Do I need to pay Compulsory Health Insurance (PSD) in Lithuania?

You must pay PSD contributions if the Migration Department or/and SODRA (State Social Insurance Fund Board) has provided information to the National Health Insurance Fund confirming that you meet all of the following conditions:

1. You have declared a place of residence in Lithuania;
2. You are employed, a member of a small partnership (MB), or self-employed (for example, conducting individual activity) or you are employed on another basis;
3. You hold a temporary residence permit (TRP).

If you meet these conditions and have a spouse, your spouse must also pay PSD contributions.
There are, however, some exceptions — if your family has a child under 8 years old or two or more children, one parent may be exempt from paying PSD (note: this exemption does not apply to single parents). To use this exemption, you must submit a separate application, which can be done retroactively.