Poland

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

The entry to Poland of Ukrainian citizens  takes place based on:

  • visa-free travel and biometric passports;

OR

  • an application for granting international protection, submitted at the Polish border crossing point;
  • consent of the commanding officer of the Border Guard, given when crossing the border;
  • national visa (D) or Schengen visa (C);
  • a visa with a D or C designation, or a residence permit issued by another Schengen state;
  • hold a temporary residence permit, permanent residence or long-term resident’s EU residence permit and a valid residence card;
  • Nationals of Ukraine are exempt from the requirement to have a visa when crossing the external borders of Member States for stays of no more than 90 days in any 180-day period.

Refugee status/ asylum seeker status/ temporary protection status

  • The legal status of the Ukrainians who were forced to leave Ukraine, and come to Poland is temporary protection status 
  • Temporary Protection Status is granted on arrival at the Border Control. In the case of proceedings for temporary residence permits (and proceedings for changes in temporary residence and work permits), the term for the voivode to resolve the case will be 60 days after submission of the application in person, or subsequent personal appearance of the foreigner in the voivodship administration (except in cases when the foreigner is not obliged to appear in person). 

Learn more about your stay in Poland:

Government counselling is organised at reception points: At the reception point, persons can receive more detailed information about their stay in Poland, be provided with temporary accommodation in Poland, receive a hot meal, drink, basic medical assistance, and a place to rest.

Migration counselling websites:

Access to healthcare services

The First Contact Teleplatform (TPK) program in Ukrainian; a doctor or nurse will contact you within 3 hours over the phone, tel. 800 190 590

  • Medical care is provided to citizens of Ukraine who crossed the border no earlier than February 24, 2022, in connection with the armed conflict, and this is confirmed by a certificate issued by the Border Service of Poland or the Border Service stamp of Poland in the travel document. Such a document must be presented to the health care institution. 
  • To receive medical care, a person registered with the City Council – meaning the receipt of a special PESEL number assigned to Ukrainian citizens – can directly contact a family doctor (POZ)
  • To identify one, use the hotline (also available in Ukrainian): 800 190 590. For not registered persons: records and coordination of medical appointments are made via the hotline of the medical operator, Petra Medica No. 22 112 02 06, based on an agreement with the Office for Foreigners in the following scope: basic medical care, specialist treatment, dental treatment supply of drugs and medical materials In the event of a sudden threat to health and life requiring emergency measures, the National Medical Rescue team should be called by calling the emergency number 112. 
  • Registration upon the first visit to a family doctor (POZ) – to identify one, use the hotline (also available in Ukrainian): 800 190 590. pacjent.gov.pl
  • To access medical services, one of the documents that confirm the identity and their family members is needed, including the passport of a Ukrainian citizen with the stamp of the Polish Border Guard, certificates issued by the Polish Border Guard, ID card, driving license, or, for example, a Pole’s card, birth certificates of children, etc.
  • After the entry into force of the special act, i.e. from March 12, 2022, refugees are subject to the new law, using medical services, may additionally use:

– a special PESEL number assigned to Ukrainian citizens

– an e-document (adults who register in the commune and will be given a PESEL number and set up a trusted profile, can activate an e-document confirming the status of an authorized person)

– a printout of the confirmation of the creation of a trusted authorized person’s profile (it includes the name and surname and PESEL number)

Same rights are given to third-country nationals based on a valid permanent residence permit issued in accordance with Ukrainian law, and who are unable to return in safe and durable conditions to their country or region of origin.

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

The First Contact Teleplatform (TPK) – tel. 800 137 200 – works in Ukrainian, providing teleconsultation in primary healthcare outside office hours, on holidays and weekends. A doctor or nurse will contact a patient within 3 hours over the phone. 

Medical care covers services analogous to those covered by compulsory or voluntary health insurance (excluding spa treatment or rehabilitation). 

