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Compulsory health insurance (PSD) for persons working abroad

The following will happen when a person leaves the country for a longer period and fails to declare his departure and pay his PSD contributions:

  • Health insurance is terminated. However, emergency medical assistance services shall be provided free of charge to all persons permanently residing in the Republic of Lithuania, irrespective of their nationality and the fact of compulsory health insurance. Free emergency medical assistance in the Republic of Lithuania shall be guaranteed to:
    • Persons insured with PSD in Lithuania regardless of their nationality (this category also includes foreigners temporarily residing and working in the Republic of Lithuania);
    • Residents of the Republic of Lithuania, regardless of their nationality and regardless of whether they are covered by the PSD;
    • Persons insured in the countries of the European Union, the European Economic Area or the Swiss Confederation who hold a document attesting to their entitlement to benefits in kind at the expense of the competent national institution (European Health Insurance Card or a temporary replacement certificate). The costs of the necessary assistance services provided to such persons in Lithuania shall be reimbursed by the EHIC or the health insurance institution of the country issuing the certificate.
  • “Sodra” starts calculating a debt.
  • Whenever the person returns to Lithuania, he is not entitled to free medical services until the accumulated debt has been paid off.

 

  For example, a person uninsured with compulsory health insurance (PSD) should pay the healthcare institution for its provided services the same amount as would be paid by the national health insurance fund if the person was insured. Treatment services are extremely expensive, for example, appendix removal would cost about 700 euros, leg fracture treatment - from 300 to 1300 euros, and the treatment of more complex diseases can reach tens of thousands of euros.

 

More general information on compulsory health insurance:

Tel.: 1883, while calling from abroad: +370 5 250 0883, e-mail info@sodra.lt.

You will find personal information by logging onto your personal “Sodra” citizen’s account.

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  1. By connecting electronically to the E-Government gateway.
  2. By coming to an eldership or municipality where you have declared your place of residence in Lithuania. The declaration shall take effect from the day it is submitted.
  3. By filling out a declaration of place of residence at the Lithuanian diplomatic mission or a consular institution in foreign countries. The declaration shall take effect from the day it is submitted.

 

When declaring the change of your place of residence you should provide the consular institution with:

  1. A filled out, specified form declaration.
  2. An identity confirming document or a residence permit in Lithuania.
  3. Documents confirming the custody (guardianship) or representation, or copies of these documents (certified according to effective regulations) and documents confirming your identity, if the person's place of residence is declared by the custodian (guardian) or a representative of a social care institution.
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If you depart from Lithuania for a period longer than 6 months, you must declare your departure to stop the calculation of the PSD payments. This can be done electronically by connecting to the E-Government Gateway.

Departure declarations can be sent by non-electronic means:

  • By coming to an eldership or municipality where you have declared your place of residence in Lithuania. The declaration shall take effect from the day it is submitted.
  • By filling out a declaration of place of residence at the Lithuanian diplomatic mission or a consular institution in foreign countries. The declaration shall take effect from the day it is submitted.

 

When declaring the change of your place of residence you should provide the consular institution with:

  • A filled out, specified form declaration.
  • An identity document or a residence permit in Lithuania.
  • Documents confirming the custody (guardianship) or representation, or copies of these documents (certified according to effective regulations) and documents confirming your identity, if the person's place of residence is declared by the custodian (guardian) or a representative of a social care institution.

 

If you are away in a Member State of the European Union, a member of the European Economic Community or the Swiss Confederation and want your PSD contribution debt to be recalculated, you must provide a certificate A1 (Regulation of the European Parliament and of the Council of 29 April 2004 (EC) No 883/2004, Article 11(3)(a)) proving your social security coverage in one of the countries listed above. The list of authorities issuing the A1 certificate is available here.

 

  If you have received a negative reply from a competent body of the European Union, a Member State of the European Economic Area or Switzerland regarding the issue of a A1 certificate, you may apply to the "Sodra" for mediation in obtaining data on periods of employment and/or insurance completed abroad by submitting a free-form application and a negative reply issued by the competent authority on the issue of A1. 

 

When submitting a free form certificate that is issued in a non-English or Polish language, a translation to the Lithuanian language must also be provided.

 

A1 certificate or certificate issued by the competent authority may be provided by:

  1. To the "Sodra" department with the original or copy of the certificate.
  2. Once you have logged in to your personal “Sodra” account, submit a free form request and attach scanned documents (Requests> General applications, appeals> New application / appeal). You need to select the Panevezys branch as the recipient.
  3. By email panevezys@sodra.lt. When sending an e-mail it is necessary to add a scanned copy of the application "For the PSD payment recalculation" (you will not need to submit the original).

 

  In case you have departed to a European Union member state, European Economic Area member state or the Swiss Confederation, you can provide the following certificates from corresponding institutions. Full list you can find here.

  If you will provide one of the above-mentioned certificates, but you cannot do this immediately, submit a request to the “Sodra” department “Regarding the non-imposition of sanctions for the recovery of compulsory health insurance contributions”. When submitting your application, you undertake to submit within 4 months documents confirming your insurance abroad and you will not be sanctioned during this period.

 

You can provide the request:

  1. By coming to a “Sodra” department.
  2. Once you have logged in to your personal “Sodra” account, submit a free form request (Requests> General applications, appeals> New application / appeal). You need to select the Panevezys branch as the recipient.
  3. By email panevezys@sodra.lt. When sending an e-mail it is necessary to add a scanned copy of the application (you will not need to submit the original).
  4. Send the filled out request original by post (Vasario 16-osios str. 60, LT-35167 Panevezys, Lithuania).

