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Unforeseen medical treatment - Romania

Emergencies

Call 112

Casa Nationala de Asigurari de Sanatate (National Health Insurance Centre)
Tel: +40 372 309 250; +40 372 309 105

Treatment, coverage & costs

Doctors

  • To benefit from your European Health Insurance Card (EHIC), consult a general practitioner or a specialist working for a healthcare under contract to a local health insurance centre.
  • Addresses of healthcare providers - ask a local health insurance centre.
  • You do not have to pay for treatment as the local health insurance centre 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 centre.
  • Addresses of dental care providers - ask a local health insurance centre.
  • You do not have to pay for treatment, as the local health insurance centre 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 centre.
  • 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 centre.

Prescriptions

  • EHIC holders can obtain medication as outpatients. You will need a doctor's prescription. Hand this over to a pharmacy which operates under contract to the same local health insurance centre as the doctor who wrote the prescription.
  • Doctors can prescribe medication from a list comprising sub-lists A, B, C and D. The local health insurance centre will cover an amount obtained by applying the compensation percentage to the reference price of the medicine.
  • The cost of medicines is covered up to the following percentages:
    • sub-list A - 90%
    • sub-list B - 50%
    • sub-list C - 100%
    • 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.
    • 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 centres.

Ambulance

Emergency services are provided by

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):
    • The value of any medical services not included in the medical services package to which EHIC holders are entitled.
    • The value of medical services supplied by providers which do not have a contract with a local health insurance centre.
    • If you are hospitalised and request meals and accommodation at a higher level of comfort than the standard one, you will be required to pay an extra charge.
    • For public and private sanitary units with beds, your personal contribution will come to a maximum of 300 lei per day.
    • Hospitals charge for in-patient medical care under the co-payment system. For further details, see 'Patient contribution' below.
    • The cost of any medication not covered by the health insurance system.
    • The cost of any medication supplied by pharmacies which do not have a contract with a local health insurance centre.
    • As an EHIC holder, your personal contribution for medication is:
      • 10%, 50% or 80% of the reference price, depending on the sub-list to which the medication belongs
      • the difference between the reference price and the retail sales price.
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  • 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 emergeny, 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:
    • medication & specific medical materials
    • paraclinical medical investigations
    • non-medical transport for dialysis patients from and to their home
  • Dialysis services are provided by public or private providers operating under contract to the local health insurance centre. 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 centres.
  • The conditions described under 'Hospital treatment' are applicable.

Chemotherapy

  • 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 centre. 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 the C2-list.
  • You can find lists of medical units, open circuit-pharmacies and specialists working under contract to local health insurance centres on the website of your local health insurance centre.
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
E-mail: relpubl1@casan.ro


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