Liechtenstein

Legal status and visa requirements for those who were forced to leave Ukraine

General information regarding the temporary protection in Liechtenstein

  • On 15 March 2022, the Government of Liechtenstein adopted the Ordinance on Temporary Protection for Certain Groups of Persons from Ukraine (Ukraine Protection Ordinance). Thus, all persons who belong to the group defined in the Ukraine Protection Ordinance receive a temporary right of residence in Liechtenstein. These persons do not go through a regular asylum procedure. This relieves the asylum system and people quickly have clarity about their residence status in Liechtenstein.

    • Temporary protection is a return-oriented residence status. In the event of a significant improvement of the situation in Ukraine, it is envisaged that the granting of protection will be lifted by the government and a return to Ukraine will be made possible.
    • The group defined in the Ukraine Protection Ordinance includes: Ukrainian nationals seeking protection who were resident in Ukraine before 24 February 2022; equivalent to these are Ukrainian nationals seeking protection who were already legally resident in Liechtenstein before 24 February 2022; as well as protection-seeking persons of other nationalities and protection-seeking stateless persons who had an international or national protection status in Ukraine prior to 24 February 2022 or who can prove with a residence permit that they had a valid right of residence in Ukraine on 24 February 2022 and who cannot be returned in safety and permanently to their home countries or countries of origin can travel to Liechtenstein and apply for temporary protection.In order to be able to apply for temporary protection you must already be in Liechtenstein. After entering Liechtenstein you can report to the Migration and Passport Office (MPO) during office hours and to the National Police outside opening hours. If you are already in Liechtenstein, you are requested to make an appointment in advance by e-mail to asyl@llv.lito submit your application. If you register without an appointment, there may be waiting times.
    • For the registration, you must appear in person and an entry interview will be conducted. Among other things, information will be handed out. Your personal details will be taken. In addition, in a first step, the existing identity and travel documents, as well as assets, are secured by the requirements of the Asylum Act (AsylG) and the Asylum Ordinance (AsylV).
    • In order to be granted protection status, one must belong to one of the above-mentioned groups and there must be no grounds for exclusion (Article 3 Ukraine Protection Ordinance)
    • The MPO will then issue a written decision in which you receive the protection status. At the same time, you will receive an S permit that provides information about your status. This is limited to a maximum of one year and can be extended. With the S permit, you will also receive your original travel documents back.

    Persons with temporary protection (S) largely have the same rights as asylum seekers and temporarily admitted persons. They receive welfare benefits in accordance with the AsylG and the AsylV pocket money, accommodation and care, and the premiums and cost-sharing incurred under compulsory health insurance are covered. The protection status allows school-age children to attend school and adults to pursue gainful employment. As with other persons in the asylum sector, wage cession and obtaining the MPO’s consent to gainful employment apply. They are allowed to travel in the Schengen area and return to Liechtenstein with the S permit and a valid recognised passport without special permission from the MPO.

Learn more about staying in Liechtenstein:

Access to healthcare services

  • As soon as a person in need of protection reports to a federal asylum centre and submits an application for protection status S (see below) there, he or she will be registered for compulsory health insurance.

  • If a person in need requires immediate medical assistance, even before applying for protection status S and has no health insurance, the public authorities will cover the costs.
  • Medical emergency service is available at Liechtensteinisches Landesspital in Vaduz on weekdays from 18:00 to 08:00 and all day on weekends and public holidays: +423 230 30 30. The emergency ward of the Hospital is also available any time by telephone: +423 235 44 16.
  • Flüchtlingshilfe Liechtenstein (FHL, center for refugee support)  organises a family doctor for the asylum seekers, who then refers them to a specialist for further care, if necessary. 
  • See more here 

Where can the Ukrainians who were forced to leave Ukraine go for the following healthcare services?

Shortly after the application for protection is registered in the country, a medical entry check is carried out by a family doctor and a medical practice assistant. A questionnaire with the most important medical questions has been developed for this purpose. If an acute health problem is identified, the patient can be referred to a doctor or psychotherapist. For this purpose, Flüchtlingshilfe Liechtenstein (FHL) has a list of doctors and psychotherapists who care for persons from the asylum sector in their practice. Admission to the national hospital is also possible if there is a medical emergency or the family doctor assesses it as necessary.

Persons from the asylum sector are covered by basic health insurance with a Liechtenstein health insurance company as of the date of registration of the application in the country and thus receive the same benefits as Liechtenstein residents under basic health insurance.

To get more information on how to receive the medical care for those seeking
protection, please check the government website: https://www.regierung.li/fragen-und-antworten

Acute treatment/chronic/long-term treatment/other services e.g. screening, testing, vaccination

All contacts to health care services must be made through Flüchtlingshilfe Liechtenstein after a medical entry check (they are being referred to specialists according to their health needs).

Other services

Services for People Living with HIV

HIV-testing

Testing is provided in the infectious diseases departments of hospitals or specialised medical practices.

Antiretroviral treatment (ART)

  • A private individual may import medicines, up to the amount of one month’s supply, for personal use. If the stay lasts longer, the person must go to a doctor to obtain the additional medication.
  • Personal need must be proven (i.e confirmation from the  doctor containing personal data, stating  the need to continue the treatment, the generic name of the medicine, and it’s dosage – preferably with German translation). It is not permitted to bring more than a month’s dose into the country.
  • ART is available free of charge because people with protection status S receive the same health services as LI nationals. One needs to have a diagnosis and prescription from the specialist to whom they were referred to after the test was performed.
  • HIV-positive people who use drugs can also access ART as long as a diagnosis has been made by a specialised doctor and the medication is adjusted to fit with other therapies (e.g. if the person also receives OAT). 

