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Unforeseen medical treatment - Bulgaria

Emergency calls

Ambulance

Национална здравноосигурителна каса
(National Health Insurance Fund)
Tel: +359 2 965 9116
Tel Hotline: 0800 14 800


Treatment, coverage & costs

Doctors

  • Most doctors in Bulgaria have a contract with the National Health Insurance Fund (NHIF)
  • You should be able to obtain treatment by showing your European Health Insurance Card.
  • You will be charged a consultation fee of BGN 2.90.
  • This fee is non-refundable.

Dentists

  • Most dental services are not covered.
  • If the dentist does not have a contract with the NHIF, you will be charged the full cost of the treatment.

Hospital treatment

  • Hospital treatment in clinics or hospitals that have a contract with the NHIF is free of charge, provided that you show a valid European Health Insurance Card or provisional replacement certificate.
  • You will pay a standard daily fee (BGN 5.40) for the first 10 days of a stay in hospital.
  • After being discharged, you are entitled to 2 further check-ups as part of the treatment linked with your hospitalisation.

Prescriptions

  • Medicine prescribed to you by a doctor who has a contract with the NHIF doctor is available at a discount in pharmacies that have a contract with the NHIF. You can recognise such pharmacies by the NHIF logo displayed there.
  • To get NHIF coverage for certain particularly expensive medicines prescribed for chronic illnesses you will need a 'prescription booklet'. You can get this through an NHIF contracted general practitioner. For this purpose you will have to provisionally choose a general practitioner.
  • If you have paid for care, contact your national health insurance provider to claim reimbursement when you get home.

Ambulance

  • Free of charge in emergencies.

Air ambulance

  • No information available.

Reimbursement

Doctors

  • The consultation fee is non-refundable in Bulgaria.

Dentists

  • If the dentist does not have a contract with the National Health Insurance Fund (NHIF), you will be charged the full cost of treatment. This cannot be refunded.

Prescriptions

  • In Bulgaria, the patient co-pays towards the cost of most medication.
  • If you have paid for care, contact your national health insurance provider to claim reimbursement.

Patient contribution
  • You may have to make co-payments for services covered by health insurance (clinical tests, dental care, in-patient and out-patient services, prescription drugs) in cases where the NHIF does not cover the full cost.
  • A number of hospitals charge all their patients additional fees. Ask them to provide you with an invoice.
  • Going to hospital? Ask the hospital in advance whether there is any extra charge for your treatment and, if so, how much.
  • As a patient, you will have to pay any non-regulated surcharges and user charges. These cannot be reimbursed.
  • Examples of co-payments:
    • Standard fees for out-patient & in-patient care
    • Medical devices & supplies
    • Fee for choosing a doctor or medical team to treat you when receiving treatment as in in-patient treatment
    • Single/double room in the hospital
    • Specific dietary requirements

Dialysis, oxygen & chemotherapy

Dialysis

  • Chroniodialysis and peritoneal dialysis (Continuous Ambulatory Peritoneal Dialysis (CAPD), Automated Peritoneal Dialysis (APD) and dialysis treatment for acute conditions) are covered by the NHIF, provided that they are carried out in an NHIF-accredited hospital/dialysis clinic.

Oxygen therapy

  • The NHIF only covers continuous positive airway pressure (CPAP) and bi-level positive airway pressure (BiPAP), provided in a hospital accredited by the NHIF for such therapy.
  • This therapy applies only to patients with neuromuscular diseases who are suffering from chronic respiratory weakness and who have already been prescribed a programme of breathing support with non-invasive ventilation (CPAP or BiPAP). It allows respiratory support to be provided according to the patient's pre-diagnosed needs.
  • Information about the medical institutions that have contracts with the NHIF is available:

Chemotherapy

  • Chemotherapy may be provided in hospitals and cancer clinics accredited by the NHIF under clinical procedure No. 5 or clinical pathway No. 298.
  • The 'clinical pathway' is a system of requirements and guidelines for medical specialists performing diagnostic and therapeutic procedures on patients with certain diseases requiring hospitalisation.

How do I apply for an EHIC?
Doctors & hospitals accepting the EHIC

All doctors and hospitals contracted by NHIF should accept valid EHICs.


Loss of card

Contacts for holders of EHICs issued in Bulgaria

Национална здравноосигурителна каса

Tel: +359 2 965 9116

Hotline: 0800 14 800

Email: jvatkova@nhif.bg