Acute treatment

  • Emergency services OR SOR (112)
  • Rhinitis, cough, fever, diarrhoea, ear pain, other symptoms of infection before 18:00 on weekdays POZ; after 18:00 or on a holiday – NiŚOZ 
  • Pregnancy management gynaecology and obstetrics (referral not required)
  • Sudden toothache, rapidly increasing edema of the lower jaw/upper jaw, visible periodontal abscess -> dental clinic (enter “urgently” in the search engine)

Chronic/long-term treatment

  • „POZ” (Podstawowa Opieka Zdrowotna – Primary Care) primary and specialty care
  • Obtaining a prescription for constantly used drugs, consultations on chronic diseases -> primary care POZ
  • Exacerbation of a non-life-threatening chronic disease, such as increased edema of the lower extremities in a person with heart failure or shortness of breath in a person with asthma or COPD -> specialist care

Visiting family doctors

  • Advice on vaccination of adults and children -> POZ Primary Care
  • Registration for vaccination against COVID-19 -> 989
  • Vaccination of children and adults -> POZ

Other services

  • Database of Ukrainian / Russian / English speaking medical facilities 
  • The Ministry of Health has launched the LikarPL application, which will help Ukrainian citizens to communicate during a medical consultation. The application consists of two modules – for the patient and the doctor. The patient module has a special form for entering basic health information. This will allow the doctor to prepare for a medical consultation. The questionnaire can be filled in by computer or telephone, in Ukrainian, Russian, Polish and English. The application can be found at:

Services for People Living with HIV

HIV-testing

Antiretroviral treatment (ART)

  • People on ART can receive ART, free of charge aids.gov.pl
  • To receive ART, regarding the Ukrainians who were forced to leave Ukraine, need to present medical records (if available) and a Ukrainian ID, or refugee document issued at the Polish border. www.hcv.pzh.gov.pl

Pre-exposure prophylaxis (PrEP)

  • Ukrainians who were forced to leave Ukraine can receive HIV pre-exposure prophylaxis 
  • Pre-exposure prophylaxis is not refunded by the National Health Foundation, approximate cost of one month of therapy: 130 zl 
  • PrEP should be strictly continued for 2 days (emergency PrEP), or 7 days (continuous PrEP), after the last risk behaviour. The CDC recommends continuing PrEP for an additional 28 days after the last risk behaviour.
  • Eligibility for HIV pre-exposure prophylaxis:
    • Based on a doctor’s assessment.
    • Indications to PrEP as per Polish HIV Society.
    • Has unprotected non-condominium sexual contacts with potentially HIV-positive persons or multiple persons with unknown serological status.
    • Had an STI in the last year.
    • Has sexual contact under the influence of psychoactive substances.
    • Uses drugs intravenously.
    • Provides sexual services.

Post-exposure prophylaxis (PEP)

  • PEP is recommended in situations of non-occupational accidental exposure to HIV, such as sexual assault, needle injuries of unknown origin, or other events. The antiretroviral drugs should be taken as soon as possible (preferably within 2-3 hours after the incident). Prevention is most effective if it is implemented within 48 hours of the incident.  aids.gov.pl/co-robic
  • HIV post-exposure prophylaxis is free of charge for Ukrainians who were forced to leave Ukraine aids.gov.pl/ukraina/
  • Database of clinics 

Services for People Living with Hepatitis B/C

Hepatitis B/C testing, Hepatitis B vaccination, and Hepatitis B/C treatment availability

  • Free testing is available under the governmental prophylaxis programme.
    watrobanieboli.pzh.gov.pl
  • Screening for testing and the first consultation is done at primary care facilities (link above). Further referral to specialist clinics is done after test results are confirmed.
  • Clinics for treatment
  • If there is no possibility to provide a medical history of hepatitis B vaccination or hepatitis B or C treatment, the testing request should be coordinated by the family doctor (at POZ)
  • If a person tested positive for acute hepatitis B or C, but is not undergoing treatment because of contraindications or low viral load, the treatment options are prescribed at specialist clinics after a referral from a family doctor (at POZ)
  • Blood tests for anti-HCV antibodies are recommended for people who:
    • Have elevated levels of the enzymes alanine aminotransferase (ALT) and aspartate aminotransferase (AST) in the blood.
    • Have ever injected drugs.
    • Are chronically dialyzed.
    • Are children of mothers diagnosed with HCV infection during pregnancy.
    • Have had blood transfused or were organ recipients before July 1992.
    • Have hemophilia and were born before 1991.
    • Perform work related to exposure to infection after professional exposure to blood-borne pathogens (including surgical doctors and nurses, paramedics, and employees of diagnostic laboratories).
    • Are infected with HIV.

