Free medical services

1. Emergency medical services (first aid and emergency medical aid), the list of which was approved by Order No. V-208 of 8 April 2004 of the Ministry of Health of the Republic of Lithuania “Regarding the Approval of Emergency Medical Care and Procedure and Scope of the Provision of Emergency Medical Care Services” (Official Gazette, 2004, No. 55-1915) and law amendments, are provided to the country’s residents (entire resident population of the Republic of Lithuania regardless of whether they are insured under the statutory health insurance scheme and regardless of their place of residence)

2. Services covered from the budget of the Compulsory Health Insurance Fund (CHIF).

Primary care services provided to patients who are registered with the health care institution and who are covered by compulsory health insurance in accordance with the scopes of services set forth in the agreement with the territorial patient fund.

Laboratory tests:
- Complete blood count with hematology analyzer.
- C-reactive protein test (using a qualitative method).
- Blood glucose test.
- Total cholesterol.
- Urine test (using qualitative test strips and microscopic examination of urinary sediment).
- Pap smear during pregnancy.
- Blood typing and Rh factor test (during pregnancy or prior to scheduled surgery).
- Direct Coombs test to detect antibodies (in pregnant women).
- Qualitative RPR test during pregnancy.
- HIV antibody test during pregnancy.
- Glucose tolerance test if blood glucose level is between 5.6 mmol and 7.8 mmol/l.
- Glycosylated hemoglobin (HbA1c) test (every 3 months for diabetes patients).
- Creatinine and urea.
- High-density lipoprotein cholesterol test (as part of a cardiology programme).
- Low-density lipoprotein cholesterol test (as part of a cardiology programme).
- Triglyceride level test (as part of a cardiology programme).
- Prothrombin time test (SPA) and international normalized ratio (INR) test (for patients with atrial fibrillation or patients who have undergone heart valve replacement, or who take warfarin, 12 times a year and prior to scheduled surgery).
- Blood potassium and sodium level test.
- ESR test.
- PSA (prostate-specific antigen) test (as part of preventive programmes or following a radical prostate cancer treatment).
- Activated partial thromboplastic time (APTT) test (prior to scheduled surgery).
- Alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP) and gamma-gliutamyl transferase (GGT).
- Bilirubin.
- Thyroid-stimulating hormone (TSH).
- Free thyroxine (FT4).
- Ferritin blood test.
- Urine microalbumin test.

Only physicians may determine the need for free tests. If a test is performed at the patients’ request, it is provided at a fee.

3. Preventive programmes

Programme

Target group

Programme measures

Financing programme for cervical cancer preventive measures funded from the CHIF budget. 

For women aged 25 to 60. 

Female patients undergo a PAP test screening every three years. If the test result is normal, the patient does not need any follow-up tests or treatment. If the result indicates pathology, a general practitioner refers the patient to a specialist to clarify the diagnosis.  

Financing programme for selective mammography screening for breast cancer

For women aged 50 to 70.

Female patients undergo a mammography screening every two years (based on a referral from a general practitioner). The test is performed at the medical institution that has a mammography machine. If the test result is normal, the patient does not need any follow-up tests or treatment. If the result indicates pathology, a general practitioner refers the patient to a specialist.  

Prostate cancer early
detection financing programme. 

   

For men aged 50 to 75, and for men aged 45 and over if their fathers or brothers have been diagnosed with prostate cancer. 

Male patients undergo a blood test every two years for prostate-specific antigen (PSA) level in the patient’s blood. If the test result is normal, the patient does not need any follow-up tests or treatment. If the result indicates pathology, a general practitioner refers the patient to a specialist to clarify the diagnosis.

Colon cancer early detection financing programme. 

For men and women aged 50 to 75. 

A patient undergoes an occult blood test every two years. If the test result is negative, the patient does not need any follow-up tests or treatment. If the result is positive, a general practitioner refers the patient to a specialist to clarify the diagnosis.  

Financing programme for selective and preventive measures for people with increased cardiovascular risk. 

For men aged 40 to 55 and for women aged 50 to 65. 

Once a year, a general practitioner identifies risk factors and, if necessary, compiles an individual cardiovascular disease prevention plan. If needed, the GP refers the patient to specialist medical centres for further screening, and follow-up treatment is prescribed as required. 

Financing programme for dental sealant application to children’s molar teeth. 

For children aged 6 to 14. 

The application of dental sealants to children’s molar teeth can be performed by dentists or dental hygienists.