hospitalisation time in the operating room.

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 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

Tel: +371 67043700

Email: nvd@vmnvd.gov.lv


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