Public Health Insurance, Family Doctor Registration & CEASS Card
Official verified guide to Romania’s CNAS health insurance system, co-insured family coverage (Coasigurat), family doctor (Medic de Familie) registration, and instant CNP status verification.
Romania's unified, free emergency number is 112 (police, ambulance, fire) — reachable from any phone, even without a SIM card, and operators typically speak English. Save this number now.
📌Table of Contents
Quick Answer: How Does CNAS Insurance System Work?
The public healthcare system in Romania is managed by the National Health Insurance House (CNAS) and its 43 county houses (CJAS). Any legally employed resident contributing CASS payroll tax is automatically insured (Asigurat). Non-earning family members (e.g. spouses) can be registered as co-insured (Coasigurat) under an insured relative without paying extra premiums. To access non-emergency public care, registration with a CNAS-contracted Family Doctor (Medic de Familie) is mandatory.
📊Insurance Coverage & Eligibility Summary Table
| Applicant Category | CASS Contribution Basis | CNAS Coverage Status | Notes & Guide |
|---|---|---|---|
| Employed Contract Workers | Automatic CASS payroll deduction | Fully Insured (Asigurat) | Labor Insurance Details 🔗 |
| Co-Insured Family (Coasigurat) | No extra premium (Dependents) | Co-Insured Status | Submit spouse/parent docs to CJAS |
| Unemployed / Non-income Individuals | Optional annual CASS contribution | Direct Inquiry Required | ⚠️ Optional CASS rates depend on residency type; verify exact options directly with your regional CJAS office. |
📋Step-by-Step Family Doctor Registration
Select a Local Family Doctor
Locate a CNAS-contracted family doctor near your residential address in Romania.
Visit Clinic & Present Documents
Visit the doctor’s office with your valid residence permit (Permis de Ședere) containing your CNP.
Instant SIUI System Verification
The doctor inputs your CNP code into the online SIUI database to confirm active coverage immediately.
Complete Registration Form
Sign the Cerere de Înscriere form at the clinic to enter the doctor’s official patient roster.
Required Documents Checklist
- Valid Residence Permit (Permis de Ședere): Your primary ID card in Romania containing your CNP code.
- National Health Card (Cardul Național de Sănătate): If already issued by CNAS (if not issued yet, SIUI lookup with CNP is sufficient).
- Registration Application Form (Cerere de Înscriere): Filled out and signed directly at the doctor’s office.
- Proof of Insurance Contribution: Employment certificate or payslip showing CASS deduction. For labor insurance details, visit Work Insurance Guide.
🇮🇷Iran-Specific: Key Health Insurance & Embassy Nuances
For Iranian applicants residing in or moving to Romania, several practical and legal nuances are frequently misunderstood:
✈️Travel Insurance Bought in Iran:
Must cover at least €30,000, medical repatriation, emergency care, and Schengen validity. Romanian law specifies no country-of-purchase restriction, but confirm direct acceptance with the Romanian Embassy in Tehran.
🩺Medical Certificate for Residence Renewal:
Required for IGI permit renewals inside Romania from a registered public/private clinic stating absence of public health threats, not for initial visa filing where travel insurance applies.
🎓Age 26 Rule Applies Only to Students:
Free CNAS coverage exemption up to age 26 under Law 95/2006 applies specifically to university students, not as a general age threshold for other visas.
👨👩👧Approximate CASS for Non-Working Members:
Under Fiscal Code Art. 180 (10% of 6× gross minimum wage), optional CASS for a non-working member is estimated at around 2,430 RON for 2026 based on official formula projections.
European Health Insurance Card (CEASS / EHIC)
The European Health Insurance Card (CEASS / EHIC) allows CNAS-insured residents to access necessary state-provided healthcare during temporary stays in other EU/EEA countries or Switzerland.
Common Issues & Solutions
1. Family Doctor List is Full:
Doctors have max patient list limits. If rejected, contact another CNAS family doctor in your district.
2. National Health Card Not Yet Issued:
Physical card delays do not block care. SIUI CNP verification or an Adeverință de Asigurat certificate from CJAS serves as legal proof.
3. Changing Your Family Doctor:
Under CNAS regulations, you can switch family doctors after a minimum of 6 months with your current doctor.
Official Sources & SIUI Verification Portal
For direct CNP insurance status check and official CNAS guidelines, refer to the official portals below:
Frequently Asked Questions
Are international students in Romania eligible for free health insurance?
Under Romanian health regulations, enrolled students under age 26 in accredited Romanian universities are exempt from CASS contributions and receive public healthcare coverage.
How do expats register with a family doctor in Romania?
Present your residence permit card with CNP and insurance proof to any licensed family doctor in your residential district with available registration capacity.
What must the required medical certificate contain?
For renewing your temporary residence permit (not the initial visa — see next FAQ for that), per IGI's official notice, the certificate must be issued by a public or private health institution and show you don't have a disease that could endanger public health — no specific test panel is specified.
Do all applicants over 26 need private health insurance?
This rule specifically applies to students, not a blanket rule for all immigration applicants. Under Law 95/2006 (Art. 224), foreign students are automatically covered by Romania's health system (CNAS) without paying a contribution until age 26; after 26, this automatic free coverage ends and the student must arrange health insurance like anyone else. We did not find an equivalent blanket age-26 rule for other residence pathways (work, family reunification).
How much does a non-working family member pay for health insurance?
Under the Fiscal Code's formula (Art. 180), a person without income owes 10% of (6× the national gross minimum wage in effect at the start of that year) annually for CASS. For 2026 this is approximately 2,430 RON (estimated based on the official formula, per a media report of ANAF's statement). Since the minimum wage changes yearly, this figure changes too — we recommend confirming the current year's exact figure with CNAS/ANAF.
Is travel insurance I bought in Iran valid for my visa/for Romania?
Per IGI's official long-stay visa criteria, insurance must cover the entire stay, include repatriation/emergency treatment/hospitalization/death, have minimum coverage of €30,000, and be valid across all Schengen countries. We found no restriction on country-of-purchase in official sources — meaning, in principle, insurance bought in Iran meeting these criteria should qualify. However, we could not confirm actual acceptance practice at the Romanian Embassy in Tehran, so we recommend contacting that embassy directly.
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