Healthcare in Romania

Each country's health system is different and might not include all the things you would expect to get free of charge from the NHS. This means you may have to make a patient contribution to the cost of your care.

Visitors to Romania

Finding help in an emergency

If you find yourself in a serious, life-threatening emergency, you should call 112. This number is free of charge and is also for the police and fire brigade.

Be aware that if you ask a hotel or travel representative to call a doctor, you may be treated privately. If you wish to be treated under the state system you must call 112 and ask for an ambulance to take you to the nearest state hospital.

Healthcare after the UK leaves the EU

Emergency medical care is provided to anyone requiring urgent attention. You can expect to be charged in full for any care provided without an EHIC (European Health Insurance Card). You should always buy enough travel insurance and make sure you have access to funding to cover any medical treatment abroad.

Remember to keep all receipts and any paperwork (make copies if necessary) as they might be needed by you or your insurance company to apply for any refund.

Currently, your EHIC enables you to access the necessary state-provided healthcare in Romania at a reduced cost, or sometimes for free if you are staying there temporarily. If you are asked to pay for health services upfront, it is likely that you are not being treated under the state health system.

EHIC does not cover certain costs, including:

  • private treatment
  • being brought back to the UK
  • mountain rescue services
  • cruises

Be aware that in some parts of the country, particularly the outlying islands, you may have to travel some distance to find a state healthcare provider.

Be careful if healthcare arrangements are made by a hotel or travel representative. They might reassure visitors that they can claim back whatever is paid out, but they are referring to private insurance and not the treatment given under the EHIC.

There is state and private healthcare in Romania. Private health services are expanding in Romania with services requiring patient payments for treatment and receipts are issued so patients can be reimbursed by their private insurers.

Provisional replacement certificate (PRC)

A PRC is a certificate demonstrating a person's entitlement to EHIC. If you need healthcare but do not have your EHIC with you, you can call Overseas Healthcare Services and ask them to send a PRC to show to the hospital. This will avoid you being directly charged.

Contact Overseas Healthcare Services:

UK: 0191 218 1999
Outside UK: +44 191 218 1999
(Open Monday to Friday 8am to 6pm, UK time)

People with pre-existing health conditions

If you have a pre-existing health condition, you should buy medical travel insurance before visiting Romania. You must tell the insurance company about any pre-existing health conditions you have, to make sure you can get the cover you need. If you have an EHIC, this will be valid after the UK leaves the EU but may not work after that.

If you have a pre-existing condition that will need treatment while abroad, ask your doctor in the UK for advice before you travel. Make sure you take with you any documents about your health condition or medication.

If you are travelling for the express purpose of obtaining medical treatment, see our section about seeking medical treatment in Europe.

Dentists

Dental treatment is not covered by the state healthcare system unless it's an emergency.

Hospitals

Just like in the UK, you'll need to be referred by a doctor for any hospital treatment. Make sure you are referred to a state hospital as only these provide treatment free of charge. Even in a state hospital you will need a valid EHIC. Double-check you are not treated as a private patient.

In the state healthcare system, you have the right to insist your EHIC is accepted. You do not have to provide travel insurance details unless you choose to do so.

You must register with a GP, that acts as a family doctor, to be put on to a patient list.

Your family doctor is your first point of contact for healthcare and will act as a "gate-keeper" for further treatment.

Referrals from GPs to specialist and hospital care is required.

Prescriptions

Your prescription will be free or subsidised depending on your individual circumstances. The list of medicines that fall into the free category is published by the National Health Insurance Authority.

When using your EHIC, people of working age are charged 50% and pensioners are charged about 10%. Pensioners will have to declare they receive a UK State Pension in order to pay the lower rate.

Bringing your own medicines to Romania

Some prescribed medicines contain drugs that are controlled under the Misuse of Drugs legislation in the UK. This means that extra legal controls apply to these medicines.

You may need a personal licence to take controlled medicines abroad.

Specific requirements also apply to:

  • the information that you must take with you
  • how you carry your controlled medicines

You can visit the GOV.UK website for more information about travelling with controlled medicines.

After the UK leaves the EU

If the UK leaves the EU without a deal, your access to healthcare when visiting Romania is likely to change. If you are planning to visit Romania after the UK leaves the EU, you should continue to buy travel insurance so you can get the healthcare treatment you need, just as you would if visiting a non-EU country.

Your healthcare entitlements will vary according to your insurance package. If you are using an EHIC issued by the UK, this will still be valid until the UK leaves the EU.

The UK Government is seeking agreements with countries, including Romania, on healthcare arrangements for UK nationals after the UK leaves the EU.

This guide will be updated with further information on travelling to Romania as the circumstances change.

Working in Romania

Healthcare up until the UK leaves the EU

If you are going to work in Romania and make national insurance contributions, you'll be entitled to state-run healthcare on the same basis as a Romanian national.

If you are a worker posted by a UK company to Romania, you may be entitled to health cover funded by the UK in the country you are posted to.

