What are the medical services that you can get free of charge in Romania regardless if you are insured or not?

Based on the medical packages defined in the framework agreement, both insured and uninsured individuals can benefit from specialty assistance at family doctors, in medical practices, at dentists, and in hospitals. The Government Decision no. 161/2016 for the approval of the service packages and the framework agreement regulating the conditions for provision of medical assistance, medicines and medical devices, within the healthcare social insurance system, became effective on July 1st, 2016.

Specifically, the normative act includes two medical packages:

1. The minimal package of services, designed for individuals who are uninsured in the national medical system

2. The basic package of services, designed for insured individuals

At the family doctor, the services of primary medical assistance are ensured effectively by the family doctors, who can offer specialty assistance to uninsured individuals for emergencies or periodical consultations. More exactly, it is possible to benefit from a single consultation for each emergency situation, regardless if the patient is registered or not at a family doctor, for the provision of first aid, and possibly for referral to the emergency department. One consultation is also provided for each disease with endemic-epidemic potential (regional infectious disease which can cause an epidemic outbreak, such as viral hepatitis, rabies or tuberculosis) suspected and confirmed. Family doctors ensure consultations in order to monitor the evolution of pregnancy and the post-partum period, and these consist of registration (first trimester), monthly (between the third and the seventh month) and bimonthly surveillance (between the seventh and the ninth month), follow-up of the post-partum period at the discharge from the maternity hospital, and then at four weeks after birth. Surveillance of pregnant women also includes testing for HIV and B and C hepatitis.

At the same time, uninsured individuals can request two consultations per year for family planning and indication of a contraceptive method, one preventive consultation, and examination for acknowledgement of death (with or without issuing of medical documents) in the medical practice, in the hospital, at home, and at the dentist. Individuals who are not insured in the national medical system can also benefit from medical services in a regimen of continuous and one-day hospitalization, without the need for an admission note (e.g. for life-threatening emergencies, diseases with endemic-epidemic potential, and births).

For ambulatory medical assistance (which does not require hospitalization), for clinical specialties, the minimal package also includes one consultation per individual in case of every emergency situation and in case of every disease with endemic-epidemic potential suspected and confirmed. Regarding pregnant women and mothers, one consultation is provided for each trimester of pregnancy and one consultation for the first trimester after birth, in medical practices.

Therefore, the minimal package includes emergency consultations at home and unassisted sanitary transport, as well as a series of services linked to dental medicine (e.g., relief application, treatment of periodontitis, alveolar curettage, repair of prosthesis, and repair of the orthodontic apparatus).

Uninsured individuals must pay in their entirety the costs for the recommended paraclinical investigations and the treatment prescribed by the family doctors!

 

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