Sick leave rules in North Macedonia at a glance
Statutory rules for North Macedonia, checked against official government guidance on 15 October 2026.
| Tell your employer | Ask your employer |
|---|---|
| Self certification | None found |
| Doctor's certificate needed from | Day 1 |
| Certificate deadline | Ask your employer |
| Waiting days | None found |
| Employer pays | Up to 30 days |
| State sickness benefit | Health Insurance Fund from day 31, at 70% |
| Maximum duration | Length of the illness; review after up to 12 months |
| Last checked |
Who pays sick pay in North Macedonia?
In North Macedonia, employer pay: up to 30 days. State sickness benefit: Health Insurance Fund from day 31, at 70%.
- EmployerDays 1 to 30Up to 30 days
- State sickness benefitFrom day 31Health Insurance Fund from day 31, at 70%
- Official body
- Health Insurance Fund
Work out your own figures with the sick pay calculator.
When do you need a doctor's note in North Macedonia?
In North Macedonia, a doctor's certificate is needed: day 1.
Self certification. None found
Certificate deadline. Ask your employer
Telling your employer. Ask your employer
Check your own dates with the "do I need a note" tool, or see how to get a doctor's note in North Macedonia.
Worked example: 50 days off sick in North Macedonia
How a 50 day absence runs in North Macedonia, step by step. No money is worked out here.
| When | What happens | The rule |
|---|---|---|
| Day 1 | Tell your employer | Ask your employer |
| Days 1 to 30 | Employer | Up to 30 days |
| From day 1 | A doctor's certificate is normally needed | Day 1 |
| Days 31 to 50 | State sickness benefit | Health Insurance Fund from day 31, at 70% |
Maximum duration: Length of the illness; review after up to 12 months
For your own figures, use the sick pay calculator. It reads the same checked data as this page.
What is different about sick leave in North Macedonia?
In North Macedonia a certificate is needed from day 1.
Your employer pays up to 30 days, then the Health Insurance Fund pays 70% from day 31. Sick pay runs for the length of the illness, with a review after up to 12 months.
What if you work in North Macedonia but live in another country?
If you work in North Macedonia and live in another country, you are usually covered by the social security system where you work, so the rules on this page apply.
Ask your employer how and when to report sick, and send any certificate to the body that pays you (Health Insurance Fund).
If your doctor is in another country, ask the paying body (Health Insurance Fund) which format it accepts.
More on working in one country and living in another. Related tool: Fit to fly readiness checklist
Frequently asked questions
Waiting days in North Macedonia: none found.
The maximum duration of sick pay in North Macedonia: length of the illness; review after up to 12 months.
Self certification in North Macedonia: none found.
Official guidance we checked does not yet confirm when you must tell your employer in North Macedonia. Ask your employer.
Sick leave rules in neighbouring countries
Compare North Macedonia with Serbia and Albania, or see all 42 countries side by side.
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