Romania - European Health Insurance Card

Emergency

Call 112 

Casa Nationala de Asigurari de Sanatate (National Health Insurance House)

Tel: +40 372 309 255; +40 372 309 105; +40 372 309 250

https://www.cardeuropean.ro

Treatment, coverage & costs

Doctors

• To benefit from your European Health Insurance Card (EHIC), consult a family doctor or a specialist working for a healthcare provider with a  contract with  a local health insurance house.
• Addresses of healthcare providers - ask a local health insurance house. They can also be found on the website of local health insurance houses: https://cnas.ro/informatii-publice-lista-furnizoriilor-de-servicii-medicale-din-romania
• You do not have to pay for treatment as the local health insurance house reimburses the healthcare provider for healthcare provided on the basis of the EHIC.

Dentists

• To receive emergency dental care on the basis of your European Health Insurance Card (EHIC), consult a dentist with a  contract with a local health insurance house.
• Addresses of dental health care service providers - ask a local health insurance centre. These can be also found on the websites of the health insurance houses.
• You do not have to pay for treatment, as the local health insurance house reimburses the dental care provider for emergency dental services provided on the basis of your EHIC.

Hospital treatment

• To benefit from hospital care on the basis of your European Health Insurance Card (EHIC), go to a hospital operating under a contract with a local health insurance house.
• As an EHIC holder, you are entitled to the following hospital treatment:
  • In-patient healthcare for:
    • a medical or surgical emergency, if your life is in danger or if there is a risk of this, until the emergency is over
    • diseases which may be contagious and require isolation/quarantine, until the problem has been completely resolved
    • childbirth.
  • Out-patient treatment involving:
    • medical emergencies requiring surgery
    • treatment for an epidemiological disease, but which does not require the patient to be kept in isolation
    • monitored chemotherapy services

You don't need an admission ticket for any of these types of treatment in a hospital. Everything is reimbursed by the local health insurance house.

Prescriptions

• EHIC holders can obtain medication with and without personal contribution as outpatients, from a pharmacy under contract to a local health insurance house, based on a medical prescription issued by a. doctor under contract to a local health insurance house.
• Doctors can prescribe medication from the list of medicines comprising sub-lists A, B, C and D, and sections C1, C2 and C3 of sub-list C, as well as the immunological drugs included in sub-list E. The cost of medicines is covered up to the following percentages of the reference price:
  • sub-list A - 90%
  • sub-list B and section E1 of sub-list E - 50%
  • sub-list C (sections C1 and C3, as well as from section E2 of sublist E) - 100%. Medicines listed in section C2 are covered by health insurance houses at the settlement price.
  • sub-list D - 20%

Emergency medical assistance & transport

EHIC holders have the following rights:

• Emergency consultations at home for medical emergencies requiring surgery
• Unassisted health transport:
  • In the event of death, 2-way transport for the doctor who establishes the fatality and issues the death certificate, under the conditions provided by law. This applies on Fridays, Saturdays, Sundays and public holidays.
  • The emergency team coming to the patient's home and, if needed, the transport for patients who are not in a critical condition and do not require medical monitoring or special healthcare on the way to the health unit, if their situation or medical condition calls for special healthcare which cannot be provided at home.

These services are provided by specialised private units operating under contract to local health insurance houses.

Ambulance

Emergency services are provided by

• local ambulance services
• the ambulance service from Bucharest
• the SMURD service (Mobile Emergency Service, Resuscitation and Extrication - in Romanian only).

Air ambulance

• Air ambulance services are provided inside Romania and only in extreme emergency situations.

