Health Insurance Options and Plans as an Expat in Romania

1. What are the available health insurance options and plans for expats in Romania?


The available health insurance options and plans for expats in Romania include:

1. Mandatory Health Insurance – This is the basic health insurance required for all Romanian citizens and residents, including expats. It is paid through taxes and provides coverage for general medical care, hospital services, medication, and emergency treatment.

2. Private Health Insurance – Expats can also opt for private health insurance to supplement the mandatory health insurance or as a stand-alone policy. This type of insurance offers more extensive coverage and allows expats to choose their preferred doctors and hospitals.

3. International Health Insurance – Some international insurance companies offer plans specifically designed for expats living in Romania. These plans often provide broader coverage that includes medical evacuation or repatriation.

4. Employer-Sponsored Health Insurance – Many employers in Romania offer group health insurance plans to their employees, including expats. These plans may be either fully or partially paid by the employer.

5. Travel Health Insurance – Expats who are visiting Romania temporarily can purchase travel health insurance policies that provide coverage for medical emergencies, trip cancellation, and other travel-related issues.

2. What does the mandatory health insurance cover?

The mandatory health insurance covers basic medical care and essential services in both public and private healthcare facilities in Romania, including:

– Consultations with primary care physicians
– Hospitalization
– Emergency care
– Diagnostic tests
– Prescription medications
– Maternity care
– Pediatric care
– Rehabilitation services

3. Is there a waiting period before coverage begins under a private or international health insurance plan?

This may vary depending on the specific policy and provider, but generally there is no waiting period before coverage begins under a private or international health insurance plan.

4. Are dependents covered under an expat’s private or international health insurance plan?

Yes, dependents (spouses and children) can be covered under an expat’s private or international health insurance plan. However, this may have an additional cost, and the age limit for dependents may differ between policies.

5. Can expats use their insurance coverage outside of Romania?

It depends on the type of insurance they have. Mandatory health insurance only covers medical services in Romania. Private or international health insurance may cover treatment outside of Romania, but this depends on the specific policy and provider.

6. Can expats choose their doctors and hospitals under private or international health insurance plans?

Yes, under private or international health insurance plans, expats can typically choose their preferred doctors and hospitals for medical treatment. However, it’s always best to check with the policy provider to confirm any restrictions or limitations.

7. Are pre-existing conditions covered by private or international health insurance plans?

This varies depending on the policy and provider. Some policies may cover pre-existing conditions while others may exclude them from coverage. It’s important to carefully review the terms and conditions of the policy before purchasing it.

2. Is it mandatory for expats to have health insurance in Romania?


As of 2016, it is mandatory for all residents in Romania, including expats, to have health insurance. This can either be through the national health insurance system or through private health insurance.

3. How can expats obtain health insurance in Romania?

Expats can obtain health insurance in Romania by enrolling in the national health insurance system or purchasing private health insurance from a local or international provider. To enroll in the national system, expats must be employed and contribute to social security taxes. Private health insurance can be purchased directly from providers or through an employer.

4. What does the national health insurance cover in Romania?

The national health insurance system in Romania offers coverage for a range of medical services including hospital treatment, specialist consultations, emergency care, maternity care, prescription medications, and some dental procedures. However, there may be out-of-pocket expenses for certain treatments and services.

5. Can expats use their home country’s health insurance while living in Romania?

It is recommended that expats check with their home country’s healthcare provider if they will be covered while living in Romania. Some countries have reciprocal healthcare agreements with Romania which may allow for limited coverage under certain circumstances. Expats should also consider purchasing private international health insurance to ensure comprehensive coverage during their stay in Romania.

6. Are there any exceptions to the mandatory health insurance requirement for expats?

Exemptions from mandatory health insurance may apply to certain categories of individuals, such as those who have a long-term residence permit but are not actively working (such as retirees), students studying full-time at accredited institutions, and individuals who are self-employed and earning less than the minimum income level required by law.

7. Does having public or private healthcare affect the quality of medical treatment in Romania?

Both public and private healthcare options offer high-quality medical treatment in Romania. However, waiting times may be longer for non-emergency procedures in the public sector due to limited resources. Private healthcare may offer faster and more personalized services, but it can be more expensive.

