Bulgarian National Health Insurance Fund outlines osteoporosis coverage

The National Health Insurance Fund (NHIF) has released guidance regarding the prevention, diagnosis, and treatment of osteoporosis. High-risk groups eligible for free prevention and early diagnosis include postmenopausal women, elderly individuals (men over 70 and women over 50–60), patients with hormonal disorders, and those with chronic inflammatory, kidney, or liver diseases, as well as long-term users of corticosteroids or anticonvulsants.

For diagnoses categorized under M80 (osteoporosis with pathological fracture), patients are monitored through dispensary observation by specialists in endocrinology, metabolic diseases, or rheumatology. While specialists prescribe the initial therapy, general practitioners may also issue prescriptions based on the specialist's findings recorded in the outpatient sheet. For diagnoses under M81 (osteoporosis without pathological fracture), although there is no scheduled dispensary observation, the NHIF still provides partial or full coverage for treatment.