High risk of HBV infection considered in persons:

    • Unvaccinated against hepatitis B, vaccinated with less than three doses, or with unknown vaccination history (no documentation).
    • Who have had blood transfused before 1992 (the risk is now completely limited).
    • Who stayed in the hospital more than 3 times and/or the stay lasted longer than 10 days.
    • Whose sexual partner is or may be infected with HBV and/or HCV.
    • HBV infection is easily transmitted sexually.
    • Who used/uses narcotic drugs (injection, nasal).
    • Having home contact with someone infected with HBV because of the shared use of hygiene items, personal items and/or high possibility of close contact in case of minor injuries/ body fluids from family members.

Treatment options available for hepatitis related liver diseases

Treatment is available at specialist clinics after a referral from a family doctor (POZ)

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

Here is the list of locations to receive the abovementioned support:

Tuberculosis services

If the person has TB symptoms:

  • No TB screening is provided if a person is asymptomatic.
  • If there are symptoms of TB, it is necessary to refer to a family doctor (at POZ) To identify one, use the hotline (also available in Ukrainian): 800 190 590.

If TB was already diagnosed in Ukraine and the person needs to continue treatment:

  • Refer to a family doctor for further treatment.
  • If a Ukrainian who was forced to leave Ukraine started the TB treatment for multidrug-resistant TB in Ukraine, the continuation is possible upon referral from POZ/family doctor to specialist care.
  • If a Ukrainian who was forced to leave Ukraine started the TB treatment and was on Directly Observed Treatment (DOT), the continuation is possible upon referral from POZ/family doctor to specialist care.

Non-medical support

The various types of support, like food, shelter, and psychological support are available via treatment hospitals in Poland. POZ nurses in the family doctor’s clinic will provide referrals to social services, accommodation and psychosocial support.

Shelters

Shelters, material support, and work

If a person has a Ukrainian prescription for TB treatment medication…

The collection of medicines with a Ukrainian prescription at the pharmacy is possible as prescriptions are transferable. All anti-TB drugs, as well as those for the treatment of multidrug-resistant tuberculosis, are free for TB patients.

The continuation of preventive treatment is possible via family doctor (POZ)/out-patient.

Bacille Calmette-Guérin (BCG) vaccination for children

BCG vaccination is possible through a family doctor (POZ). According to the Protective Vaccination Program for 2022, vaccinations against tuberculosis can be given before the age of 15 years.

Learn more about vaccination

Opioid Agonist Treatment (OAT) Services

Medication rules

  • If the person has medical records of treatment in Ukraine, the treatment can be implemented right away. If not, a psychiatrist consultation is needed upon referral from a primary care doctor.

Learn more information about OAT in Poland 

  • Having documentation (doctor’s prescription) is not a prerequisite for entering therapy. An appointment with a psychiatrist has to be scheduled in advance.

Search Ukrainian Rx Product

  • OAT medication is free of charge. Check the clinics here
  • To get the dosage, treatments available at www.kbpn.gov.pl

More info on tel.  800 11 08 11

  • If the person has medical records of treatment in Ukraine, the treatment can be implemented right away. A list of OAT programs can be found here.
  • To be included in the substitution treatment, people need a PESEL number. An appointment with a psychiatrist has to be scheduled in advance.

What OAT drugs are available in the country?

Buprenorphine and methadone are available for OAT treatment.

See details at the website.

Sources

General requirements and access to healthcare

  • 01. Council Implementing Decision (EU) 2022/382

    Council Implementing Decision (EU) 2022/382 of 4 March 2022 establishing the existence of a mass influx of displaced persons from Ukraine within the meaning of Article 5 of Directive 2001/55/EC, and having the effect of introducing temporary protection. Available at
    eur-lex.europa.eu

HIV

Hepatitis B/C

TB

OAT