Healthcare service types paid for by the National Health Service
Amount of patient’s payment
Diagnosing infertility and related healthcare services – consultations of specialists, carrying-out of tests, etc., as well as compensated drugs, are paid for from state budget funds.
The medical fertilisation procedure is paid for women aged up to 40 years (inclusive). This means that the patient, for example, at the age of 40 years and two months has the right to start the state-paid ovum drug-stimulation and continue it until transfer of an embryo without freezing it.
Diagnosing infertility
First of all, tests must be carried out to determine the causes of infertility and establish a diagnosis. If the patient wants to make tests for the state budget funds, then the patient must see a physician having a contractual relationship with the state (has concluded an agreement with the National Health Service). Women must see a gynaecologist, while men must see a urologist. A gynaecologist is a direct availability specialist, which means that a referral to see this specialist is not required. When going to a urologist, a general practitioner’s referral is required.
During the visit, the physician will examine the patient, and after evaluating the patient’s state of health will determine the tests necessary to determine the causes of infertility and confirm the infertility diagnosis. The physician determines whether only the woman’s diagnostic tests are sufficient, or it is also necessary to carry out the man’s tests.
If the “infertility” diagnosis is established, the patient can apply to the institutions with which the National Health Service has concluded an agreement for the performance of state-paid medical fertilisation procedures to apply for a consultation with a specialist (patient’s payment is EUR 4.00), who can prescribe the receipt of the respective service and admit to the centralised service waiting line.
From 2018, a centralised waiting line for receipt of medical fertilisation services has been created. To make an appointment to receive the service, you must contact the registration office of the medical institution (any institution specified in the table).
The waiting line is formed according to the information provided by medical institutions about the women admitted to the waiting line. The National Health Service sends an invitation to receive the service to a personal e-mail of a woman who has had her turn in the waiting line for state-paid reproductive healthcare service or medical fertilisation
(Annex in version of the Cabinet Regulation No. 692 of 30.06.2009 amended by the Cabinet Regulation No. 1630 of 22.12.2009; the Cabinet Regulation No. 573 of 21.08.2012)
(Annex in version of the Cabinet Regulation No. 692 of 30.06.2009 amended by the Cabinet Regulation No. 1630 of 22.12.2009; the Cabinet Regulation No. 573 of 21.08.2012)
| Healthcare services | Amount of patient’s payment, EUR |
| Patient’s payment | 4.00 |
| Intrauterine insemination | 21.00 |
| Ovary puncture for ovum aspiration | 21.00 |
| Transfer of embryos | 21.00 |
| Testicle biopsy | 21.00 |
APPROVED: Riga, 31 January 2018
The responsible official from whom patients can receive information about the content of NHS agreements is the member of the Board of the Reproductive Medicine Centre Embrions Gints Treijs.
More about the state-paid infertility treatment program: http://www.vmnvd.gov.lv/lv/469-veselibas-aprupes-pakalpojumi/neauglibas-arstesanas-programma
Read everything about the possibilities of receiving state support for artificial fertilisation in Latvijas Vestnesis portal www.lvportals.lv publication HERE.
At the same time, we inform you that as of 1 January 2016, the following is not paid for from the state budget:
- medical fertilisation, if two unsuccessful medical fertilisation procedures have already been paid for from the state budget;
- medical fertilisation for women after the age of 40, except in the case where the ovum drug-stimulation commenced before that age has been successful and the medical fertilisation is continued until the transfer of an embryo without its freezing. Source: http://likumi.lv/doc.php?id=263457
- The changes are provided for by the Cabinet Regulation No. 802 of 17 December 2013 “Amendments to the Cabinet Regulation No. 1529 of 17 December 2013 “Procedure for organising and financing healthcare”, by which changes were made to the subclause 11.35 of the Regulation No. 1529
You can receive information about healthcare services by calling the National Health Service free phone: +371 80 00 12 34 (on working days 8.30 am to 5.00 pm)
National Health Service working hours:
- Working days – 8.30 am – 5.00 pm
- Weekends – closed
