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Provision of health services

Last update 12.06.2020

Information on the procedures and restrictions for providing and receiving health services

As of 3 June, all state-paid planned outpatient and inpatient health care services are available. 

​There are conditions in the procedures for providing and receiving services that must be observed by medical treatment institutions, physicians, and patients.

For medical institutions

  • Wherever possible, health care services shall initially be provided to those patients whose previous appointments had been cancelled due to the state of emergency.
  • Strict epidemiological safety requirements must be met:
    • ensuring a separate flow of patients and limiting the number of patients staying in the premises of the medical treatment institution at the same time
    • determining an exact time of arrival for receiving health care services;
    • taking disinfection measures after each patient’s visit;
    • providing services only if personal protective equipment is used both by medical practitioners and patients. If the patient does not have his/her own mask, the medical institution must provide it by giving it to the patient free of charge or by giving him/her the opportunity to purchase it.
  • The treating physician shall decide whether the patient needs to be tested for Covid-19 before receiving the scheduled service.
  • For elective surgeries and invasive procedures, the treating physician or GP must refer the patient for being tested for Covid-19 and the procedure must only be performed in the event of the patient’s testing negative. The doctor must inform the patient about the need to be tested for Covid-19 in a timely manner.
  • The list of cases where the state will pay for a GP’s visit to the patient's home has been extended: if the patient is experiencing exacerbation of a chronic illness, but the SEMS (NMPD) has not deemed the situation to be life-threatening. 
  • Wherever possible, consultations must be provided remotely. 
For patients
  • The patient does not have to pay for the remote consultation.
  • Patients should discuss with their GP or treating physician which healthcare services are necessary at the moment, especially for persons over 60 years of age and for immunocompromised individuals, as these persons may be severely affected by the Covid-19 virus.
  • Before going to see a doctor, they must be contacted beforehand and the time of the visit must be agreed upon. Going to see a doctor without an appointment is forbidden.
  • In the medical institution: 
    • Keep a distance of 2 meters from other people wherever possible.
    • Disinfect your hands regularly.
    • Use a face mask. The patient may arrive to the medical institution with his/her own face mask, including a mask made of fabric. If the patient does not have his/her own mask, the medical institution must provide it by giving it to the patient free of charge or by giving him/her the opportunity to purchase it.
       
  • In cases where during the state of emergency it was planned for a child to receive state-paid dental services shortly before they turned 18, but the services were refused at the time and the child has now reached the age of majority, the services may be received in the following order: if there had been an appointment that was cancelled, these persons can still receive the service by 31 August.
  • A similar principle applies to state-paid medical insemination, as there is a set age limit for women who want to receive this service. If a person was refused the service during the state of emergency, even though they had reached their turn in the waiting list, and if they no longer meet the required age, they will still be able to receive the service, starting the medical insemination process by the end of August. 
  • A child’s participation in any camp requires a certificate that has been issued by a GP no later than seven days before the start of the camp. The GP assesses the child's health and there is no need to send the child to be tested for Covid-19.
  • Patient expenses related to Covid-19 treatment will be paid by the state (transfer, hospital time, treatment, etc.).
Who to turn to?
  • In order to receive more precise information on state-paid health care services, contact the National Health Service by phone 80001234 or search for information on the www.rindapiearsta.lv website.
  • In cases when medical practitioners or medical institutions refuse to register patients for state-paid services, or if patients need more precise information on state-paid health care services, people are invited to call the toll-free NHS client service number 80001234 or write an e-mail to nvd@vmnvd.gov.lv.
  • In cases of deteriorating health, contact your GP or treating physician in order to decide on your next actions, or, in life-threatening situations, call the State Emergency Medical Service on 113.
  • If your GP is unavailable, or if health problems appear outside your doctor's working hours, you can receive consultations on your health condition and the necessary health care services by calling the general 24-hour GP consultation number, 66016001, or by making an appointment with an on-call doctor.

Source reference

Veselības ministrija