Contact HM Revenue and Customs (HMRC) for more details:

National Insurance Contributions and Employer Office
HM Revenue and Customs
BX9 1AN
United Kingdom

  • Telephone: 0300 200 3506
  • Outside UK: +44 191 203 7010

Opening times: 8.30am to 5pm, Monday to Friday – closed weekends and bank holidays

For more information, see Planning your healthcare when moving abroad.

After the UK leaves the EU

If you wish to reside in Romania, you must apply for either a short-stay (C) or long-stay (D) visa:

  • the short-stay visa (C) allows entry and a short stay in Romania for no more than 90 days within an interval of maximum 6 months from the date of entry
  • the long-stay visa (D) allows entry and stay in Romania for a period of 90 days. Long stay visas may be extended by the Romanian Ministry of Administration and Interior 30 days before the expiration date of the initial visa

To apply for a Romanian visa, you should visit the Romanian Ministry of Foreign Affairs website to understand eligibility and the application process.

You are entitled to apply for a long-term residence permit if you have had continuous residency in Romania in the preceding 5-year period. Long-term residence permits are valid for 5 years.

If you are paying health insurance contributions to Romania, you will continue to be able to access free or discounted healthcare.

If you are a UK posted worker, you may need to buy additional healthcare insurance in Romania so you can receive the healthcare treatment you need.

State medical care in Romania is managed by the National Health Insurance House (NHIH), which provides free or subsidised care to all Romanian residents.

If you reside in Romania, you must contribute to the NHIH and are therefore eligible for the same access to state healthcare as Romanian nationals. Your contribution will be automatically deducted from your salary.

You may be entitled to receive free medical insurance in Romania if you are:

  • aged 0-18 years
  • a student up to the age of 26 and not employed
  • are retired
  • are receiving unemployment benefits and/or social assistance

If you have a private insurer you will be issued with a receipt to claim your reimbursement.

Pensioners in Romania

Healthcare up until the UK leaves the EU

If you live in Romania and receive an exportable UK pension, contribution-based Employment Support Allowance or another exportable benefit, you may be entitled to state healthcare paid for by the UK. You will need to apply for a certificate of entitlement known as an S1 certificate.

You may need to liaise with a different team, depending on the exportable benefit. Further information is available under Claiming benefits if you live, move or travel abroad on the GOV.UK website. Please note that different exportable benefits can have different rules in terms of healthcare cover.

S1 certificate (formerly known as E106)

An S1 certificate helps you and your dependents access healthcare in Romania. If you have an S1 certificate, it will be valid after the UK leaves the EU.

After this date, the certificate may not be valid, depending on decisions by member states.

You should continue to apply for an S1 certificate after the UK leaves the EU.

You may be eligible for an S1 certificate, if you:

  • have worked and paid contributions in the UK
  • receive some UK benefits such as pensions

Apply through the Business Services Authority for an S1 certificate. For exportable UK pensions and contribution-based Employment Support Allowance, you can apply for your certificate via the International Pension Centre in the Department for Work and Pensions on 0191 218 7777.

Further information is available under Claiming benefits if you live, move or travel abroad on the GOV.UK website. Please note that different exportable benefits can have different rules in terms of healthcare cover.

The Foreign and Commonwealth Office (FCO) provides information about what UK and Romanian benefits are available to Britons living in Romania and information on driving regulations in Romania.

After the UK leaves the EU

If you wish to reside in Romania, you must apply for either a short-stay (C) or long-stay (D) visa:

  • the short-stay visa (C) allows entry and a short stay in Romania for no more than 90 days within an interval of maximum 6 months from the date of entry
  • the long-stay visa (D) allows entry and stay in Romania for a period of 90 days. Long stay visas may be extended by the Romanian Ministry of Administration and Interior 30 days before the expiration date of the initial visa

To apply for a Romanian visa, you should visit the Romanian Ministry of Foreign Affairs website to understand eligibility and the application process.

You are entitled to apply for a long-term residence permit if you have had continuous residency in Romania in the preceding 5-year period. Long-term residence permits are valid for 5 years.

Students in Romania

If you are a UK resident and studying in Romania, and you have a European Health Insurance Card (EHIC), this will be valid until the UK leaves the EU.

You should continue to buy insurance to cover your healthcare, as you would if you were visiting a non-EU country after the UK leaves the EU.

If you are a student in Romania, you must obtain the approval of the General Inspectorate for Immigration to apply for a long stay visa. Upon approval, your long stay visa (D) application can be made at the National Visa Center, incurring a fee of €120.

Further information can be found on the General Inspectorate for Immigration website.

After entering Romania, you must obtain a residence permit from the General Inspectorate for Immigration.

If you have a temporary residence permit for studies, you can be employed in Romania without the need for a work permit so long as the employment contract is for part-time work, lasting no longer than 4 hours per day.

Page last reviewed: 28/01/2019
Next review due: 28/01/2022