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Expat Exchange - Enrolling in the Public Healthcare System in Sri Lanka
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Hikkaduwa, Sri Lanka


Enrolling in the Public Healthcare System in Sri Lanka

By Joshua Wood, LPC

SJB Global
SJB Global

Summary: A primer on how to enroll in the public healthcare system in Sri Lanka.

If you're planning to enroll in the public healthcare system in Sri Lanka, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.

Sri Lanka is known for its high-quality healthcare system, which is primarily funded by the government. The public healthcare system, also known as the Ministry of Health, Nutrition and Indigenous Medicine, provides free healthcare services to all residents, including foreigners who have obtained residency status. It is not mandatory for all residents to use the system, but a significant majority of the population does due to its affordability and accessibility.

Quality and Costs of the Public Healthcare System

The quality of healthcare in Sri Lanka is generally high, with the country boasting one of the highest life expectancies in South Asia. The public healthcare system is funded through general taxation, making it free at the point of delivery. This includes services such as general practitioner consultations, specialist appointments, hospital care, and prescription medications. However, it's worth noting that while the care is free, there can be long waiting times for certain treatments and procedures.

Enrollment for Foreigners

Foreigners are eligible to enroll in the public healthcare system once they have obtained residency status in Sri Lanka. This typically involves obtaining a long-term visa, such as a work or spouse visa. Tourists and short-term visitors are not eligible for free healthcare and should ensure they have adequate travel insurance to cover any medical costs.

Steps for Enrolling in the Public Healthcare System

  1. Obtain Residency Status: The first step is to obtain residency status in Sri Lanka. This can be done through various types of long-term visas.
  2. Register with the Ministry of Health: Once you have residency status, you can register with the Ministry of Health. This involves providing proof of your residency status and completing an application form.
  3. Obtain a Health Card: After your application has been processed and approved, you will be issued a health card. This card should be presented whenever you access healthcare services.

It's important to note that while the public healthcare system provides a wide range of services, it may not cover everything. For example, dental care and certain specialist treatments may not be included. Therefore, many foreigners choose to take out private health insurance to supplement their coverage. This can provide quicker access to treatments and a wider range of services.

Private Healthcare in Sri Lanka

For those who prefer not to rely solely on the public healthcare system, or for those who are ineligible, private healthcare is also an option. Private healthcare in Sri Lanka is known for its high standards and shorter waiting times. However, it can be expensive, so it's recommended to have comprehensive health insurance if you choose to go this route.

In conclusion, while the process of enrolling in the public healthcare system in Sri Lanka may seem daunting, it's relatively straightforward once you have obtained residency status. Whether you choose to use the public system, private healthcare, or a combination of both, you can expect to receive high-quality care in Sri Lanka.

About the Author

Joshua Wood Joshua Wood, LPC joined Expat Exchange in 2000 and serves as one of its Co-Presidents. He is also one of the Founders of Digital Nomad Exchange. Prior to Expat Exchange, Joshua worked for NBC Cable (MSNBC and CNBC Primetime). Joshua has a BA from Syracuse and a Master's in Clinical and Counseling Psychology from Fairleigh Dickinson University. Mr. Wood is also a licensed counselor and psychotherapist.

Some of Joshua's articles include Pros and Cons of Living in Portugal, 10 Best Places to Live in Ireland and Pros and Cons of Living in Uruguay. Connect with Joshua on LinkedIn.


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Hikkaduwa, Sri Lanka

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