How much does healthcare cost in Lithuania in 2026?

Employees are usually covered through payroll contributions once they work legally in Lithuania. Self-employed people, individual-activity earners and some other groups pay PSD contributions on a published schedule that moves with social-parameter updates; confirm the live SODRA or VLK figure before you budget. Check insurance status on the VLK DPSDR tool. You also need asmens kodas and lawful stay: Apply for a residence permit.

With valid PSD, a required referral where the rules demand one, and a provider contracted with the territorial fund, PSDF-covered services are delivered without the old “extra patient surcharge” pattern. Comfort extras (private room upgrades) and optional pricier medical devices than the state-compensated option can still mean a written, voluntary top-up. Register with a family doctor (šeimos gydytojas) early so referrals and prescriptions run cleanly.

Private clinics sell shorter waits in Vilnius; they are not the free PSDF path unless that clinic also bills the fund for the same act. Adult dental beyond basic covered care, cosmetic work and many jump-the-queue diagnostics become out-of-pocket lines. English-speaking reception is commoner in capital private rooms than in every regional practice: English in Lithuania.

Fold health into the wider month: Monthly budget and How expensive is Lithuania. Families also budget childcare separately: Childcare costs. Keep travel insurance until PSD shows active.