8. Are there any specific health insurance requirements for EU citizens living in Romania?

EU citizens living in Romania are entitled to the same healthcare benefits as Romanian citizens, as long as they have a valid European Health Insurance Card (EHIC). However, it is still recommended for EU citizens to register with the national health insurance system or purchase private health insurance to ensure comprehensive coverage.

9. How much does health insurance typically cost for expats in Romania?

The cost of health insurance for expats in Romania can vary depending on their age, medical history, and chosen provider. On average, monthly premiums for private international health insurance can range from €50-€150 per month.

10. Are there any additional tips or considerations for expats looking to obtain health insurance in Romania?

It is important for expats to carefully research and compare different health insurance options before making a decision. Additionally, it is recommended that expats bring a copy of their medical records and prescriptions from their home country when seeking medical treatment in Romania.

3. What is the average cost of health insurance for expats in Romania?

The average cost of health insurance for expats in Romania varies depending on factors such as age, pre-existing conditions, and coverage options. However, on average, expats can expect to pay anywhere from $50 to $200 per month for a comprehensive health insurance plan. Some employers may offer health insurance benefits as part of their expat packages, which could reduce the cost for individuals.

4. Are there any government-sponsored health insurance programs for expats in Romania?

There are two government-sponsored health insurance programs for expats in Romania:

1. National Health Insurance Fund (CNAS): This is the primary public health insurance program in Romania and provides coverage for essential healthcare services such as doctor visits, hospital stays, prescribed medicines, and other medical procedures.

2. Complementary Health Insurance Scheme (SMR): This is a voluntary program specifically aimed at non-employed individuals, including self-employed individuals and retirees. It provides additional coverage for services not covered by CNAS, such as dental care, optical care, and some elective procedures.

Expats who have been granted permanent residency in Romania are required to enroll in one of these programs. Temporary residents can also enroll if they have a work permit or long-term stay visa. Family members of temporary residents are also eligible for enrollment.

5. Are there any private health insurance options available in Romania?

Yes, there are many private health insurance options available in Romania. These plans offer more comprehensive coverage than the public health insurance programs and may include benefits such as access to private hospitals and clinics, specialized treatments, and higher limits for certain procedures.

Some popular private health insurers in Romania include Allianz-Tiriac, Generali Group, Uniqa Group, and Signal Iduna.

6. How do I choose the right health insurance plan for me?

When choosing a health insurance plan in Romania, there are several factors to consider:

– Coverage: Look at what services and treatments are covered by the plan to ensure that your specific needs are met.
– Cost: Consider the premiums you will need to pay and how much coverage you will receive for that cost.
– Network: Check which doctors, clinics, hospitals or other healthcare providers are included in the plan’s network.
– Exclusions: Be aware of any exclusions or limitations on coverage included in the plan.
– Customer service: Research the insurer’s reputation for customer service and claims processing.
– Policy terms: Read the policy documents carefully to understand the terms and conditions of the plan, including any deductibles or co-payments.

It may also be helpful to consult with an insurance agent or broker who can provide more information and help you compare plans.

5. Can I use my home country’s health insurance while living in Romania?


It depends on the terms and coverage of your home country’s health insurance policy. Some international health insurance plans may cover you while living abroad, but it is best to check with your insurance provider to confirm their coverage in Romania. Alternatively, you can also purchase a separate international health insurance plan specifically for your time in Romania. It is important to have proper health insurance coverage while living in any foreign country to avoid unexpected medical expenses.

6. How does the healthcare system work for expats in Romania?


The healthcare system for expats in Romania is generally considered to be adequate, but varies depending on the region and healthcare facility. Here are some key aspects of the Romanian healthcare system that expats should be aware of:

1. Public vs Private Healthcare: Romania has a dual healthcare system, with both public and private options available. Public healthcare is funded through taxes and provides free or subsidized services to all residents, including expats. Private healthcare requires payment for services and is typically more expensive, but often offers shorter wait times and higher quality facilities.

2. Health Insurance: It is mandatory for all residents, including expats, to have health insurance in Romania. This can be either through contributions to the state health insurance fund (Casa Nationala de Asigurari de Sanatate) or through private health insurance providers.

3. Access to Healthcare: Expats may face difficulties navigating the Romanian healthcare system due to language barriers and bureaucratic procedures. It is recommended to seek assistance from a local or an expat group when seeking medical care.

