Major Change: Public Health Insurance Rules in Romania – From September 1, 2025

Recent Fiscal Code changes will remove the co-insured status and certain CASS exemptions.
 Losing insured status:
Former co-insured spouses/parents
Parental leave (0–2 years)
Unregistered unemployed
People without income
VMI beneficiaries
Students over 26 without coverage
Other dependents outside legal categories
 From Sept 1, 2025, these groups will be considered uninsured.
 Still covered:
Children (up to 18 or 26 if students without income)
Employees, pensioners
Severe disability cases
Patients in national programs
Pregnant women (specific cases)
Registered unemployed
Self-employed paying CASS
Voluntary insured
Voluntary insurance cost:
607.5 lei until Dec 31, 2025
1,882.5 lei in 2026
➡ ~2,490 lei/year for full coverage
Without insurance you lose:
Free consultations
Subsidized prescriptions
Covered hospital treatments
(Only critical emergencies will be covered)
Check your status: CNAS, ANAF, or SPV platform.
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