Eurofound's EU PolicyWatch collates information on the responses of government and social partners to the COVID-19 crisis, the war in Ukraine, rising inflation, as well as gathering examples of company practices aimed at mitigating the social and economic impacts.
Factsheet for measure BG-2022-18/2858 – Updated – measures in Bulgaria
|Bulgaria , applies nationwide
|Temporary, 26 April 2022 – 25 July 2022
|War in Ukraine
|Legislations or other statutory regulations
Measures to prevent social hardship
– Access to healthcare
|Ekaterina Markova (IPS-Bas) and Eurofound
|13 September 2022 (updated 13 June 2023)
The Law on Health Insurance changed in order to respond to the needs of Ukrainian refugees. Adult Ukrainians will now have their health insurance covered by the state for a 90 day period following the date of the start of their temporary protection status. This change allows Ukrainian refugees to receive medical care under the same provisions as Bulgarian citizens.
The status of temporary protection granted is certified by an alien registration card issued by the State Agency for Refugees (Art. 41, para. 1, item 5 of the LRA).
People granted temporary protection as a vulnerable group shall receive the necessary medical care under the same provisions as Bulgarian citizens.
People who are categorised as 'vulnerable' include: minors, unaccompanied minors, disabled persons, elderly persons, pregnant women, single parents with minor children, victims of human trafficking, persons with severe health problems, persons with mental disorders and persons who have suffered torture, rape or other serious forms of mental, physical or sexual violence.
As of July 2022, there are 87,000 Ukrainians in Bulgaria, of which 39,000 are children, according to the data of the unified portal "BG for Ukraine."
Ukrainian citizens can reference their health insurance status and check their missing health insurance contributions, through NAP's electronic service .
|Does not apply to workers
|Does not apply to businesses
Migrants or refugees
Local / regional government
EU (Council, EC, EP)
Social partners' role in designing the measure and form of involvement:
Social partners' role in the implementation, monitoring and assessment phase:
The social partners were not involved in designing and implementing this registration initiative. The government, together with the European Commission, initiated and organised the nationwide registration system.
The Confederation of Independent Trade Unions in Bulgaria (CITUB) supports the Resolution on Ukraine, which was approved at the meeting of the Executive Committee of the European Trade Union Confederation on 16 and 17 March.
The Resolution insists for full implementation of the Temporary Protection Directive through solidarity and shared responsibility between EU Member States. This measure guarantees the full range of rights, which include equal access to healthcare as the Bulgarian citizens. No other views about the health insurance of Ukrainian refugees in Bulgaria are publicly expressed by social partners.
Eurofound (2022), Duration of health insurance for persons with temporary protection, measure BG-2022-18/2858 (measures in Bulgaria), EU PolicyWatch, Dublin, https://static.eurofound.europa.eu/covid19db/cases/BG-2022-18_2858.html
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Disclaimer: This information has not been subject to the full Eurofound evaluation, editorial and publication process.