Health Insurance in Romania: CNAS and CASS Guide
How to access state medical coverage and private clinics
Health insurance in Romania is administered by the National Health Insurance House (Casa Națională de Asigurări de Sănătate - CNAS). Insured status provides access to state medical care, subsidized prescriptions, and hospital services.
Employees automatically contribute 10% CASS from their salary, while freelancers and non-employed residents can register voluntarily.
📋 Steps to Access Health Care
- 1
Verify Insured Status
Check your status on the official CNAS portal using your Romanian CNP.
- 2
Register with Family Doctor
Choose and register with a local Family Doctor (Medic de familie).
- 3
Obtain European Health Card
Apply for a Card European de Asigurări de Sănătate (CEAS) if traveling in the EU.
- 4
Get Specialist Referrals
Obtain a Bilet de trimitere from your family doctor to visit specialists for free.
- 5
Fill Subsidized Prescriptions
Present doctor's prescriptions at CNAS-contracted pharmacies for discounts.
- 6
Emergency Medical Care
Access 112 emergency service and hospital ERs (UPU) free of charge regardless of insurance.
✅ Required Documents for Registration
- ▸Identity card or residence permit (Permis de Ședere) with CNP
- ▸Proof of CASS payment (Adeverință de asigurat from employer or ANAF)
- ▸Application for family doctor registration
- ▸Medical records summary from previous clinic
⚠️ Common Mistakes to Avoid
- ✕Not registering with a Medic de familie after obtaining residency
- ✕Going to specialist clinics without a referral (Bilet de trimitere)
- ✕Assuming private clinic subscriptions replace mandatory CASS
- ✕Not renewing annual voluntary ANAF CASS declarations (Form 212)
💶 Contributions and Costs
State CASS contribution is 10% of gross salary or minimum wage baseline. Private health insurance policies cost 150–500 RON/month.
📖 Essential Health Vocabulary
- CNAS
- National Health Insurance House
- CASS
- Health Insurance Contribution
- Medic de Familie
- Family Doctor / GP
- Bilet de Trimitere
- Specialist Referral Letter
- Spital
- Hospital
- Urgență / UPU
- Emergency Room / ER
- Farmacie
- Pharmacy
- Rețetă Compensată
- Subsidized Prescription
❓ Frequently Asked Questions
Are hospital emergency rooms free in Romania?+
Yes, emergency treatment at public hospital ERs (UPU) is free for everyone.
Can non-employed foreigners join CNAS voluntarily?+
Yes, by filing Form 212 with ANAF and paying 10% of 6 minimum monthly wages annually.
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