Health Insurance in Bulgaria
Summary: As you plan your move to Bulgaria, a key decision awaits: selecting the right health insurance. Should you go with local or expat coverage? This article explores the options and includes experiences shared by expats in Bulgaria, offering a glimpse into what might work best for you.
Bulgaria offers a universal system, funded by the National health insurance Fund (NHIF). Expats and digital nomads moving to or living in Bulgaria should understand how this system works and their options for health insurance. The healthcare system in Bulgaria is a mix of public and private services, with health insurance being mandatory for all residents.
Health Insurance Companies in Bulgaria
Some of the most popular health insurers in Bulgaria include the National Health Insurance Fund (NHIF), Doverie, and Bulstrad. These companies offer a range of health insurance plans that cater to different needs and budgets. Expats are eligible to purchase health insurance from these companies, provided they meet certain residency requirements. The NHIF is the state-run insurer, while Doverie and Bulstrad are private insurance companies that often provide additional coverage options.
Expat Health Insurance in Bulgaria
Some expats living in Bulgaria opt to buy specialized expat health insurance. This is often because expat health insurance plans typically provide more comprehensive coverage, including emergency evacuation, repatriation, and coverage for pre-existing conditions. Additionally, expat health insurance plans often offer coverage in multiple countries, which can be beneficial for those who travel frequently or maintain residences in more than one country.
Local Health Insurance vs. Expat Health Insurance
Expats and digital nomads in Bulgaria typically have the choice between local health insurance providers and specialized expat health insurance providers. The decision often depends on individual preferences, budget, and specific healthcare needs. Local health insurance plans may be more affordable but could have limitations in coverage, while expat health insurance plans tend to offer broader coverage but at a higher cost.
Considerations When Choosing Health Insurance Overseas
When deciding on health insurance while living overseas, several factors should be taken into consideration. One crucial aspect is whether the insurer pays the hospital or medical provider directly, or if you need to pay upfront and seek reimbursement later. Direct payment can be more convenient and less financially burdensome, but it may come with higher premiums. Other considerations include the extent of coverage, deductibles, and whether the plan includes coverage for emergencies, routine check-ups, and specialist consultations.
About the Author
Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International
and Mass Market Marketing. She graduated from Ohio Wesleyan University
with a BA in International Business and German.
Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.
Additional Information:
- Bulgaria Guide
- Healthcare & Health Insurance in Bulgaria
- Members Talk about Healthcare & Health Insurance in Bulgaria
- Best Places to Live in Bulgaria
- Real Estate in Bulgaria
- Guide to Real Estate in Bulgaria
- Pros & Cons of Living in Bulgaria
- Cost of Living in Bulgaria
- Best Places to See While on a Look-See Trip to Bulgaria (Plus, Itineraries)
- Moving to Bulgaria with a Pet
- Understanding Mental Health in Bulgaria
- Do I need Health Insurance When Moving to Bulgaria?
- 2026 Guide to Living in Bulgaria
- Pros and Cons of Living in Bulgaria 2026
- 2026 Guide to Moving to Bulgaria