Pre-exposure prophylaxis (PrEP)

  • It is important that PrEP medication is taken under medical supervision to avoid medical complications, such as kidney damage, and to ensure that all appropriate regular tests (e.g. for sexually transmitted infections) are carried out.
  • PrEP is prescribed by a family doctor or through the mediation of the refugee assistance. There are costs to be paid for the counselling, monitoring, and medication.  The eligibilily, costs to be covered and other related issues to be clarified with a Liechtenstein family doctor. 
  • Daily PrEP: is available. One tablet is taken per day over a longer period to build up an active substance level in the body before the first unprotected sex, should be discussed with the prescribing doctor
  • Event-based / on-demand PrEP is available and can be standardised according to the person’s needs. It is important to note that this option is a slightly more complicated and requires rigorous counselling before administering. In addition, evidence concerning it’s use is  not yet as solid as that of for daily PrEP. 
  • Holiday PrEP: similar to daily PrEP but is started and stopped at a specific time. Again, it is important to take the medication as prescribed by the doctor.
  • Minimum age for receiving HIV pre-exposure prophylaxis is 16 years.

Post-exposure prophylaxis (PEP)

  • PEP consists of the administration of HIV medication after a risk encounter usually for 4 weeks. Given the burden on patients and it’s high costs, PEP should only be prescribed after a careful risk assessment.
  • Legal/medical guidelines for PEP need to be clarifies via the general practitioners.
  • Treatment is carried out by specialised doctors or clinics (for referral, contact Flüchtlingshilfe and/or Health Department). PEP must be started within the first 48 hours after possible infection – the earlier, the safer the protection.
  • Minimum age for receiving PEP 16 years.

More details: https://www.gesetze.li/chrono/2014192000

Services for People Living with Hepatitis B or C

Hepatitis B or C testing, hepatitis B vaccination, and hepatitis B or C treatment availability

Shortly after registration in the country, a medical entry check is carried out. Should further measures result from this entry check, the persons are referred directly to a specialist with the completed health questionnaire. For this purpose: Flüchtlingshilfe Liechtenstein.

Landstrasse 194, Liechtenstein 
9495 Triesen 

T: +423 388 12 90 

E:  info@fluechtlingshilfe.li

Support systems (harm reduction/safer use, social support or psychosocial support) available for the Ukrainians undergoing therapy for hepatitis C or related liver diseases

Psychosocial support: Helpchat is a counselling service in the sense of first aid for mental health support. The Helpchat service is run by Liechtenstein psychologists who have experience in psychotherapy and psychological counselling and are also active in this field.

You may also contact Psychiatric-Psychological Service and Child and Youth Service in the Office of Social Services:

Phone: +423 236 72 72
Email: info.asd@llv.li

Tuberculosis services

If the person has TB symptoms:
If TB was already diagnosed in Ukraine and the person needs to continue treatment:
If a person has a Ukrainian prescription for TB treatment medicine…

  • Shortly after registration in the country, a comprehensive medical entry check takes place. It may include TB screening/ testing. In the case of a positive TB result, a medical referral for further clinical examination and therapy takes place. A person with TB symptoms is cared for directly by the attending doctor.

Non-medical support

The various types of support, like food, shelter, and psychological support are offered to all Ukrainians through the asylum centres as well as screening/testing and referral to other specialized services via the website.

Opioid agonist treatment (OAT) services

Medication rules

  • It is permitted to bring in substitution medication that is enough for up to one month into Liechtenstein. If the stay lasts longer, the person must go to a doctor to obtain further medication.

Richtlinien zur betäubungsmittelgestützten Behandlung bei Opioid-Abhängigkeit im Fürstentum Liechtenstein 2019 – download here: www.llv.li/pdf
Contact search: www.suchtpraevention.li

  • The person also needs to have a doctor’s prescription which should preferably include dosage and be  translated into German or English, and/or  a copy of their medical records or insight into their medical history.
  • Any OAT requires a permit from the Health Department. The authorisation is issued to the applicant doctor by the Health Department.
  • The prescription, dispensing, and administration of OAT requires a license from the Office of Authorisation at the public health office.
  • If OAT is necessary, the family doctor’s office will take over the formal processing with the Office of Public Health.

What OAT drugs are available in the country?

Methadone, levomethadone, buprenorphine, and slow-release morphine.

See details at the website Richtlinien zur betäubungsmittelgestützten Behandlung bei Opioid-Abhängigkeit im Fürstentum Liechtenstein 2019 – download here: www.llv.li/pdf

Take-home dosages availability

Take-home dosages are available in the amount of up to 7 days upon the doctor’s decision.

Minimum age for people who use drugs to receive OAT

There is no restriction based on the age of the patient or the duration of opioid use.

Young people at risk of addiction, and their parents, can contact the Children and Youth Service (KJD) for initial counselling. After clarification and indication discussions, outpatient, partial inpatient or inpatient support offers are initiated if needed and if the young people are willing.

Useful links to follow on OAT:

Sources

General requirements and access to healthcare

HIV

Hepatitis B/C

TB

OAT