Healthcare

For routine care, absolutely. Private clinics in Skopje like Sistina and Acibadem offer modern facilities with English-speaking doctors at very affordable prices. For complex surgical procedures or rare conditions, some expats travel to nearby EU countries like Greece or Bulgaria. Having international health insurance gives you the flexibility to access private care locally and travel for treatment if needed.

Local private insurance plans cost €30–60 per month for basic coverage. International plans from providers like SafetyWing or Cigna range from €50–120 per month depending on age, coverage level, and deductible. Public FZO coverage through employment costs approximately 7.5% of your gross salary.

Yes, particularly in Skopje. Most doctors at private clinics speak English, and many were trained in Western European medical schools. In smaller cities like Ohrid, English-speaking doctors are less common but can be found at private practices. It helps to ask your accommodation host or expat community for recommendations.

Extremely affordable. A dental cleaning costs €20–40, fillings run €20–50, and a full dental implant costs €400–800 - roughly one-third to one-quarter of Western European prices. Quality is generally high, and several Skopje dental clinics cater specifically to international patients.

Call 194 for an ambulance. Emergency care is provided at public hospitals regardless of insurance status - you will not be turned away. The main emergency hospital in Skopje is the Clinical Centre 'Mother Teresa.' After treatment, you will receive a bill that can be claimed through your insurance. For serious emergencies, international insurance plans typically include medical evacuation coverage.