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North Macedonia · entitlement and practice

Healthcare for migrants in North Macedonia

SHAPE's editorial comparison places migrant healthcare access in North Macedonia in the middle category (Warning). Entitlement: Residence- and protection-status based; emergency-care floor.

Middle category

Last checked 14/09/2026 · This is information only, not advice or a recommendation.

Provider type: Public insurance system / reception services / NGO · International migrants (2024): 150,902

  • Access rule: Public insurance is residence and employment based; applicants for international protection receive necessary care through reception arrangements.
  • Main barriers: Undocumented people rely mainly on emergency or NGO pathways and face payment, documentation and referral barriers.
  • Migration measure: UN DESA estimates 150,902 international migrants at mid-year 2024. This is a point-in-time stock, not the number of people who arrived during 2024. The estimate is based on the foreign-born population.
  • Origin definition: The origin shares below use country or area of birth for foreign-born estimates and country of citizenship for foreign-citizen estimates. They do not establish a person's nationality, ethnicity, language, reason for migration, legal status, recent-arrival status or undocumented status.
  • Measurement basis: Foreign-born population (UN DESA code B)
  • Evidence note: ECDC indicators use 2024 reports: the foreign-born share is calculated only among diagnoses with known origin; late diagnosis is the country-level share with CD4 <350 cells/µL and is not migrant-specific. Data Unavailable means no sufficiently interpretable value was published; a blank is not zero. The status is an editorial comparison of legal entitlement and practical access and does not apply equally to every migrant group.

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Based on public, cited sources and SHAPE's review. Rules and prices change, so please confirm with the national authority or a professional. Found an error? Tell us.