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Estonia: emergency care, hospitals and waiting rules

One emergency number, a 24-hour family-doctor line, a hospital network fixed by regulation, and waiting-list maximums that are set in a published decision rather than left to the hospital.

Emergency: 112Advice, 24/7: 1220Advice from abroad: +372 634 6630Poisoning: 16662

112emergency number
1220advice line
6 weeksspecialist waiting max
8 monthsplanned inpatient max

This page explains how the system works. It is not a diagnosis, it cannot tell you how urgent your own situation is, and it is not a directory: it carries no clinic addresses, opening hours or visiting times, because those change and a wrong one sends you to a closed door. If someone may be seriously ill or injured, call the emergency number — 112 across the region, 113 for medical emergencies in Norway — and if you are unsure, call your country’s advice line rather than deciding from a web page.

The numbers

National emergency and advice numbers in Estonia
What it isNumberWhen to use it
Emergency112Ambulance, fire and police on one number, free from any phone
Advice, 24/71220Family-doctor advice line; Estonian and Russian round the clock, English 09:00–17:00
Advice from abroad+372 634 6630The same service for callers outside Estonia
Poisoning16662Poison information centre, round the clock

Three numbers, and which one to use

The emergency number is 112 and it reaches ambulance, fire and police together — Estonia folded the old police number into it, so there is nothing else to remember. The number that saves most of the unnecessary journeys is 1220, the family-doctor advice line, which answers round the clock in Estonian and Russian and from 09:00 to 17:00 in English, and which exists precisely so that people stop guessing. A nurse or doctor on that line will tell you whether the problem is a same-day one, whether it can wait for your own doctor, and — with your consent — can look at your record, extend a prescription or issue a sick-leave certificate at weekends and on public holidays. From outside Estonia the same service answers on +372 634 6630. The poison information centre is 16662. See which door to use for the general version of this decision.

The hospital network is a legal list, not a marketing term

Estonia does not have hospitals in the loose sense: the hospital network development plan, the haiglavõrgu arengukava, names them and assigns each one a tier, and the tier determines what the hospital must be able to do around the clock. There are three regional hospitals, four central, eleven general and one local — nineteen in the plan. Being in the plan is what obliges a hospital to keep an emergency department open and to hold a contract with Tervisekassa. A private clinic outside the plan can be excellent and can still send you to a plan hospital the moment you need an operating theatre at three in the morning. The hospital levels page explains what each tier changes for a patient.

The hospital network development plan (haiglavõrgu arengukava): 19 hospitals in four statutory tiers
TierHow manyWhat the tier is forHospitals
Regional (piirkondlik)3Everything the country can do at all, including the specialties that exist nowhere elseNorth Estonia Medical Centre and Tallinn Children’s Hospital in Tallinn, Tartu University Hospital in Tartu
Central (keskhaigla)4A broad range of specialties, a 24-hour emergency department, intensive care and surgeryEast Tallinn and West Tallinn Central Hospitals, Ida-Viru Central Hospital, Pärnu Hospital
General (üldhaigla)11The common specialties and an emergency department for a county-sized populationCounty hospitals from Narva and Rakvere to Kuressaare, Viljandi, Valga, Põlva, Rapla, Haapsalu, Hiiumaa, Paide and Võru
Local (kohalik)1Inpatient beds and outpatient care without the full acute rangeJõgeva Hospital

What an EMO visit is actually like

The emergency department is the EMO, erakorralise meditsiini osakond. You are seen by a triage nurse first and then in order of clinical severity, not arrival, which is the single fact that explains almost every complaint about the waiting room; the triage page sets out the ladder. Expect the visit to be measured in hours rather than minutes if you are triaged as non-urgent, expect to be asked for the medicines you take and their doses, and expect blood tests and imaging to dominate the clock. An EMO is not a fast route to a specialist appointment: it is a route to being ruled out of danger and sent home with a referral.

What it costs, and what happens without insurance

Since 1 April 2025 the specialist visit fee has been up to €20, raised from €5, with the €5 rate kept for the protected groups — children under 19, pensioners, people over 63, the unemployed, pregnant women, mothers of a child under one, people with reduced capacity for work and recipients of subsistence benefit. The bed-day fee rose from €2.50 to €5 and can be charged for at most ten days of a single episode, never in intensive care, never for childbirth and never to a minor. If an emergency department visit ends in admission, no visit fee is charged for it. Emergency care itself is provided to everyone physically in Estonia regardless of insurance status, which is why the ambulance never asks about your card first. What each country charges puts these next to the neighbours.

The waiting-list maximums are published, and they are your lever

Estonia is unusual in the region for publishing hard maximum waiting-list lengths in a single board decision rather than burying them in a statute: six weeks for an outpatient specialist appointment, eight months for planned inpatient care, day treatment and fertility treatment, and eighteen months for the four big planned operations — cataract, large joint replacement, adult ENT surgery and bariatric surgery. Nursing care and children’s dental care have their own shorter limits. If the provider you were referred to cannot offer a slot inside the maximum, that is not the end of the matter: another provider with a Tervisekassa contract may have one, and Tervisekassa’s customer line will look. The waiting-lists page explains why the number a hospital publishes is not the same thing as your wait.

