Services4SexWorkers
Health

The law does not regulate sex work in Bulgaria and there is no differentiation between the general population and sex workers with regard to the access to healthcare (in terms of health insurance). Every insured person may use public healthcare services in exchange for payment of the appropriate taxes (fixed by the state) and for a small fee paid at the studio of the general practitioner. 

Everyone in need of medical care, not having health insurance, (which includes most of the sex workers) has access to any kind of medical service; however, he/she must pay a higher fee. All emergency cases are free-of-charge for every person, regardless of his/her nationality, citizenship or insurance status.

Most of the sex workers are uninsured and, as a result, they lack a clear vision of the required steps they need to undertake to receive medical services. Another problem is that usually some of the sex workers lack the means to pay the fees required from uninsured persons. Therefore, in Bulgaria a network of low-threshold services is in place, especially for sex workers, without regard of their legal status, nationality, health insurance, etc. Several nongovernmental organisations offer these services free-of-charge and in anonymity, within the framework of Objective 6 of the National Programme for Prevention and Control of HIV/AIDS of the Ministry of Health. The recognition of sex workers as an important group to receive special healthcare, especially HIV care, led the Ministry of Health to allow access to healthcare services as an outreach procedure, which includes consultations and distribution of safer-sex and safer-injection materials, mobile medical units, which offer free medical consultations and free medical checkups, testing and treatment for HIV/Hepatitis B, C and Syphilis and other STIs, to include sensitising many other specialists that work with this group.

If migrant sex workers have Bulgarian citizenship, they also have access to HIV/AIDS testing and treatment just like the general population. Regarding the status of health insurance for migrants who have a Bulgarian ID card, they are treated the same as nationals. If migrants do not have Bulgarian citizenship, but they have permission for a legal stay in the country (e.g., students, working visa, etc.), they also have access to HIV/AIDS treatment during their sojourn. 

The law does not regulate sex work in Bulgaria and there is no differentiation between the general population and sex workers with regard to the access to healthcare (in terms of health insurance). Every insured person may use public healthcare services in exchange for payment of the appropriate taxes (fixed by the state) and for a small fee paid at the studio of the general practitioner. 

Everyone in need of medical care, not having health insurance, (which includes most of the sex workers) has access to any kind of medical service; however, he/she must pay a higher fee. All emergency cases are free-of-charge for every person, regardless of his/her nationality, citizenship or insurance status.

Most of the sex workers are uninsured and, as a result, they lack a clear vision of the required steps they need to undertake to receive medical services. Another problem is that usually some of the sex workers lack the means to pay the fees required from uninsured persons. Therefore, in Bulgaria a network of low-threshold services is in place, especially for sex workers, without regard of their legal status, nationality, health insurance, etc. Several nongovernmental organisations offer these services free-of-charge and in anonymity, within the framework of Objective 6 of the National Programme for Prevention and Control of HIV/AIDS of the Ministry of Health. The recognition of sex workers as an important group to receive special healthcare, especially HIV care, led the Ministry of Health to allow access to healthcare services as an outreach procedure, which includes consultations and distribution of safer-sex and safer-injection materials, mobile medical units, which offer free medical consultations and free medical checkups, testing and treatment for HIV/Hepatitis B, C and Syphilis and other STIs, to include sensitising many other specialists that work with this group.

If migrant sex workers have Bulgarian citizenship, they also have access to HIV/AIDS testing and treatment just like the general population. Regarding the status of health insurance for migrants who have a Bulgarian ID card, they are treated the same as nationals. If migrants do not have Bulgarian citizenship, but they have permission for a legal stay in the country (e.g., students, working visa, etc.), they also have access to HIV/AIDS treatment during their sojourn. 

The law does not regulate sex work in Bulgaria and there is no differentiation between the general population and sex workers with regard to the access to healthcare (in terms of health insurance). Every insured person may use public healthcare services in exchange for payment of the appropriate taxes (fixed by the state) and for a small fee paid at the studio of the general practitioner. 

Everyone in need of medical care, not having health insurance, (which includes most of the sex workers) has access to any kind of medical service; however, he/she must pay a higher fee. All emergency cases are free-of-charge for every person, regardless of his/her nationality, citizenship or insurance status.

Most of the sex workers are uninsured and, as a result, they lack a clear vision of the required steps they need to undertake to receive medical services. Another problem is that usually some of the sex workers lack the means to pay the fees required from uninsured persons. Therefore, in Bulgaria a network of low-threshold services is in place, especially for sex workers, without regard of their legal status, nationality, health insurance, etc. Several nongovernmental organisations offer these services free-of-charge and in anonymity, within the framework of Objective 6 of the National Programme for Prevention and Control of HIV/AIDS of the Ministry of Health. The recognition of sex workers as an important group to receive special healthcare, especially HIV care, led the Ministry of Health to allow access to healthcare services as an outreach procedure, which includes consultations and distribution of safer-sex and safer-injection materials, mobile medical units, which offer free medical consultations and free medical checkups, testing and treatment for HIV/Hepatitis B, C and Syphilis and other STIs, to include sensitising many other specialists that work with this group.

If migrant sex workers have Bulgarian citizenship, they also have access to HIV/AIDS testing and treatment just like the general population. Regarding the status of health insurance for migrants who have a Bulgarian ID card, they are treated the same as nationals. If migrants do not have Bulgarian citizenship, but they have permission for a legal stay in the country (e.g., students, working visa, etc.), they also have access to HIV/AIDS treatment during their sojourn.