4. Emergency Services: Emergency medical care is provided free of charge to all individuals in need, regardless of insurance status. However, ambulance response times may vary depending on location.

5. Prescription Drugs: In order to obtain prescription medications, individuals must visit a doctor who will then issue a prescription required for purchase at a pharmacy.

6. Specialized Care: While most routine medical services are available in Romania, expats with specific health conditions or those requiring specialized care may choose to seek treatment in nearby countries such as Germany or Austria where there are more advanced facilities.

7. Vaccinations: Up-to-date vaccinations are recommended for anyone living or traveling to Romania. These include routine vaccinations (such as measles, mumps and rubella) as well as additional vaccines like Hepatitis A and B.

8.Healthy Lifestyle Choices: The country has not been able yet put in place measures to deal with the behaviours responsible for non-communicable chronic diseases such as smoking, unhealthy drinking, and unhealthy foods.

7. Do I need to have a certain level of income to be eligible for health insurance as an expat in Romania?

Yes, you may need to show proof of income or financial stability in order to be eligible for health insurance as an expat in Romania. The specific requirements may vary depending on the type of health insurance plan and provider you choose. It is best to consult with a local insurance agent or provider for more information on eligibility and requirements.

8. Are pre-existing conditions covered under the expat health insurance plans in Romania?


Most expat health insurance plans in Romania will cover pre-existing conditions, however, the coverage and limitations may vary depending on the specific plan and insurance provider. It is important to carefully review the policy terms and conditions and consult with the insurer to fully understand the coverage for pre-existing conditions.

9. What is the process of applying for health insurance as an expat in Romania?


As an expat in Romania, there are a few steps you will need to follow in order to apply for health insurance:

1. Determine the type of health insurance you need: Romania offers both public and private health insurance options. Expats who are employed in Romania can usually access the public health insurance system through their employer, while self-employed individuals or those not covered by their employer’s insurance may opt for private insurance.

2. Obtain a temporary residence permit (if required): Non-EU citizens will need to obtain a temporary residence permit before applying for health insurance. This can be done at the Romanian Embassy or Consulate in your home country.

3. Choose a health insurance provider: There are several private health insurance providers in Romania, with varying coverage options and prices. It is recommended to research and compare different providers to find the best fit for your needs.

4. Gather necessary documents: When applying for health insurance, you will typically need to provide documents such as your passport, proof of residence in Romania, employment contract (if applicable), and any other relevant identification documents.

5. Submit application: You can submit your application directly to the chosen insurer or through an authorized agent.

6. Pay premiums: Once your application is accepted, you will be required to pay monthly or annual premiums depending on your chosen plan.

7. Obtain a medical card: Once you have paid your premiums, you will receive a medical card which you will need to present when seeking medical treatment.

8.Maintain regular payments: It is important to maintain regular payments in order to keep your coverage active.

9.Know the terms and conditions of your policy: Before applying for any health insurance policy, ensure that you thoroughly understand its terms and conditions, including what treatments and services are covered and any limitations or exclusions that may apply.

10. Are routine check-ups and preventative care covered under expat health insurance plans in Romania?


Yes, routine check-ups and preventative care are usually covered under expat health insurance plans in Romania. This may include annual physical exams, vaccinations, and screenings for common conditions. However, the extent of coverage may vary depending on the specific insurance plan you choose. It is important to carefully review the coverage details before purchasing a plan to ensure that it meets your healthcare needs.

11. Can I choose my own doctor or hospital with the provided health insurance options in Romania?

Typically, insurance companies in Romania offer a list of approved healthcare providers and hospitals for you to choose from. However, depending on the specific policy you choose, you may have the option to select your own doctor or hospital that is not on the approved list. It is important to carefully review your policy and speak with your insurance provider to fully understand their coverage options.

12. What documents do I need to provide when applying for health insurance as an expat in Romania?


1. Valid passport: A copy of your valid passport is required as proof of your identity.

2. Residence permit or visa: If you are not an EU/EEA citizen, you will need to provide a copy of your residence permit or visa in Romania.

3. Proof of income: This could be in the form of pay stubs from your employer, bank statements, or other documents that show your monthly income. Some health insurance providers may also require a letter from your employer verifying your employment status and salary.

4. Tax registration number (CNP): This 13-digit personal identification number is issued by the Romanian authorities and is required for all expats living and working in Romania.