 

  No other documents - for example, the Danish "yellow" or "blue" card, etc., as well as documents from countries other than those mentioned above - do not remove the person's obligation to pay PSD contributions.

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Persons who are not participating in any economic activities, who are not insured with PSD by state funds or taking a part in the individual agricultural activities (whenever the farm or agricultural holding is less than 2 economic size units (EDV) or less), can check for PSD contribution debts over the internet, by visiting the following website: www.sodra.lt/pasitikrink (lithuanian).

By following this hyperlink you will also find additional information on how to pay your collected debt, the payment codes and additional information.

Persons who are not in the above-specified groups can check their insurance with the compulsory health insurance (PSD) at the National health insurance fund webpage: https://dpsdr.vlk.lt/.

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Your insurance can be prolonged only when you pay your debt for the whole period of time that you have missed payments or a person provides documents, proving that during that period of time, he was legally employed abroad and has paid taxes in a foreign country.

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Calculated contributions should be transferred to the “Sodra” payment collection accounts.

It is mandatory to specify the payment code while transferring the payables. The payment can “get lost” and not accounted for if you do not provide the code - the payer will have a debt with interest calculated.

CHI (PSD) payment codes:

  • 364 - paying current CHI contributions.
  • 365 - paying off the debt.
  • 366 - for the payment of delay interest.

Deferred CHI (PSD) payment codes:

  • 369 for deferred CHI payments;
  • 370 for deferred CHI interest.
 
Individuals, who are self-insured with compulsory health insurance and paying contributions for themselves, may apply to “Sodra” division regarding deferral of payment of arrears of compulsory health insurance contributions not exceeding EUR 1,500. “Sodra” division shall not later than within 10 working days of receipt of the application take a decision to defer or not to defer the payment of the arrears of compulsory health insurance contributions. In this way, the payment of arrears of compulsory health insurance contributions may be deferred once a calendar year, subject to the following conditions:
  • where arrears of compulsory health insurance contributions are EUR 600 or less, arrears of compulsory health insurance contributions are deferred for up to 4 months;
  • where arrears of compulsory health insurance contributions are more than EUR 600, but equal to or less than EUR 900 – for up to 6 months;
  • where arrears of compulsory health insurance contributions are more than EUR 900, but equal to or less than EUR 1,200 – for up to 8 months; 
  • where arrears of compulsory health insurance contributions are more than EUR 1,200, but equal to or less than EUR 1,500 – for up to one year. 
Repayment of arears of compulsory health insurance contributions shall commence from the date of the decision to defer payment of arrears of social security contributions subject to the terms and conditions set forth therein.
 
“Sodra” divisions shall notify the assured person in writing of the decision taken within 5 working days of taking the decision. 
 
An application can be submitted:
  • After joining personal "Sodra" account for a resident and applying for deferral of payment of compulsory health insurance contributions up to EUR 1500, GDR9 (Applications > General applications, complaint > Request for deferral of payment of compulsory health insurance contributions up to EUR 1500, GDR9). When filling in the application, the Panevėžys department of "Sodra" must be selected as the addressee.
  • Upon arrival to “Sodra“ division. You must bring your identity document with you.
  • By post - a completed original application shall be sent to the address Vasario 16-osios str. 60, LT-35167 Panevėžys. 
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After coming to Lithuania from abroad, you should declare your place of residency and renew your health insurance as fast as possible.

 

You can do that by:

  1. Connecting electronically to the E-Government gateway
  2. Coming to an eldership closest to you.

 

After that, you should take care of your insurance, since you are obliged to pay compulsory health insurance (PSD) contributions from the moment you have declared your residential place. There are no uncertainties for the employed persons, since all of the compulsory contributions are paid together with the working wage. In case the person coming from abroad does not work, he has to pay PSD contributions by himself or can be insured by state funds, if he is a pensioner, pupil, full-time (day education) student, one of the parents, upbringing a child aged up to 8 years old, etc.

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You should address the “Sodra” Panevezys department (Vasario 16-osios str. 60, LT-35167 Panevezys, Lithuania, e-mail panezevys@sodra.lt) – where the contribution administration specialists will check the substantiation of calculated compulsory health insurance (PSD) contributions.

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According to the order currently in effect, a person can be insured by health insurance in only one of the European Union (EU) countries at a time, i.e. in the one where he resides, works and pays taxes. Therefore, if the person has declared his departure from Lithuania and started working in another EU country, he has to pay the taxes, specified in that country, and thus, would not need to pay PSD contributions in Lithuania.

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In case a Lithuanian citizen works according to an employment contract in a EU member state, Norway, Switzerland, Iceland or Lichtenstein and executes individual activity in Lithuania, the social insurance and compulsory health insurance contributions should be paid only in one state, however, they will be calculated from the income, received by executing activities in both countries.

 

In most cases, this person will not have to pay PSD contributions in Lithuania, without any regard if he has declared his departure or not, since he will be subject to the social insurance law of the country where he works according to an employment contract. However, to prove that he pays the social insurance contributions in another state, the person is obliged to provide “Sodra” with the employment contract (according to which he is working abroad) and an issued A1 form certificate, which he should address the social insurance administrating institution of the country he is working at.

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If you are provided a standardized certificate (i.e., S041 form), in such a case you do not need to translate the document to Lithuanian language. However, if a free-form certificate is issued or it is issued in a language different from English or Polish, the person should provide the translation of the document to Lithuanian language.

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Update date: 2020-05-11
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