Know Your Rights
Patient Rights under the NHIF
Everything you need to know before visiting a dentist under health insurance.
1
Free Choice of Dentist
Health-insured patients can receive treatment from any dentist who has a contract with the National Health Insurance Fund, regardless of their registered address.
2
Health Insurance Booklet
When visiting, bring your personal health insurance booklet — it records all performed procedures, including procedure code, tooth code, dentist’s details, and date.
3
Change Your Choice at Any Time
Health-insured patients are free to choose or change their dentist for each of the covered services at any time.
4
Right to Information
You have the right to be informed about the service packages, scope, and costs of covered treatments before receiving them.
5
User Fee
A user fee is payable at each visit in accordance with Article 37 of the Health Insurance Act. Individuals under 18 and certain categories of citizens are exempt.
6
Free X-rays
If necessary, you are entitled to a free intraoral (sector) X-ray and panoramic X-ray, prescribed with a referral from an outpatient dental care provider.
Exemption from Fees
Patients Exempt from User Fees
Certain categories of citizens are exempt from paying the user fee under Article 37, paragraph 1 of the Health Insurance Act. Check if you fall into one of the following groups:
Children under 18
Pregnant women
People with disabilities
Patients with chronic illnesses
Appendix No. 6 of the Health Insurance Act
The full list can be found in Appendix No. 6 — “List of diseases for which health-insured persons are exempt from paying the fee under Article 37, paragraph 1 of the Health Insurance Act.”
Book an appointment through NHIF
Pricelist
What does the NHIF cover and how much does the patient pay?
Current prices under the National Framework Contract (NFC)
A — Primary Dental Care for Insured Persons under 18
| Code | Description | NHIF Price | Patient Co-pay |
|---|---|---|---|
| 10111 | Comprehensive examination with oral status assessment (incl. one additional exam for pregnant women) | €16.76 / 32.78 BGN | Free |
| 30111 | Composite resin filling (*see note) | €45.67 / 89.33 BGN | Free |
| 50811 | Extraction of deciduous tooth under anaesthesia | €18.35 / 35.89 BGN | Free |
| 50911 | Extraction of permanent tooth under anaesthesia | €45.67 / 89.33 BGN | Free |
| 33211 | Treatment of pulpitis or periodontitis of a deciduous tooth | €24.58 / 48.08 BGN | €2.40 / 4.70 BGN |
| 33311 | Treatment of pulpitis or periodontitis of a permanent tooth | €79.27 / 155.04 BGN | €3.07 / 6.00 BGN |
A — Primary Dental Care for Insured Persons aged 18 and over
| Code | Description | NHIF Price | Patient Co-pay |
|---|---|---|---|
| 10112 | Comprehensive examination with oral status assessment (incl. one additional exam for pregnant women) | €16.76 / 32.78 BGN | Free |
| 30112 | Composite resin filling (*see note) | €43.63 / 85.33 BGN | €2.05 / 4.00 BGN |
| 50912 | Extraction of permanent tooth under anaesthesia | €43.63 / 85.33 BGN | €2.05 / 4.00 BGN |
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Note on composite resin fillings: At Dental Clinic "Dr. Botev" we consider chemical composite an unsuitable material and do not use it. If you wish to have a filling covered by the NHIF, it will be performed using a higher-quality material — please discuss this with your dentist before the procedure.
