Basic (10-24)

GN 01771.325 Social Security Administration (SSA) Medical Reimbursement Form

SSA uses the Form SSA 1278 USA/SI 9 (Request for Payments of Reimbursable Expenses under U.S. - Slovenia Agreement on Social Security) for reimbursement of medical expenses regarding requests for exams. The Form SSA 1278 USA/SI 9 is located on the Division of International Operations website. Mail the form to:

Address:

Pension and Disability

Insurance Institute of Slovenia

Kolodvorska 15

SI-1518 Ljubljana

Slovenia