Public health insurance: who is eligible and under what conditions?

By Bucharest Team
- Articles
Health insurance provided by the state, known as compulsory health insurance, is an essential right for Romanian citizens and those working legally in Romania. It provides access to a variety of medical services, including consultations, treatment, surgery and hospitalization. However, not everyone automatically benefits from these services. Here's who is eligible and under what conditions:
Employees and self-employed persons - Most people insured through the public health insurance system are employees who contribute monthly to the national health insurance fund by deducting an amount from their salary. These contributions are administered by the National Health Insurance Fund (CNAS). Authorized private individuals (PFA) and self-employed persons are also required to contribute in order to be insured.
Retired persons - Retired persons benefit from health insurance without having to pay additional contributions, as they have already contributed during their active working life. They have access to all medical services provided by the public system, including free or subsidized medicines and free or subsidized treatment.
Unemployed people and jobseekers - Those who receive unemployment benefit are covered by health insurance for as long as they are receiving this benefit. The state covers their health insurance contributions. Jobseekers who are not receiving unemployment benefit may be covered if they register with the county employment agencies and meet certain criteria.
Pupils, students and apprentices - Pupils and students up to the age of 26 are insured free of charge if they are enrolled in an accredited educational institution. This category also includes apprentices in vocational training programs. The state covers the cost of health insurance for them, giving them access to basic medical care.
Children and young people under 18 - All children and young people under 18 are automatically insured through the public health system, regardless of their parents' financial situation or insurance. They have access to free medical care, including consultations, compulsory vaccinations and emergency treatment.
Disabled people and war veterans - Disabled people and war veterans are insured by law, without having to contribute financially. They have access to a full range of medical services, including treatments and procedures needed to manage specific conditions.
Social assistance recipients - People who receive social assistance from the state are also insured for medical services. Health insurance contributions for these people are covered by the state, enabling them to access necessary care and treatment.
Other eligible categories - There are also other categories that are covered by state health insurance, including pregnant women and women who have recently given birth (who benefit from free insurance even if they have not previously contributed), as well as people who have suffered work-related accidents or occupational diseases.
Also recommended: Private health insurance in Romania: what it is, how it works, and what costs it involves