-
Service requests
Reimbursement must be requested within 6 months of the date of issue of the supporting payment documents. If this deadline is overdue, the costs shall not be compensated.
In order to claim the reimbursement, an application in a particular form must be completed, accompanied by a payment document (cheque or receipt) or a statement of a bank account for a payment made through an online bank.
The original or a copy of the payment document must be submitted to the SAA. The submission must certify that payment documents (cheques, receipts) will not be submitted to the State Revenue Service or to the insurance company (health insurer).
May submit a submission:
• electronically - using the official electronic address (e-address) or e-mail (the application must be signed with a secure electronic signature containing the time stamp);
• on-site (if requested for service, a personal identification document (passport or ID card) must be produced);
• by post;
• through the competent foreign authority.
The application may be submitted to any VSAA customer service centre.
The submission shall indicate the preferred method of receiving the decision.
When requesting reimbursement, the following shall be submitted
1. an act regarding an accident occurring at work or an opinion regarding an occupational disease, which has been issued in conformity with the regulatory enactments regarding the procedures for the investigation and registration of occupational diseases.
A deed regarding an accident occurring at work, if it has occurred as a result of exposure to the work environment factors, shall be received by the State Labour Inspectorate in electronic format (except in cases where an accident has occurred in the performance of service duties or the loss of capacity as a result of an accident shall be between one and three days)
2. documents for reimbursement of expenses regarding health care services (including treatment in a medical rehabilitation institution), medical products and patient payments:
• complete medical records (“Statement from the hospital/outpatient medical card” and/or “Statement - epicrieze”) containing information on and needs of the services provided to the customer;
• payment documents certifying the corresponding costs (cheques, receipts, etc.) indicating the full name of services and medical products, including medicinal products;
• referral of the treating physician to receive a medical rehabilitation service.
Vocational rehabilitation services for the reimbursement of expenditure:
• educational documents attesting the receipt of professional rehabilitation services;
• payment documents certifying the corresponding expenditure.
Travel expenses related to the hospital’ s visit, due to:
• the medical documentation form “An extract from a hospital patient/outpatient medical card”, which contains the dates of visits to the medical treatment institution and the health services provided (reimbursement of travel expenses of the guide should be indicated by the treating physician as to the necessity of the guide);
• supporting documents certifying travel expenses (public transport tickets, cash receipts or receipts from the filling station).
The acquisition of technical aids (not required for the national budget resources) and repair expenses due to:
• an opinion of the treating physician or an ergotherapist on the need for the relevant technical equipment. -
Receipt of services
If the official electronic address account (hereinafter the e-address) is activated, the decision will be sent by the SSIA to the e-address regardless of how the application is submitted.
If the e-address is not enabled and:
• completed for e-submission on portal Latvija.gov.lv, the decision will be available for viewing on portal Latvija.gov.lv in the “SSIA information and services” e-service under the “logged-in services” section;
• the application has been submitted to the SSIA in person, electronically (signed with a secure electronic signature) or sent by post - the decision may be received according to the type of receipt of the decision indicated in the application: on the portal, Latvija.gov.lv, face-to-face, or by post
At the choice of the recipient, the SSIA shall transfer the service to the account of the Latvian credit institution or postal payment system.
Get a service
The State Social Insurance Agency (SSIA) shall compensate for additional expenses incurred due to an accident at work or occupational disease. The SAA shall reimburse the costs of treatment and rehabilitation, as well as other costs (such as medicaments, travel expenses) related to the treatment of an injury or occupational disease.
A socially insured person who has suffered a workplace accident or has been diagnosed with an occupational disease after 31 December 1996 is entitled to receive reimbursement for medical and rehabilitation expenses.
The State Social Insurance Agency compensates additional expenses incurred by the person due to the workplace accident or occupational disease, provided that the costs are not covered by the state-funded healthcare services or state social assistance programs.
The following categories of expenses are reimbursable:
- treatment costs
- medical aids, including the purchase of medications
- patient co-payments and medical procedures
- medical and social rehabilitation
- transportation costs to and from medical institutions:
- by public transport, or
- if unavailable or unsuitable due to the person's health condition, by personal vehicle or taxi, based on travel route, distance, and fuel consumption, or taxi receipt
- prosthetics, purchase and repair of technical aids (e.g. orthopedic devices)
- companion costs (if accompaniment is medically required)
- vocational rehabilitation
- retraining or qualification change
If the person does not have sufficient funds to undergo medical rehabilitation or surgical treatment, the State Social Insurance Agency, based on the individual’s application (i.e. Request for Advance Payment Confirmation for Planned Treatment), may issue a guarantee letter to the Latvian medical institution.
This confirms that the treatment costs, within a set maximum limit (see section "How the compensation is paid"), will be covered by the state and paid directly to the institution providing the service.
To obtain the guarantee letter, the following documents must be submitted to the State Social Insurance Agency:
- a written application;
- a referral from the attending physician for medical rehabilitation or the required surgery;
- a document from the medical institution indicating the planned treatment costs for the insured person (in case of surgery – a cost estimate).
The amount of reimbursement for additional expenses is determined based on the supporting documents submitted by the insured person.
The total reimbursable amount per insured event may not exceed 25 times the amount of the State Social Security Benefit in effect on the date of the insured event (i.e., the date of the workplace accident or the diagnosis of an occupational disease), as applicable to persons who have reached retirement age.
|
Date of Occupational Accident / Disease Diagnosis |
|
Maximum Reimbursement Amount (EUR) |
|
Until 31 December 2020 |
|
€1,600.75 (25 × 64.03) |
|
From 1 January 2021 |
|
€2,725.00 (25 × 109) |
|
From 1 July 2023 |
|
€3,125.00 (25 × 125) |
|
From 1 January 2024 |
|
€3,425.00 (25 × 137) |
|
From 1 January 2025 |
|
€4,150.00 (25 × 166) |
Reimbursement for treatment and rehabilitation expenses is transferred to the beneficiary’s account with a credit institution or the Postal Settlement System in the Republic of Latvia.
If the State Social Insurance Agency has issued a guarantee letter for the planned treatment costs, the reimbursement is transferred directly to the payment account of the Latvian medical institution providing the treatment.
Translation prepared with a machine translation tool