Beneficiaries of international protection have the right to benefit from health insurance under the conditions provided by the law for the Romanian citizens. 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.
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. In practice the amount which has to be paid monthly by the beneficiaries is 208 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 2019, 3 beneficiaries of international protection benefited from this financial support.
In Galaţi, beneficiaries do not pay health insurance, even though within the project implemented by JRS on integration it is possible to reimburse a maximum of 500 RON / €106 for medical services.
One problem identified by IOM was that as of January 2019, in order to pay the health insurance, people without incomes must first create an online account. Therefore, in some cases beneficiaries needed support in this regard because they did not have access to a computer; or they did not understand the registration procedure.
In 2018, the ASSOC representative stated that the monthly cost of health insurance represents a burden for the beneficiaries. They are informed about the health system in Romania and, if they opt for it, they have to pay the contribution, while the NGO identifies a family doctor for them. The AMIF project may cover a minimum two-month contribution for health insurance, but the beneficiary of international protection has to assume responsibility to pay the contribution for the entire year. For 2019, the ASSOC representative reported no obstacles.
According to the AIDRom representative in Timișoara, beneficiaries of international protection who pay for their health insurance are not issued a health insurance card.
In Giurgiu, it was reported that there is a lack of health insurance. For vulnerable cases, ICAR Foundation within their project may fund the cost of health insurance, but only for a limited period. Afterwards the beneficiary is responsible for the payment of his or her health insurance.
Stakeholders have also mentioned difficulties related the generally poor condition of the state health care system which also affects Romanian nationals. As a consequence, beneficiaries prefer to access private medical clinics instead of state hospitals.
 Article 20(1)(g) Asylum Act.
 Article 180(3) Fiscal Code.
 Information provided by IOM Romania, 18 November 2019.
 Information provided by ASSOC, 30 January 2019.