International Health Insurance in Lithuania for Expats

It depends on your residency status and employment situation. Americans employed by Lithuanian companies or self-employed with a temporary or permanent residence permit contribute to the public health insurance system (PSD) through SODRA and can access public healthcare. Non-working expats with temporary residence permits cannot access the public system and must purchase private health insurance. Americans arriving on a national D visa are not covered by the public system at all and need private insurance from the start. The minimum self-insured PSD contribution in 2026 is approximately €80 per month.

Yes – proof of health insurance is required as part of many Lithuanian visa and residence permit applications for Americans. Non-EU nationals without employment in Lithuania must demonstrate they have private health insurance coverage when applying for temporary residence. ExpatInsure can help you find a plan that meets Lithuanian residency requirements and provides the documentation needed for your application.

Private clinics and hospitals in Vilnius and Kaunas offer direct access to a wide range of medical services, often with English-speaking staff. International health insurance through ExpatInsure gives you access to approved private providers with direct billing available at many facilities. In an emergency, the emergency number in Lithuania is 112, which operates across the EU. ExpatInsure can help you find a plan that covers both routine private care and emergency treatment in Lithuania.

Even for Americans who are eligible for and contributing to the Lithuanian public system, private health insurance offers several advantages. Wait times for specialists in the public system can be significant. Private clinics offer faster access, more modern facilities and a higher probability of English-speaking doctors. Prescription costs can be significant in Lithuania even within the public system, with co-payments of up to 25% for reimbursed medications. International health insurance also provides cover outside Lithuania – important for expats who travel frequently within Europe or back to the US.

No. US Medicare does not provide coverage outside the United States in most circumstances. Americans planning to live in Lithuania should arrange international health insurance as a separate plan. This is particularly important given that many common American visa and residency routes to Lithuania require proof of private health insurance coverage. ExpatInsure can help you find options suited to your situation in Lithuania.