Basic (09-18)

GN 01756.325 Social Security Administration (SSA) Medical Exam Reimbursement Form

SSA uses the Form SSA 1278 U.S.-HU 9 (Request for Payment of Reimbursable Expenses under U.S.A.–Hungary Agreement on Social Security) for reimbursement of medical expenses regarding requests for exams.

G-GN 01756.325-1 SSA-1278 U.S-HU 9

The Form SSA 1278 U.S.-HU 9 (Request for Payment of Reimbursable Expenses under U.S.A. – Hungary Agreement on Social Security) is available on the SSA Totalization Forms section of the Office of Earnings and International Operations, Division of International Operations, Totalization Resource Kit.

Mail the form to:

For Disability Claims:

National Office for Rehabilitation and Social Affairs

(NORSA)

1071 Budapest, Damjanich utca 48. Hungary