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Treatment funding in Georgia and legal help for patients

Updated: Information guide Reviewed by: Solidaroba.ge legal team

After a serious diagnosis, a family has two questions: who will pay, and whom to approach. On this page you will find which state and municipal programmes fund treatment in Georgia, which documents each of them needs and what to do when you are refused. If you cannot manage the process yourself, our lawyer will prepare the application and argue the case on your behalf.

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Describe your situation in two sentences. A lawyer will assess the case and tell you which programme to apply to and what your chances are. The initial consultation is free.

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We do not provide funding and cannot promise an outcome. We promise a properly prepared application and the use of every lawful route.

State and municipal programmes: who funds treatment

In Georgia the cost of treatment is usually put together from several sources. Below you will find what each one covers, who is eligible and where to apply. Conditions change every year, so before applying we check the current year's rules.

  • Universal Healthcare Programme

    The Ministry of Health's main programme, run by the National Health Agency, which funds a large share of the costs of inpatient treatment, emergency care, cancer treatment and childbirth for Georgian citizens without private insurance. The patient is left with a co-payment, the share of which varies with income and status.

    Where to apply
    Directly at a clinic that takes part in the programme; the clinic sends the request itself
    Required
    ID, Form 100, the clinic's cost estimate
    Decision
    Prior approval (a guarantee letter) for planned cases

  • Referral Services Programme

    A programme of the same Ministry for cases that the Universal Healthcare Programme does not cover or where its limit is not enough: expensive operations, rare diseases, sometimes treatment abroad. Applications are considered individually by the commission attached to the Solidarity Fund, which sets the amount of funding itself. Details: guide to the Referral Programme.

    Where to apply
    The Solidarity Fund, through its official channels
    Required
    Application, Form 100, the clinic's cost estimate, ID, replies from other sources
    Decision
    Commission minutes, in writing

  • City Hall and municipal programmes

    Tbilisi City Hall and almost every municipality have a healthcare sub-programme that funds co-payments, medicines or specific services within an annual limit. Some municipalities set a higher limit for socially vulnerable families.

    Where to apply
    The district administration for your registered address
    Required
    Application, ID, Form 100, invoice, letter from the Universal Healthcare Programme, social status extract
    Decision
    Commission decision; the money is paid directly to the clinic

  • Solidarity Fund of Georgia

    A fund founded by the state, which in 2026 implements the individual assistance component of the Referral Services Programme: the referral commission that considers applications works with the fund, and the fund also signs the contracts for treatment abroad in paediatric oncology. This site does not belong to the fund and cannot represent it. Details: The Solidarity Fund: where to turn today.

    Where to apply
    The fund's official contact channels
    Required
    The package set by the fund's programme, usually Form 100 and the clinic's cost estimate
    Decision
    The referral commission attached to the fund

  • Charitable funds and crowdfunding

    When state sources are exhausted or time is short: private charitable funds, diaspora organisations and a public donation campaign. Most authorities do not ask for replies from these sources, but funds often ask for the state's reply.

    Where to apply
    Each fund under its own rules; we organise the campaign
    Required
    Form 100, cost estimate, written replies from state sources
    Details
    Financial mediation

  • Private insurance and the employer

    A corporate or individual insurance policy often covers costs that the Universal Healthcare Programme does not. In the event of a refusal, the policy terms and the insurance company's reasoning can be challenged: some refusals are reversed after a dispute.

    Where to apply
    The insurance company, then the insurance supervisory service
    Required
    Policy, Form 100, cost estimate, written refusal
    Details
    Insurance disputes

Which documents you need for almost every source

The package varies slightly from one authority to another, but the core is the same. If you have these six documents in order, any application can be prepared within a few days.

  • Form 100 with the diagnosis, ICD-10 code and treatment recommendation, signed by the doctor and stamped by the clinic, no more than 1-3 months old.
  • The clinic's cost estimate (calculation or invoice) stating the specific service and price. If it is from a foreign clinic, translated.
  • ID card of the patient, and for a minor, the birth certificate and a parent's ID.
  • Written replies from other sources: the Universal Healthcare Programme's guarantee letter or refusal, a letter from the insurer. Authorities use these to check that the same cost is not funded twice.
  • Social status extract, if the family is in the database of socially vulnerable households: the limit is often higher as a result.
  • Application on the authority's form, with contact details and the amount requested. A well-worded application speeds up the review.

