Health insurance and family doctor
How you become insured in the public health system, how you choose a family doctor and what to do if you pay and are not treated.
Translation not yet checked by a native speaker. Read the original Spanish version
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The essentials
While you work, your employer takes a contribution for public healthcare from your salary every month (CASS). But paying it is not enough to be insured: you also need your residence permit and to be registered with the health insurance house of your county.
Before the permit: your own insurance
- For the work visa you are asked for insurance that covers the whole visa period.
- For the residence permit you are asked for proof of your health insurance.
Until you have the permit, rely on that insurance of your own, not on public healthcare.
With the permit: public healthcare
- Ask your employer for the certificate (adeverință) that says you work there and that the contribution is taken from your salary.
- Register with the health insurance house (casa de asigurări de sănătate) of your county, with your residence permit and that certificate.
- Check that you appear as insured.
- Choose a family doctor (medic de familie) and register with them. They are your way into public healthcare.
If you pay and are not treated
This is a real problem: some foreign workers have the contribution taken every month and do not appear as insured. If it happens to you:
- Ask your employer for the certificate (adeverință) and your payslips.
- Go to the health insurance house of your county and ask them to tell you in writing why you do not appear.
- If your employer does not give you the certificate, you can complain to the Labour Inspectorate. It is in Help.
When you lose it
Your insured status ends if you lose your right of residence in Romania. That is why you should renew your permit in time.
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What often helps
For guidance only This comes from other people’s experience, not from an official source.
- According to the press, the CNAS website has a service to check your insured status with your CNP. If you do not appear, ask your health insurance house to explain it in writing.
- Keep your payslips: they show that the health contribution (CASS) is taken from your salary.
- In an emergency, do not wait to sort out your insurance. Call 112.
Sources
Always check the official source before a procedure.
- CNAS · Order 763/2025 on insured status
National Health Insurance House (CNAS) · Official · checked on November 4, 2026
- WorkinRomania · Visas and residence
Romanian Ministry of Internal Affairs · Official · checked on November 4, 2026
- EU Immigration Portal · Employed worker in Romania
European Commission · Official · checked on November 4, 2026
- Contzilla · Summary of the CNAS Cluj notice (18 May 2026)
Specialised press · Unofficial · checked on November 4, 2026
- Capital · Foreigners who pay insurance and are refused by doctors
Press · Unofficial · checked on November 4, 2026
This is not legal advice. In complicated cases, ask a lawyer or an NGO for help.