Reimbursement

• Healthcare services are usually free of charge, so there is no system of reimbursement to card holders.
• Additional payments (paid directly by EHIC holders):
  1. The value of any medical services not included in the medical services package to which EHIC holders are entitled.
  2. The value of medical services supplied by doctors/healthcare providers which do not have a contract with a local health insurance centre.
  3. The value of medical services provided upon request.
  4. Personal contribution to hospitalisation, if the patient requests meals and accommodation at a higher level of comfort than the standard one. Hospitals charge for in-patient medical care under the co-payment system. For further details, see 'Patient contribution' below.
  5. Personal contribution in case of hospitalization in continuous hospitalization in a private hospital with a contract to a local health insurance house - representing the difference between the rate charged by the hospital and the rate paid by the health insurance company.
  6. The cost of any medication not covered by the health insurance system.
  7. The cost of any medication supplied by pharmacies which do not have a contract with a local health insurance house.
  8. Personal contribution for medication:
  • For sub-list A: the difference between the retail sales price and 90% of the reference price
  • For sub-list B and section E1 from sub-list E: the difference between the retail sales price and 50% of the reference price
  • For sub-list D: the difference between the retail sales price and 20% of the reference price.
  • For sub-list C: the difference between the retail sales price and the reference price for sections C1 and C3, and the difference between the retail sales price and the settlement price for section C2.
  • For sub-list E: the difference between the retail sales price and the reference price for section E2

Patient contribution

• For hospital medical services during in-patient treatment, each hospital unit with beds sets its own co-payment level, varying between 5 and 10 lei.
• If you are hospitalised in an emergency, you must not be required to make a co-payment in cash.

Dialysis, oxygen therapy & chemotherapy, radiotherapy, genetic testing, diagnosis and monitoring of malignant haematological diseases, related services

Dialysis

• EHIC holders can benefit from dialysis under the same conditions as people insured under the Romanian health insurance system.
• Under the national programme for supplying dialysis for patients with chronic renal insufficiency, are provided dialysis- related services as well as renal replacement services, specific medication [erythropoiesis-stimulating agents (epoetin, darbepoetin), iron preparations, fractionated or unfractionated heparins, phosphate chelators (sevelamerum), vitamin D receptor agonists (alfacalcidol, calcitriol, paricalcitol), calcimimetics (cinacalcet)], specific medical materials, laboratory investigations, as well as the non-medical transport of hemodialysis patients “to and from” the patients' homes, and also the monthly transport of medications and medical materials specific to peritoneal dialysis to the patients' homes.
• Dialysis services are provided by public or private providers operating under contract to the local health insurance house. You can get the addresses of dialysis service providers from one of these centres.

Oxygen therapy

• EHIC holders can benefit from oxygen therapy during a hospital stay if they receive medical assistance for continuous hospitalisation.
• This type of medical assistance is reimbursed by the local health insurance houses.
• The conditions described under 'Hospital treatment' are applicable.

Radiotherapy

• EHIC holders can receive radiotherapy services under the same conditions as those applicable to insured persons under the Romanian health insurance system.
• Within the Sub-program for radiotherapy of patients with oncological diseases, radiotherapy services (orthovoltage/kilovoltage radiotherapy, 2D linear accelerator radiotherapy, 3D linear accelerator radiotherapy, IMRT radiotherapy, brachytherapy, stereotactic radiotherapy, total body irradiation or derivatives) are provided to patients with oncological diseases, including the services performed or the documents issued in close connection with and in order to perform the respective medical service.
• Radiotherapy services are provided by public health units with profile structures, private health units authorized / approved and accredited or registered in the accreditation process, as well as by sanitary units belonging to the ministries with their own sanitary network (which have structures in a contractual relationship with the health insurance house for the implementation of the national health programme). The list of units can be consulted on the website of the health insurance house.

