In Latvia, public health insurance is the responsibility of the National Health Service (Nacionālais veselības diensts, NVD). If a healthcare service provider has a contract with NVD, NVD will reimburse costs of treatment directly to the service provider and the patient will be charged only a small standard fee at the place of treatment. Information about EU citizens´ entitlement to hospital treatment in Latvia can be obtained by calling +371 67045005 or by contacting the email address email@example.com.
Private health services are also provided in Latvia. These facilities do not have a contract with NVD, and therefore the costs of treatment are not reimbursed in Latvia.
See a general practitioner who has an agreement with NVD. Show your European Health Insurance Card and ID at the appointment. You will be charged a patient contribution of € 1.42. In order to obtain treatment by a specialist, you will usually need a referral from a general practitioner. The patient contribution for an appointment with a specialist is € 4.27. Treatment from general practitioners and specialists is free for those under 18 and for expectant mothers in the case of pregnancy-related care and in the case of treatment provided for up to 42 days after giving birth. Additional information about free treatment for other groups can be obtained from the Health Payment Centre. Patients under the age of 18 as well as certain other groups are also entitled to a house-call by a general practitioner free of charge.
The costs of dental treatment are not reimbursed in Latvia. Patients pay the full price. If you are under 18, you can receive urgenttreatment free of charge if you visit a NVD-dentist and present your European Health Insurance Card (EHIC) and ID
If a medicine is on the list of reimbursable medicines, the doctor will write a special prescription that is valid for 15 days. In addition to the prescription, show your European Health Insurance Card and ID at the pharmacy. The level of reimbursement depends on the nature of the illness treated and the reference prices laid down in Latvia. Medicines are reimbursed at a rate of 50 per cent, 75 per cent or 100 per cent. Some medicines are not eligible for reimbursement at all. Reimbursement is sought retrospectively.
You can access hospital treatment if you have a doctor´s referral. In emergencies, you can go directly to a public hospital, in which case you will only pay a client fee, the amount of which depends on the treatmet. Same applies to Intensive care too. Show your European Health Insurance Card and ID at the hospital. The patient fee in the majority of hospitals is € 10 per day starting as from the second day of hospitalisation. The total amount of patient contributions for one treatment period may not exceed € 355.72. A charge of € 4.27 is made for surgical procedures performed on an out-patient basis. The total amount of patient contributions in one calendar year may not exceed € 569.15. Treatment is free for those under 18 and for expectant mothers in the case of pregnancy-related care and in the case of treatment provided for up to 42 days after giving birth.
Emergency ambulance transport is free of charge if the ambulance has been sent by the 113 service.
If you are required to pay full price
If you are required to pay full price for public healthcare treatment that should have been covered by the European Health Insurance Card, you can apply for reimbursement in arrears. You can apply for reimbursement either from the health insurance institution of the destination country or from Kela on form SV 128.
You can seek treatment within both Latvia´s private and public healthcare system.
The website of Health Inspectorate provides information about the country’s health tourism and a link to places of treatment which accept patients seeking care.
Treatment-related practices and costs
A referral for treatment by a specialist in the public system can only be provided by a family doctor or another specialist within Latvia´s public healthcare system. If you seek treatment either with a referral from a doctor in Finland or without one, you must pay for the treatment yourself. You can consult certain specialists. See the list on the website of the National Contact Point of Latvia. Private healthcare may have varying practices with respect to referrals. It is a good idea to check with the place of treatment directly.
The Latvian Contact Point´s website has a list of prices for public health services. Public healthcare units have separate lists of prices for self-paying patients, however. The private healthcare sector also determines its prices itself. It is a good idea to enquire about prices directly from the place of treatment.
Quality and safety of treatment
The Health Inspectorate, under Latvia´s Ministry of Health, supervises healthcare services provided within the country. In particular, the quality and availability of treatment as well as the competence of healthcare professionals are subject to supervision.
If you feel you have received incorrect or inadequate treatment in Latvia, settle the matter primarily with the treatment facility that provided the care. If the issue requires follow-up measures, you can lodge a complaint with the Health Inspectorate. Additional information about the complaint procedure is available on the website of the Latvian Contact Point.