How do you enrol in public healthcare in Lithuania in 2026?

Employees usually join PSD when the Lithuanian employer registers them with Sodra after residence rights and an asmens kodas exist: Apply for a residence permit. Confirm status on the VLK DPSDR tool rather than assuming a border stamp created cover.

Self-employed people, some permanent residents without work, and other listed categories pay monthly PSD contributions themselves. Non-EU students on temporary residence often need private insurance for the permit file and do not automatically sit inside PSD until employment or another insured basis appears. EU movers with a valid European Health Insurance Card can use it for necessary care during temporary stays, but resident working life expects Lithuanian PSD once you are compulsorily insured here.

Choose a primary healthcare institution that contracts with a Territorial Health Insurance Fund and register with a family doctor (šeimos gydytojas). Covered services with required referrals then follow VLK rules without the old surcharge pattern on PSDF-paid care. Keep e-health and portal access ready with Smart-ID.

Finish address declaration so clinics and Sodra letters reach you. First-month sequence: Paperwork after moving. Fold premiums and private dental gaps into Monthly budget.