Many expatriates maintain an international health insurance policy throughout their time abroad. This entitles them to scheduled and emergency health care abroad, usually in the closest European capital with a hospital approved by the insurance company. However, if you cannot afford such a policy you will be reliant on the local health care service. The general opinion is that there are many good doctors in Bulgaria but the health care system as a whole, and some of its practices in particular, are outmoded by several decades. Certainly those doctors that have studied or worked in the West will be a better bet, and many speak foreign languages. Such doctors can be found working in private health centers, and will often also work in a state hospital. They can also refer you to a state or private hospital.

If you are involved in an accident then you will be taken to Pirogov Emergency hospital (in Sofia). Here the doctors are competent but conditions are appalling and you may have to get a relative or friend tobring in medicines, dressings and food for you.

Not all countries have reciprocal health care agreements with Bulgaria, and you should check whether you are covered. If you live in Bulgaria, you or your employer should be paying Bulgarian health insurance for you and your family, which entitles you to emergency treatment.