If you reside in North Macedonia and have questions regarding services provided by the Social Security Administration (SSA), you must contact the SSA Federal Benefits Unit (FBU) located in Naples, Italy.  For more information on their services and how to contact them, please visit their web-page at:
https://it.usembassy.gov/u-s-citizen-services/fbu/.

For comprehensive information on SSA’s services abroad, please visit SSA’s web-page Service Around the World.

If you are already receiving SSA benefits payments, there will be no change in the method of distribution of those payments.