Your record, and how to check a provider

Health records live in the national health portal, which is where the old digilugu.ee address now takes you: prescriptions, referrals, test results, discharge summaries and the log of who has looked at your file. You can close specific documents to specific doctors, and the log will show if anyone opened them anyway. To check that a clinic or a clinician is real, the Health Board keeps the register of healthcare providers and of health professionals; the registers page lists the equivalent in each country.

The limits, in one table

These are the published maximums rather than a prediction of your own wait. What they give you is a lever: when a limit has passed, the obligation to find you care elsewhere is triggered by asking, and asking works better when you can name the limit.

Maximum waiting-list lengths, Tervisekassa board decision no. 5 of 11 January 2013
ServiceMaximum wait
Family doctor or family nurse, acute illnessSame day
Family doctor, chronic or non-urgent problem5 working days
Outpatient specialist appointment6 weeks
Planned inpatient specialist care, day treatment, fertility treatment8 months
Cataract surgery1.5 years
Large joint replacement1.5 years
Ear, nose and throat operations, insured adults 18 and over1.5 years
Bariatric surgery1.5 years
Geriatric assessment1 month
Home nursing, and home supportive care in cancer2 weeks
Inpatient nursing care3 months
Dental care under 19: chronic pulpitis1 week
Dental care under 19: simple caries, chronic periodontitis2 months
Dental care under 19: orthodontics9 months

What it costs

Patient fees since 1 April 2025
FeeAmountWho pays less, or nothing
Specialist visit fee (visiiditasu)Up to €20Stays at €5 for children under 19, pensioners, people over 63, the unemployed, pregnant women, mothers of a child under one, people with reduced capacity for work and subsistence-benefit recipients
Repeat visits to the same specialistCharged onceA second visit to the same specialist for the same problem within a year carries no further visit fee
Bed-day fee (voodipäevatasu)Up to €5 a day, at most 10 days per episodeNot charged in intensive care, for childbirth and maternity care, or to minors
Emergency department leading to admissionNo visit feeIf the emergency visit ends in a hospital admission, the visit fee is not charged
AmbulanceFreeEmergency care is provided to everyone in Estonia, insured or not

Sources: Tervisekassa — waiting lists and the maximum waiting-list decision · Tervisekassa — family doctor care and the 1220 advice line · Ministry of Social Affairs — the 1 April 2025 visit and bed-day fee change · Ministry of Social Affairs — the hospital network and its development plans · Health Board (Terviseamet) · National health portal (the former digilugu.ee) · checked 2026-09-08

Official hospital sites

The hospitals themselves publish the current opening hours, department pages and any live emergency-department information they choose to show — which is exactly why this page does not reproduce them.

North Estonia Medical Centre · Tartu University Hospital · Tallinn Children’s Hospital · East Tallinn Central Hospital · West Tallinn Central Hospital · Ida-Viru Central Hospital · Pärnu Hospital

Frequently asked questions

Do I call 112 or 1220?

Call 112 when something looks life-threatening or when someone cannot be roused, is fighting for breath, has chest pain, has one-sided weakness or a face that has dropped, is bleeding heavily or has been badly injured. Call 1220 when you are unwell and unsure — it answers around the clock, and its whole purpose is to sort the same-day problems from the ones that can wait for your own doctor.

Can I go straight to the emergency department without a referral?

Yes. An emergency department takes anyone who arrives. Whether you should is a different question: if the problem is not urgent you will wait behind everyone who is, and you will still leave with a referral to the clinic you could have called in the first place.

How long can I legally be made to wait for a specialist in Estonia?

Six weeks for an outpatient specialist appointment and eight months for planned inpatient care, day treatment or fertility treatment, under the Tervisekassa board decision on maximum waiting-list lengths. Four planned operations — cataract, large joint replacement, adult ENT surgery and bariatric surgery — have an eighteen-month maximum instead.

Is emergency care free if I have no Estonian insurance?

Emergency care is provided to everyone in Estonia regardless of insurance status, and the ambulance does not ask. That is not the same as free of charge afterwards for every service, and a visitor from another EU country should still show a European Health Insurance Card so that the bill is settled between the two states rather than sent to them.

Which hospital should I go to?

For anything time-critical, none — call 112 and let the crew choose, because the right hospital for a stroke or a heart attack is the one with the unit, not the one that is nearest. For everything else, the county hospital covering where you are is the default, and the regional hospitals in Tallinn and Tartu are where a county hospital sends you when it runs out of specialty.

The other countries

Finland

A national medical helpline you are expected to call before turning up, twenty-two organisers instead of three hundred municipalities, and access limits written into statute with a number for every step.

Emergency: 112

Sweden

One advice number that doubles as the country’s health website, twenty-one regions running their own care, and a guarantee everyone quotes as four numbers: 0, 3, 90, 90.

Emergency: 112

Norway

The one country in the region where the ambulance is not 112, a regular GP assigned to every resident, and a right to treatment expressed as an individual deadline rather than a national number.

Medical emergency: 113

Denmark

The country that made phoning ahead compulsory: five regions, five acute numbers, and an emergency department you are expected to be sent to rather than to find.

Emergency: 112

Latvia

An ambulance service with its own number, a family-doctor line that takes over when the surgeries close, and co-payments that are capped three ways — per hospitalisation, per operation and per year.

Ambulance: 113

Lithuania

Compulsory health insurance that has to be kept current, a family doctor who holds the referral pad, and emergency care that is given whether or not any of that is in order.

Emergency: 112

All the emergency numbers in one table · Which door to use · Falling ill in another country

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