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Contact us

Contact us

Phone
0700 16 166

On the territory of Bulgaria

International number
+359 700 16 166

International line

Health care
0700 11 555

Health line

Offices and centers

Offices and centers


In case of a claim

In case of health problem

БГ

Expenses for medical examinations and tests

What should I do?

Needed Documents

For reimbursement of expenses, incurred by the Insuree for medical examinations and tests, as a result of an accident or illness, the following documents are required:

  1. Claim Request Form Л3-53
  2. Copy of the identity card of the eligible person for Life insurance and Group Risk Life insurance
  3. Outpatient card with all particulars filled in – a copy
  4. Medical referral and tests results, if expenses for tests have been incurred – a copy
  5. A detailed invoice, issued in the name of the Insuree (with description of healthcare services by type and price) and a fiscal receipt, attached to it – an original
  6. An official document, containing the Insuree’s bank account, if it has not been indicated in Form ЛЗ 53 – a copy
  7. Upon individual insurance: Insurance policy
  8. Upon group insurance at the Employer’s expense: Company Certificate from the Employer that the person is insured
  9. Upon group insurance at the Insurees’ expense: A copy of the insurance policy and the list of Insurees’ names

Upon an ACCIDENT, the Insuree should provide the following additional documents:

  1. ACCIDENT Information Form ЛЗ 51
  2. Upon an Accident at Work– a Declaration Statement to NSSI about an Accident at Work – a copy
  3. NSSI order about an acknowledged Accident at Work – a copy

In case the sums will not be received by the eligible person:

Notarized power of attorney from the entitled person, if the sums will be received by another person. The power of attorney must contain a statement (text) that the eligible person has been notified that he is entitled to receive the sums in person.