I hope this helps??????????
Bulgaria's national health system is administered by the National Health Service. It has offices in each regional centre of the country.
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If you wish to take up long-term residency in Bulgaria it is likely that you will need to register with the health system in order to receive medical services, unless you have taken up private medical insurance"
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If you have an employment contract: * Your employer will be obliged to submit your documents to the National Social Service and, through them, to the National Health Service. The health cover installments will then be set and paid every month by your employer.
If you are the owner of a company: * The health insurance installments will be arranged by your accountant on a monthly basis as part of all your compulsory social payments.
If you are not working: * You will need to submit your documents and the documents for family members directly to the regional office of the National Health Service.
Step 1The first step will be to visit the regional office of National Revenue Agency where you will receive information about the amount you need to pay (currently 10.40 Bulgarian Levs per month) and bank details of the account where you will have to transfer the health payments in order to join the National Health Service and maintain your membership.
You will have to pay for some time before you can register with a doctor, although you do have the option of making a back-payment which will give you immediate access to the health system.
Step 2You pay the amount, as instructed, from any bank, through a bank transfer. The payment document should contain your personal number, which is given to you, together with your residency card. It is called 'Personal Number of a Foreigner' (or 'Lichen Nomer na Chuzdenets').
Step 3Once the necessary payments have been made you can visit the regional office of the National Health Service with your identification documents. (On some occasions, it may be a good idea to take the payment slips with you detailing the installments made.)
At the regional office you will fill in a form in order to choose a general practitioner. It would be good to have met the doctor and gained his/her agreement prior to this as some doctors have too many patients and would not want to register new ones.
If you are a citizen of the EU and have retired, you will need to bring your official documents with you as you are entitled to join the national health system free of charge.
Children are insured as dependent on their parents, and you will have to inform the National Revenue Agency and NHS of your children during your initial visit.
Step 4The forth step is to visit your GP with the documents from the NHS who will register you on their list and prepare your patient file. After completing the above procedure, you will be able to use the same medical services as Bulgarian citizens.
Medical assistanceIf you experience health problems you will have to visit your GP. He/she will examine you and prescribe treatment. If your condition requires it, then your GP will send you for medical tests or to a specialist for further examination. You will be required to pay a 'consumer fee' for the visit (currently 2.20 Bulgarian Levs).
If you are sent to a specialist, you will have to visit him/her within 30 days and present the document given to you by your GP. The same 'consumer fee' will be charged by the specialist doctor.
If you wish to visit a specialist doctor without visiting your GP, you will have to pay the full price of the examination. Some specialists only have a private practice.
Hospital treatmentIf your condition requires hospital treatment, you will be given the necessary documents by your GP. There is a small daily charge payable in the state hospitals but all medical tests and medicines should be free.
In Bulgaria, most medicines are paid for by the patient but if you have a chronic disease it is likely you to be entitled to free or partly paid medicines. Prescriptions for such medicines are given by the GP.
Emergency medical careIf you need emergency medical care, you have to telephone 112, or visit an emergency centre at the nearest hospital. Even if you are not registered with the National Health System, you are entitled to free emergency care if you possess an EU health card from the country of your permanent residence.
For more information on Bulgaria's National Health Service, visit
[You must be registered and logged in to see this link.] (the Bulgarian NHS website).