Emergencies

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 general practitioner or a specialist working for a healthcare provider under contract to 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 under contract to 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 a disease that is part of an epidemic, but which does not require the patient to be kept in isolation.
    • chemotherapy services monitored in day care.

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 .The cost of medicines is covered up to the following percentages of the reference price:
  • sub-list A - 90%
  • sub-list B - 50%
  • sub-list C (sections C1 and C3) - 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, a legal requirement. 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 under 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 centre.
  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: 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.

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 & chemotherapy

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, dialysis-related services are insured. They include:
  • erythropoietic stimulants (epoetin, darbepoetin), iron preparations, fractionated or unfractionated heparins, sevelamerum chelators, vitamin D receptor agonists (alfacalcidol, calcitriol, paricalcitol), calcimimetics (cinacalcet), specific laboratory investigations, as well as non-medical transport for hemodialysis patients from and to their home, monthly transport of medicines and sanitary materials and peritoneal dialysis at the patient's home.
• 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.
• Radiotherapy services (radiotherapy with orthogonal, 2D linear accelerator radiotherapy, linear 3D accelerator, IMRT radiotherapy, brachytherapy) are provided under the Radiotherapy sub-programme for patients with oncological diseases and performed during day hospitalisation, and include the services performed or documents issued in close connection and for the purpose of performing that 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.

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@casan.ro