Health care

Romania

Country Report: Health care Last updated: 30/04/21

Author

Felicia Nica with support from JRS Romania Visit Website

Beneficiaries of international protection have the right to benefit from health insurance under the conditions provided by the law for the Romanian citizens.[1] Persons suffering from mental health problems, including torture survivors and traumatised persons also have access to treatment in the same conditions as Romanian nationals.

Challenges in practice include lack of awareness of how the Health Insurance House (Casa de Asigurări de Sănatate, CAS) works and what it entails. Therefore, NGOs play a key role in assisting beneficiaries of international protection to overcome all the practical obstacles, which would be insurmountable without this type of support.

The JRS representative in Rădăuţi reported difficulties regarding the identification of family doctors. Family doctors refuse to register beneficiaries of international protection, including children, because they have to register patients for at least six months and are afraid that beneficiaries will leave Romania.

Beneficiaries who decide to stay for long term have family doctors. For the ones who have no health insurance ICAR Foundation is covering the costs of medical consultations and treatment if necessary.

Another reported issue is related to health insurance. Persons who do not earn an income are obliged to pay state health insurance for 12 months, which equals 6 gross national salaries, irrespective of the date of filing the declaration.[2] In practice the amount which has to be paid monthly by the beneficiaries is208 RON/ €44, so it increased from 190 RON/ €40 of last year. An annual health insurance (valid for 12 months) costs the equivalent of 10% of six gross minimum wages, which is 1248 RON/ €265.

NGOs may reimburse the cost of this. The payment of one month of health insurance triggers an obligation to pay for the entire year in order to access health services. If beneficiaries stop paying health insurance, they enter into debt. If they commit to stay for six months, ICAR Foundation may pay for their health insurance.

In Galaţi, within the project implemented by JRS on integration it is possible to pay for the state health insurance for a maximum of 6 months. The JRS representative reported that no persons required this service since October 2020

ASSOC representative mentioned that the process of registering the beneficiaries with the fiscal administration in order to pay for health insurance is very difficult and lengthy (around 2 months).[3]

In Bucharest there was no NGO covering the heath needs of beneficiaries.

AIDRom reported that some of the beneficiaries of international protection are not aware if they are insured or not; they have difficulties in accessing this information on the National Insurance House (CNAS) platform. The staff of CNAS is not particularly helpful and communication with beneficiaries is hindered as the staff of CNAS have no knowledge of any other language apart from Romanian.

 

[1]        Article 20(1)(g) Asylum Act.

[2]          Article 180(3) Fiscal Code.

[3]          Information provided by ASSOC, 16 February 2021.

Table of contents

  • Statistics
  • Overview of the legal framework
  • Overview of the main changes since the first report
  • Asylum Procedure
  • Reception Conditions
  • Detention of Asylum Seekers
  • Content of International Protection
  • ANNEX I – Transposition of the CEAS in national legislation