Access to healthcare and social security for third country nationals

1. The Healthcare System

Who is insured in the Romanian Social Health Insurance system?

Foreign citizens and stateless persons are insured if they:

(i) have applied for and received an extension of their temporary residence or are residents in Romania

and

(II) provide evidence of their contribution to the National Health Fund.

Can I be insured under with the National Health Fund?

The persons who can be insured in the Romanian social health insurance system without contributing are:

  • Children and young people up to 18 years old, students, young people up to 26 years old who are studying and do not have an income.
  • Young people up to 26 years old who were part of the child protection system and are unemployed or do not receive social benefits.
  • Spouse and parents who do not have an income and are supported by a person who is already insured in the Romanian health system.
  • Persons with disabilities who do not have a salary, in certain conditions.
  • Persons suffering from medical conditions that are included in the national health programs, until that medical condition is cured, if they do not have an income.
  • Pregnant women and young mothers who do not have any revenue or have a revenue below national minimum wage (1.900 lei in October 2018).

 

What are my rights as an insured person?

As a person insured under the Romanian Social Health Insurance system you have the right to:

  • Freely choose your provider of medical services, as well as the health insurance fund you will send your contribution to.
  • Register with a General Physician (Family doctor) of your choice.
  • Change the General Physician (Family doctor) you have chosen, but only after at least 6 months of registering with the first one.

What am I entitled to as an insured person?

As a person insured under the Romanian Social Health Insurance system you are entitled to:

  • The basic services package, without any discrimination, according to the law.
  • Reimbursement of all your hospitalization expenses for medication, medical materials and para-clinical investigations.
  • Preventive health care services.
  • Outpatient medical services, and services in hospitals.
  • Emergency medical services.
  • Certain dental care services.
  • Physiotherapy and recovery treatment.
  • Medical devices.
  • Medical home care.
  • Medical leave and social insurance benefits, according to the law.
  • Confidentiality of your medical information, especially related to your diagnostic and treatment.
  • Information concerning medical treatment.

 

Important to know!

  • If you do not have health insurance you are entitled to receive a free package of medical services (e.g. medical and/or surgical emergencies, disease with an endemic-epidemic potential, monitoring the evolution of pregnancy and post-partum state, etc.)
  • All hospitals are under an obligation to provide first aid and emergency medical assistance to any person requesting it, if that person is in a critical state.
  • Qualified first aid and emergency medical assistance are to be given without any discrimination related to the following, but not limited to: income, gender, age, religion, citizenship or political allegiance, irrespective of whether the patient has a medical insurance or not.
  • You can be insured by the national health system, but you can also have a private health insurance.
  • For emergency situations (accidents, severe burns, etc.), you can call the national emergency number 112 (free of charge) and request an ambulance. The ambulance service is free of charge.

Authority in charge:

The County Health Insurance House from your county of residence.

 

2. The Social Insurance and social assistance system in Romania 

What does the social insurance system include?

The Romanian social security system includes:

A. The social security system, which means: the public pension system, health insurance, unemployment, accidents or work incapacity insurance, leave (annual leave, maternity leave, child care leave).

B. The social assistance system, which includes temporary and precise support measures such as monthly social support, home heating support (subsidy), child benefit/allowance or for family support.

A. The social security system:

  1. Unemployment benefit – This is a form of social protection all individuals can receive while they are looking for work, who have been employed or have earned income in Romania, or have the right to work in Romania.
  2. Insurance for labor accidents and labor-related medical conditions or temporary leave cause by the inability to work – If you have an individual labor contract with a Romanian employer you are entitled to medical leave and social health benefit payments for the prevention of medical conditions and for the recovery of labor capacity in case of labor-related accidents or occupational diseases.
  3. Retirement pay or pension – Is the most significant social benefit paid in the public system. There are 5 types of pension in Romania: age- related pension; disablement pension; successor’s pension; anticipated pension, and partial anticipated pension. You can benefit from pension if you have contributed to the public pension system in Romania.
  4. Maternity leave is a medical leave and is issued by the family doctor based on a letter issued by the specialist doctor.
  5. Childcare leave

Childcare leave starts immediately after the maternity leave ends. This can last up to 2 years or in the cases where the child has a disability, up to 3 years. The beneficiary of the childcare leave can be one of the natural parents, the person who takes the child in placement or the tutor.

You can request childcare leave if you fulfill all the following requirements:

  • You are a citizen or stateless person
  • You reside or you live on Romanian territory, according to the law
  • You live together with the child/children and you take care of the raising and wellbeing of the child/children
  • You produced income for 12 months previous to the birth of the child.

Authority in charge:

Applications for child benefit/allowance are to be submitted at the Mayor’s Office of the commune, town, city from your county of residence or at the relevant County Agency for  Payments and Social Inspection.

B. The social assistance system

The social assistance system offers the same types of benefits to both foreigners and Romanian citizens.

What are the main types of benefits are:

  1. Social benefit (minimum guaranteed income)

The minimum guaranteed income is a monthly financial benefit. The amount of this benefit is:

  • 142 RON for one person.
  • 255 RON for a 2-member family.
  • 357 RON for a 3-member family.
  • 442 RON for a 4-member family.
  • 527 RON for a 5-member family.

50 RON for each additional person over 5, who is a member of the family.

Authority in charge:

Applications for social assistance benefit are to be submitted at the Mayor’s Office of the commune, town, city from your county of residence. The benefit will be paid by the County Agency for Payments and Social Inspection, after a social investigation will be conducted.

2. Heating subsidy

This is granted to families and single individuals with low income during the cold season (1 November – 31 March) to help them cover all or part of the heating costs. The heating subsidy is only granted for the place of residence.

The right to receive the heating subsidy:

  • Is granted based on an Application form and on supporting documents that must be submitted before October 15th. Applications submitted during the cold season can also be accepted.
  • The result of your application will be communicated in November.

 

Authority in charge:

Mayor’s Offices/County Departments for Social Assistance and Child Protection from your county of residence.

3. Family support subsidy

This is granted to families with low incomes that are raising and caring for children up 18 years old to support them in raising, caring for and educating.

Who can benefit from family support subsidy?

  • A family formed of a husband, wife and children in their care, living together.
  • A family formed of one person and children in their care living together.
  • The unmarried man and woman, with their children, living together.

 

Authority in charge:

  • Mayor’s Office where you reside – for submitting your documentation. It is the Mayor’s decision to approve the family support subsidy after a social investigation.
  • County Agency for Payments and Social Inspection – pays the monthly family support subsidy.

4. Child benefit (children’s allowance)

The children benefit represents a form of protection given by the state, nontaxable and cannot be forcedly executed by the state. The child benefit/allowance is granted to:

  • All children who are Romanian citizens, foreign nationals or stateless children who are residing in Romania.
  • Children from 0 to 18 years old.
  • Young persons over 18 years old, if they are enrolled in high-school or vocational school, until completion of their studies, if they do not repeat the year of study.

The amount of the child benefit is:

  • 200 RON/month for children up to 2 years old.
  • 84 RON/month for children over 2 years up to 18 years old.

Authority in charge:

Applications for child benefit/allowance are to be submitted at the Mayor’s Office of the commune, town, city from your county of residence or at the relevant County Agency for  Payments and Social Inspection.

5. Other types of social assistance: foster subsidy, monthly food subsidy for persons with HIV/AIDS, monthly subsidy for persons with severe and serious disabilities, monthly companion fee for persons with visual impairment, monthly food subsidy for children with HIV/AIDS type of disability.