5. Proof of address: You will need to provide a copy of a recent utility bill or rental agreement that shows your current address in Romania.

6. Enrollment application form: You will have to fill out an application form provided by the health insurance provider with your personal information, contact details, and other relevant information.

7. Health history questionnaire: Some health insurance providers may require you to fill out a medical questionnaire to assess any pre-existing conditions and determine the level of coverage needed.

8. Travel insurance policy (if applicable): If you are applying for short-term health insurance coverage while traveling or visiting Romania, you may need to provide proof of a valid travel insurance policy that covers healthcare expenses during your stay.

9. Marriage certificate (if applicable): If you are married and want to include your spouse on the same health insurance policy, you will have to provide a copy of your marriage certificate as proof of relationship.

10. Birth certificates (if applicable): If you are adding any dependents (children) to your health insurance policy, you will have to provide copies of their birth certificates as proof of age and relationship.

11. Previous health insurance documents (if applicable): If you had previous health insurance coverage in another country before moving to Romania, you may need to provide proof of coverage and any related documents.

12. Visa or residence permit for accommodation purposes (if applicable): If you are a student or resident in Romania without a work contract, you may need to provide a copy of your visa or residence permit specifically for accommodation purposes. This will depend on the specific regulations and policies of the health insurance provider.

13. Do I have to pay upfront for medical treatments or will my claims be reimbursed by the insurer?

It depends on the specific insurance policy you have. Some policies require you to pay upfront for medical treatments and then submit a claim for reimbursement. Others may have a direct billing arrangement with certain medical providers, meaning the insurer will pay the provider directly. It is important to carefully review your policy and understand its coverage and payment procedures.

14. Are prescription drugs covered under expat health insurance plans in Romania?


Prescription drugs may be covered under some expat health insurance plans in Romania, but coverage and details vary depending on the specific policy. It is important to carefully review the policy details and speak with a representative from the insurance company to understand what prescription drug coverage is included, if any.

15. In case of emergencies, does the health insurance cover medical evacuation expenses?


It depends on the specific health insurance policy. Some plans may cover medical evacuation expenses as part of their emergency coverage, while others may require additional add-on coverage for this service. It is important to carefully review the details of a health insurance plan to determine if medical evacuation expenses are covered in case of emergencies.

16. Are dental and vision care included in expat health insurance plans in Romania?


It depends on the specific expat health insurance plan chosen. Some plans may include dental and vision care as additional coverage, while others may have separate dental and vision insurance options. It is important to carefully review the specifics of each plan to determine what is included in the coverage offered.

17. How long does it take to get coverage after purchasing a plan as an expat in Romania?

The time it takes to get coverage after purchasing a plan as an expat in Romania will depend on the specific insurance provider and the type of plan you choose. In some cases, coverage can begin immediately, while in others there may be a waiting period of a few weeks or months. It is important to check with your insurance provider for specifics on when coverage will start after purchasing a plan.

18. Can I tailor my coverage based on my specific needs and budget as an expat living in Romania?

Yes, you can tailor your coverage based on your specific needs and budget as an expat living in Romania. There are various insurance companies that offer customizable plans for expats, allowing you to choose the coverage options and limits that best suit your individual situation. It’s important to carefully consider your needs and budget before choosing a plan, as well as comparing different options from different insurers. Additionally, it’s recommended to consult with a trusted insurance agent or broker who specializes in expat insurance to help guide you through the process.

19.For how long can I keep my international/expat health insurance if I decide to leave Romania and move to another country?


This will vary depending on the policy and provider. Some international/expat health insurance plans may allow you to keep coverage for a limited period of time after leaving Romania, typically around 30-90 days. After that, you may need to obtain a new insurance plan in your new country of residence. It is important to consult with your insurance provider to understand their specific policies and options for coverage while living abroad.

20. Are there any exclusions or limitations on coverage for expats in Romania?


It is important to carefully review the terms and conditions of any insurance policy to fully understand what coverage is provided and if there are any exclusions or limitations. Some common exclusions or limitations for expats in Romania may include pre-existing conditions, high-risk activities (such as extreme sports), and coverage limits for specific medical treatments or procedures. Additionally, some insurance policies may only provide coverage for certain regions of Romania, so it is important to confirm that the policy you choose covers all areas where you plan to reside or travel within the country.