Guides · North Macedonia

Health insurance renewal in North Macedonia

Written from published rules on 26 August 2026. Not monitored for changes since. A starting point, not official advice — confirm anything that matters with Фонд за здравствено осигурување на Северна Македонија (Health Insurance Fund of North Macedonia - FZOM).

Renewing health insurance in North Macedonia generally involves confirming your eligibility or status with the Health Insurance Fund and ensuring contributions are up to date. The process can vary depending on whether the insurance is employment-based, voluntary, or through another category.

Your timing

It is advisable for individuals to begin the renewal process or check their insurance status well in advance of any potential expiry or need, allowing time for administrative processing or gathering required documents. Some categories of insurance, particularly those tied to employment, may renew automatically as long as contributions are made.

Start 30 days ahead

This timeframe allows for potential processing delays, gathering necessary documents, or scheduling appointments if required, particularly for categories like voluntary insurance or changes in status.

The process

  1. 1Identify your current health insurance category (e.g., employed, self-employed, voluntarily insured, pensioner).
  2. 2Review information provided by the Health Insurance Fund or your employer regarding renewal procedures for your category.
  3. 3Ensure all necessary contributions are being made or are up to date, if applicable to your insurance type.
  4. 4If required, visit a local branch of the Health Insurance Fund (FZOM) to submit any necessary documentation or forms.
  5. 5Confirm that your health insurance status has been successfully updated or extended.

What to bring

  • Proof of identity (e.g., national ID card or passport)
  • Previous health insurance card or documentation (if applicable)
  • Proof of employment or income (for certain categories, e.g., employment contract, salary slips, tax returns)
  • Proof of residency (if status has changed)
  • Documents supporting any change in status (e.g., student certificate, pension decision)

Who handles it

Фонд за здравствено осигурување на Северна Македонија (Health Insurance Fund of North Macedonia - FZOM)

https://fzo.org.mk/

The cost of health insurance contributions varies significantly based on the category (e.g., employed, self-employed, voluntary insurance) and income level. Contributions are typically a percentage of gross salary for employees or a fixed amount for other categories. Specific amounts should be confirmed with the Health Insurance Fund or through official regulations.

What commonly goes wrong

  • Different categories of insured persons have different renewal procedures and contribution requirements.
  • Ensure that all personal information and employment details are current to avoid issues with coverage.
  • Be aware that processing times can vary, especially if there are changes in your employment or personal status.
  • Confirm the exact documents required for your specific situation directly with the FZOM, as these can vary.

Sources

This guide is based on one official source.

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