The National Health Insurance Fund or VLK (Lithuanian: Valstybinė ligonių kasa) is a key part of the healthcare system in Lithuania. It was established in 1993. The fund finances primary care largely by capitation payments, with some fees for service and performance related pay. Ambulatory care is mostly paid on a case basis with additional fees for diagnostic tests. Patients can choose a hospital or a specialist. There are four rates of coverage for prescribed medication: 100% for life-saving drugs such as oncology products and 80% for chronic diseases. 90% and 50% are rarely used. There are risk-sharing agreements with pharmaceutical companies. 45% of all prescriptions are electronic, and it is hoped to increase this. The insurance scheme does not cover adult dentistry or, for most people, outpatient prescription medicines. Only about 1% take out additional voluntary health insurance. More information...
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