Treatment, coverage & costs
- 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 (tuberculosis, psychiatric diagnoses, certain infectious diseases).
- For specialised medical care, you will need a referral from a doctor, usually your general practitioner.
- If you are suffering from certain diseases, you do not need a referral to see any of the following: gynaecologist, ophthalmologist, children's surgeon, paediatrician, psychiatrist, addiction specialist, pneumonologist (lung doctor specialising in tuberculosis), dermatovenerologist (skin doctor specialising in sexually transmitted diseases), endocrinologist (for example when you have diabetes), oncologist, chemotherapy specialist, a specialist in infectious diseases (HIV / AIDS).
- The patient's fee cannot be refunded in Latvia, but you can claim reimbursement when you get home.
- 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.
- 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 no 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.
- 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.
From 1 January 2018, prescriptions for drugs refunded by the state can only be issued electronically with some exceptions (for example, if the patient has informed the doctor that he/she will use the prescription in one of the EU countries, Iceland, Norway, Liechtenstein or Switzerland).
- To get prescription drugs, you need to go to a pharmacy operating under contract to the National Health Service. To buy prescription drugs, you need to show:
- your EHIC,
- your passport (or other identification)
- your prescription (if you need prescriptions drugs which are not refunded by the state).
- 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.
- You can use an ambulance free of charge if it has been sent by the 113 service.
- The same rules apply as to other ambulance types.
- 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.
- Out-patient examinations by a general practitioner& – €1.42.
- Daycare hospital – €7.11
- Specialist examinations cost – €4.27.
- In-patient treatment costs €10 a day, starting on the second day of hospitalisation.
- In-patient treatment for patients suffering from oncological diseases and drug addicted persons costs €7.11 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 €1.42 and €35.57.
- In addition to the patient's contribution, the healthcare provider may charge a co-payment from €1.42 of up to €31 (for example for CT scans, magnetic resonance imaging (MRI), electroencephalograms (EEG), electrocardiagrams (EKG), X-rays, for an endoscopy).
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.
How do I apply for an EHIC?
- Explanation about how to apply for an EHIC (in English)
- Explanation about how to apply for an EHIC (in Latvian)
Doctors & hospitals accepting the EHIC
- Urgent medical aid units (in Latvian only)
- Health care providers providing state-funded health care services (full list - in Latvian only)
- Ambulatory healthcare (out-patient healthcare) providers and specialists (in Latvian only)
- Hospitals (in-patient care) (in Latvian only)
- Dental care providers (in Latvian only)