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Expat Exchange - How to Enroll in the Public Healthcare System in Romania
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Costinesti, Romania


How to Enroll in the Public Healthcare System in Romania

By Betsy Burlingame

Universal Tax Professionals
Universal Tax Professionals

Summary: A primer on how to enroll in the public healthcare system in Romania.

If you're planning to enroll in the public healthcare system in Romania, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.

The public healthcare system in Romania is known as the National Health Insurance House (CNAS). It is a universal healthcare system that provides a wide range of medical services to all residents of the country. The quality of healthcare in Romania varies, with some areas offering high-quality care, while others, particularly rural areas, may have less access to advanced medical facilities. The cost of healthcare is generally low compared to many Western countries, but it is mandatory for all residents to contribute to the system through a health insurance tax.

Most people in Romania use the public healthcare system, although private healthcare is also available. Private healthcare often offers shorter waiting times and more personalized care, but it is more expensive. Many people choose to use a combination of public and private healthcare, depending on their needs and financial situation.

Eligibility for Foreigners

Foreigners are allowed to enroll in the Romanian public healthcare system if they are legally residing in the country. This includes those who are working in Romania, those who are studying in the country, and those who have retired in Romania. In order to enroll, foreigners must have a valid residence permit and must be paying into the health insurance system.

Steps for Enrolling in the Public Healthcare System

  1. Obtain a residence permit: Before you can enroll in the healthcare system, you must first obtain a residence permit from the Romanian Immigration Office. This proves that you are legally residing in the country.
  2. Register for a CNP: Once you have your residence permit, you must register for a Personal Numeric Code (CNP). This is a unique identification number that is used for all interactions with the Romanian state, including healthcare.
  3. Pay health insurance contributions: In order to be eligible for healthcare, you must pay a health insurance contribution. This is typically deducted from your salary if you are working, or you can pay it directly if you are not.
  4. Register with a family doctor: Once you have paid your health insurance contribution, you can register with a family doctor. This doctor will be your primary healthcare provider and will refer you to specialists if necessary.

It's important to note that even after enrolling in the public healthcare system, you may still need to pay for certain services out of pocket. These can include things like prescription medications, certain medical tests, and a portion of the cost of hospital stays.

Alternative Options

If you're not satisfied with the quality of the public healthcare system, or if you prefer to have more control over your healthcare, you may choose to use private healthcare. There are many private hospitals and clinics in Romania that offer high-quality care, although the cost is significantly higher than the public system. Many foreigners living in Romania choose to purchase private health insurance to help cover these costs.

Whether you choose to use the public healthcare system, private healthcare, or a combination of both, it's important to do your research and understand your options. Healthcare in Romania can be different from what you're used to in your home country, but with a little preparation, you can ensure that you have access to the care you need.

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About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


Universal Tax Professionals
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Costinesti, Romania

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William Russell

Get a quote for international health insurance from our partner, William Russell.
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William RussellWilliam Russell

Get a quote for international health insurance from our partner, William Russell.
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