Genetic testing

• Testing the molecular and/or cytogenetic profile of pediatric and adult patients diagnosed with neuroblastoma, Ewing sarcoma, rhabdomyosarcoma, retinoblastoma and primary tumors of the central nervous system, in order to establish the therapeutic decision adapted to the histological form, as well as to the biological tumor behavior depending on the presence/absence of genetic abnormalities.
• Testing the molecular profile of patients diagnosed with certain malignant solid tumors, in order to ensure personalized treatment related to medicines included in the List of medicines approved by Government decision for the care of former patients issued by decisions of conditional inclusion in the List and the MAH and expressed availability for the negotiation and conclusion of cost-volume/cost-volume-result contracts.
• The public genetic testing services are provided by healthcare facilities, as well as private service providers in contractual relationship with the health insurance company for the implementation of the national curative health program, the list of which can be consulted on the health insurance company's website.

Diagnosis and monitoring of malignan haematological disease through immunophenotyping, cytogenetic and fish molecular biology examination.

• The EHIC holders benefit from services for the diagnosis of malignant hemopathies, their progression or relapse, loss of response and for monitoring the minimal residual disease of patients with malignant hemopathies: acute leukemia, myelodysplastic neoplasms, chronic myeloproliferative syndromes (myelofibrosis, systemic mastocytosis and hypereosinophilic syndrome) and chronic lymphoproliferative syndromes (multiple myeloma and other chronic lymphoproliferative syndromes);
• Insurance services of health units, as well as private service providers in a contractual relationship with the health insurance company for the implementation of the national curative health program, a list can be consulted on the health insurance company's website.

Patients with haemophilia and thalassemia

• The EHIC holders benefit from specific medicines in hospital and outpatient settings, through closed-circuit pharmacies, for the prevention and treatment of bleeding accidents in patients with congenital haemophilia (haemophilia A and B, von Willebrand disease), acquired haemophilia, congenital factor VII deficiency and Glanzmann thrombasthenia;
• Medications are provided in hospital and outpatient settings, through closed-circuit and open-circuit pharmacies.

People with autism spectrum disorders

• The EHIC holders diagnosed with autism spectrum disorders benefit from medically related services through specialized units;
• The specialized units (Provider) of services related to the medical act for people diagnosed with autism spectrum disorders provide the insured with the services included in the technical norms, namely: psychotherapy services and/or clinical psychological counselling and/or special psych pedagogy-speech therapy counselling/intervention, respectively psychological interventions of science developed in the science validation plan. personalized for each patient.

Patients with diabetes

• The EHIC holders benefit, within the framework of the National Diabetes Program, from non-insulin antidiabetic drugs, insulin-type antidiabetic drugs and self-monitoring tests, through open-circuit pharmacies;
• And also of glycosylated haemoglobin HbA1c dosage, through public health units.

Chemotherapy

• EHIC holders can receive chemotherapy with day-to-day monitoring.
• EHIC holders can benefit from specific treatment for patients with cancer-related diseases within the Sub-programme for treating patients with oncological diseases, under which cytostatics, immunomodulators, hormones, growth factors and inhibitors of osteoclastics are supplied.
• Medication is provided on the basis of a prescription made out by a specialist doctor working under contract to a local health insurance house. You can get it from a pharmacy belonging to one of the medical units included in the sub-programme, or open-circuit pharmacies. Doctors prescribe the medication from section C2 of sub-list C.
• You can find lists of medical units, open circuit-pharmacies and specialists working under contract to local health insurance houses on the website of your local health insurance houses.

EHIC holders can receive specific medicines granted under the National Diabetes Program and the National Hemophilia and Thalassemia Treatment Program.

How do I apply for an EHIC?

• If you are insured, you can submit an application to a local health insurance house requesting the issuing of the EHIC.
• If the application is approved, the EHIC will be issued within 7 working days from the day of registration of the application.
• Information on how to submit an application for an EHIC (in Romanian)

Doctors & hospitals accepting the EHIC

• Information on that doctors and hospitals that accept the EHIC can be found on the webpages of the local health insurance houses (in Romanian).

Loss of card

Contacts for holders of EHICs issued in Romania

Casa Nationala de Asigurari de Sanatate (National Health Insurance House)
Tel: +40 372 309 236(262)(182)
E-mail: relpubl1@cnas.gov.ro