How to access healthcare in North Macedonia as an expat
Healthcare in North Macedonia: system type, insurance requirements, emergency numbers, and quality scores. Scroll to the overview table for a quick summary.
North Macedonia's healthcare system has strengths and weaknesses that every expat should know about before making the move.
Healthcare System Overview
| Indicator | Value |
|---|---|
| System Type | Universal Public |
| Healthcare Quality Index | 71/100 |
| Spending per Capita | €637 |
| Life Expectancy | 74.4 years |
How the System Works
North Macedonia's healthcare system is classified as Universal healthcare public. The government funds healthcare primarily through taxation, providing Universal healthcare coverage to residents.
Public vs Private Healthcare
Most countries offer both public and private healthcare options:
- Public healthcare: Available to all registered residents. May have waiting lists for non-urgent procedures. Typically lower cost but less choice of provider.
- Private healthcare: Shorter wait times, choice of specialist. Higher cost but often better facilities. Many expats choose private insurance for the first year.
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Emergency Numbers
| Service | Number |
|---|---|
| Universal Emergency | 194 |
| Ambulance | 192 |
| Police | N/A |
Save these numbers in your phone before arriving in North Macedonia. In EU countries, 112 works universally. In non-EU countries, learn the local numbers and keep them accessible.
Health Insurance for Expats
As an expat in North Macedonia, your insurance options typically include:
- Employer-sponsored insurance: If employed locally, your employer may enrol you in the public system or provide private coverage
- International health insurance: Global plans from providers like Cigna, Allianz, or Bupa — ideal for the first year or if you plan to move again
- Local private insurance: Often cheaper than international plans but may have language barriers in claims
- Public system enrolment: Available once you have a residence permit and employment
Healthcare Quality
With a healthcare quality index of 71/100, North Macedonia offers good healthcare by international standards.
Life expectancy in North Macedonia is 74.4 years, which is near the global average.
Government healthcare spending is approximately €637 per capita per year.
Practical Tips
- Register immediately: Sign up for health insurance within your first week of arrival
- Bring medical records: Carry translated copies of your medical history, prescriptions, and vaccination records
- Find an English-speaking doctor: Expat communities and forums often maintain lists of English-speaking practitioners
- Prescription medications: Check if your regular medications are available and legal in North Macedonia. Bring a 3-month supply with a doctor's letter
- Dental care: Dental coverage varies widely — check what your insurance covers and consider supplemental dental insurance
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Get Your Free VerdictFrequently Asked Questions
Is maternity care covered for expats in North Macedonia?
Maternity care is typically covered under both public and private health insurance in North Macedonia. Coverage usually includes prenatal visits, delivery, and postnatal care. If planning a pregnancy, check your specific insurance policy for coverage details and any waiting periods.
Do I need health insurance in North Macedonia?
In most cases, yes. As an expat in North Macedonia, you will need health insurance. Public healthcare may be available but private insurance is often recommended for comprehensive coverage. Check visa requirements — many residence permits require proof of health insurance.
How does mental health care work in North Macedonia?
Mental health services in North Macedonia vary in availability and quality. Public sector waiting times for non-emergency mental health care can be long. Private psychologists and psychiatrists are available in urban areas. Check if your insurance covers mental health consultations.
Does North Macedonia's health insurance cover dental care?
Basic dental care (check-ups, emergency treatment) may be partially covered by public insurance in North Macedonia. However, major dental work (crowns, implants, orthodontics) usually requires supplemental dental insurance. Many expats purchase separate dental cover.
Can I see a doctor in English in North Macedonia?
In major cities in North Macedonia, finding an English-speaking doctor is usually possible, especially at private clinics and international hospitals. Expat communities often maintain lists of English-speaking practitioners. In rural areas, language barriers are more common.