How we help: legal support on the way to funding

Most funding refusals are not about the diagnosis but about the form: the wrong programme, a missing document, a missed deadline. That is exactly the part we take on.

  • Choosing the right source and preparing the application

    We establish which programme matches your diagnosis, status and amount, plan the order of the applications and prepare a complete package, so that the authority has no grounds to send it back.

  • Appealing a refusal

    We request a reasoned written refusal, write the administrative complaint within the one-month deadline set by law and, if necessary, take the case to court. Alongside the appeal we also prepare a fresh application.

  • Communication with clinics

    We ask the clinic for a correctly drawn-up cost estimate and Form 100, confirm its participation in the programme and resolve discrepancies between the invoice and the actual cost.

  • Official letters and representation

    We draft applications, requests, complaints and replies to authorities, insurance companies and clinics, and with a power of attorney we attend every authority on your behalf.

Services in this area

Where to apply: all sources in one table

Source What it covers Whom you apply to Approximate response time
Universal Healthcare Programme Inpatient, emergency, oncology, childbirth, with a limit and co-payment A clinic that takes part in the programme A few days
Referral Programme What the Universal Healthcare Programme does not cover, by individual decision Ministry of Health 2-6 weeks
City Hall / municipality Co-payments, medicines, individual services within an annual limit District administration 2-4 weeks
Solidarity Fund Individual assistance under the Referral Programme, paediatric oncology abroad The fund's official channels Under the fund's rules
Charitable funds The remaining amount after state sources Each fund separately 1-8 weeks
Private insurance Costs provided for by the policy terms Insurance company Up to 30 days by law

Timeframes are approximate and depend on how complete the documents are. Programme conditions change every year: this page reflects the situation as of October 2026 and will be updated after every change.

Frequently asked questions about funding

How do I get City Hall funding for treatment?

City Hall healthcare programmes generally fund the part that the patient still has to pay after the Universal Healthcare Programme: the co-payment, medicines or a specific service within a limit. The application is submitted to the district administration for your place of residence, together with your ID card, Form 100 with the diagnosis, the clinic's cost estimate or invoice, a letter from the Universal Healthcare Programme or your insurer stating what share it covers, and sometimes an extract confirming your social status. Requirements differ between municipalities, so before applying we check the rules of that year's programme.

How long does the Ministry take to consider an application?

Applications under the Ministry's Referral Services Programme are considered by a special commission that meets periodically. Under the general rules of administrative proceedings a decision should be made within one month, but in practice the answer comes in 2-6 weeks, depending on the workload and how complete the documents are. The most common cause of delay is an incomplete package: without the clinic's cost estimate or Form 100 the application cannot be considered. In urgent cases, stating this in the application and attaching the doctor's report speeds up the review.

What should I do if I have been refused funding?

First, ask for the refusal in writing, with reasons: a verbal refusal cannot be appealed. Within one month of receiving the written refusal you can file an administrative complaint with the same authority or its superior body, and if the complaint is rejected, go to court. Many of the reasons for refusal can be corrected: a missing document, the wrong programme, an unverified diagnosis code. In such cases a fresh application is quicker than a complaint. We will tell you which route is better in your case once we have seen the text of the refusal.

Can I apply to several sources at the same time?

Yes, and that is often how the full amount is put together: the Universal Healthcare Programme covers the main part, City Hall the co-payment, and a charitable fund or crowdfunding the rest. The key rule is that the same cost must not be funded twice: the authorities ask one another for a letter stating which part has already been funded. So we plan the order of the applications in advance and at each stage obtain the written confirmation that the next authority will ask for.

What is the Solidarity Fund and how do I apply to it?

The Solidarity Fund of Georgia is an organisation founded by the state, and it still operates: under the 2026 healthcare programmes it implements the individual assistance component of the Referral Services Programme, the referral commission works with it, and the fund also signs the contracts for treatment abroad of children with cancer. People apply to the fund through its official channels. Solidaroba.ge is not that fund and has no connection with it: this domain used to belong to the fund, but today it is a private consulting platform. If you were looking for the fund, the only thing we can help with is preparing the documents for your application correctly.

Not sure where to start?

Describe your situation and a lawyer will tell you which programme to apply to first and which documents to prepare. The initial consultation is free.

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