Ukraine EMS Funding: 103, NSZU, the 2026 PMG and Regional Ambulance Centers

Research snapshot · 14 August 2026. Ukraine mainly finances civilian emergency medical services through the national Programme of Medical Guarantees (PMG), purchased by the National Health Service of Ukraine (NSZU). Emergency assistance through 103 is free for patients.

Emergency number and organization

The emergency number remains 103. Ukraine’s Ministry of Health states that emergency medical care is provided free of charge to patients. The national information and dispatch system Central 103 connects regional dispatch functions and supports coordination among the oblast-level Centers for Emergency Medicine and Disaster Medicine.

Programme of Medical Guarantees in 2026

Ukraine’s 2026 state budget allocates approximately UAH 191.6 billion to the Programme of Medical Guarantees. The 2026 payment mechanism explicitly raises emergency medical services tariffs; an official government response identifies UAH 375 per resident per year as a capitation basis for emergency medical-care providers. Regions experiencing active combat may receive additional personnel and financing adjustments.

Responsibility and procurement

The core financing chain is state/PMG → NSZU contract → regional emergency medical center → vehicle, medical-device and operational purchasing. Regional/municipal owners, central investment programmes, international humanitarian assistance and war-time procurement can operate in parallel. Thus, regional EMS centers are the primary operational purchasing counterparts, while NSZU and national rules determine the service-funding framework.

War-time context

Civilian EMS infrastructure operates amid war. Ambulance routes, fleets, bases and international medical evacuation (MEDEVAC) capacity can change rapidly. This atlas therefore distinguishes routine civilian 103/PMG financing from military medical care, humanitarian equipment procurement and cross-border MEDEVAC assistance.

AIRCHILL market-access approach

No separate patient reimbursement code or routine payment add-on is assumed.
Primary procurement route: regional EMS centers and public or donor-financed equipment programmes.
Potential evidence-led study settings include major trauma, resuscitation and stroke transfers, subject to clinical approval.
War-time and donor-financed procurement remain separate funding channels.

Primary sources

Data boundary: UAH 375 is a 2026 annual provider-financing parameter per resident, not a tariff per ambulance journey. Regional procurement and war-related financing remain dynamic.

English working translation of the German original. Source figures retain their original 2026 research-snapshot dates. The publication does not establish any AIRCHILL-specific reimbursement or device authorization. Market-data source review pending.