Issuance of the document giving entitlement to planned treatment (Portable Document – S2)

Insured persons travelling to another Member State in order to receive benefits in kind during their stay must apply for authorisation from the competent institution (the health insurance fund). Insured persons who are authorised by the competent institution to go to another Member State for the purpose of receiving treatment appropriate to their condition receive the benefits in kind provided, on behalf of the competent authority, by the institution at the place where they are staying, in accordance with the provisions of the applicable legislation, as though they were insured under that legislation.

Authorisation is granted where the treatment in question is among the benefits provided for by the legislation in the Member State where the person concerned resides and where they cannot be given such treatment within a time limit which is medically justifiable, taking into account their current state of health and the probable course of their illness. If travel to another Member State is necessary in order to benefit from planned medical treatment, the insured person must seek the prior approval of the health insurance fund where they are registered as an insured person. Authorisation entails the issuing of the Portable Document (PD) S2 (formerly E112) by the health insurance fund. Authorisation is granted where the treatment in question is included in the package of basic services covered by national legislation and where the person concerned cannot be given such treatment within a time limit which is medically justifiable, taking into account their state of health and the probable course of their illness.

Procedure for health insurance funds to issue the PD S2

The person concerned submits an application to the health insurance fund, accompanied by the following documents:

• copy of their identity document or birth certificate, where appropriate;
• their medical record containing, in addition to medical documents, the medical report stating the diagnosis and the medical recommendation for treatment;
• written confirmation from the healthcare facility in the EU/EEA Member State or Swiss Confederation where they intend to undergo the medical treatment, as regards its availability to provide that medical service, under PD S2, within the period indicated by the applicant, based on the recommendation of the attending physician who draws up the medical report.

All medical documents and the medical report must be dated, signed and stamped.

The PD S2 is issued before the beneficiary’s departure. The form can also be issued after the departure of the beneficiary if, due to force majeure, it could not be issued in advance, in which case the insurance fund draws up a report that sets out and justifies the situation of force majeure and which will serve as the basis for issuing the PD S2.

The form does not cover expenditure on transport, accommodation and any co-payments existing in the Member State of treatment in accordance with the applicable legislation.

The PD S2 can only be accepted by healthcare facilities in the social security systems of the Member States of the EU/EEA/Swiss Confederation.

Issue of Portable Document S1 – Registration for medical insurance

The holder of Portable Document S1 (replacing EU forms E106, E109, E120 and E121) is entitled to receive, in the Member State of residence, the benefits in kind provided, on behalf of the competent institution, by the institution at the place of residence, in accordance with the provisions of the applicable legislation as though they were insured under that legislation.

The PD S1 is issued to employed or self-employed persons who carry out their activity in a country other than the competent country, when they are posted or in cases of multiple business activities, cross-border workers, pensioners, civil servants and their family members.

In order to receive the PD S1, the applicant must submit the following documents, as appropriate, to the health insurance fund with which they have registered the following documents as an insured person:

• application;
• copy of their identity document or birth certificate, where appropriate;
• portable document A1 attesting that the person concerned remains subject to Romanian legislation;
• solemn declaration, for cross-border workers, of compliance with the provisions of Article 1(f) of Regulation (EC) No 883/2004 and therefore their classification as such;
• proof that they are pursuing a form of education in the country of residence, for students (when students pursuing a form of higher education in Romania go to study in another Member State of the EU/EEA/Swiss Confederation under EU student exchange programmes, e.g. Erasmus);
• copy of the application for retirement for pension applicants;
• copy of the retirement decision, for pensioners.

Social services

Care and nursing provided to residential care home beneficiaries are assessed according to the individual needs and personal circumstances of each beneficiary. Persons admitted to a home are assessed in terms of their physical and mental status, state of health and degree of independence, their communication capacity, family and social relationship situation, level of education, social-economic situation, special treatment and recovery/rehabilitation needs, educational, cultural and spiritual needs, potential risks, potential dependences (drugs, alcohol, tobacco, etc.), and work capacity. The assessment made by the care home also relies on documents issued by specialised doctors and general practitioners, psychologists, physiotherapists, kineto-therapists, etc., assessment documents drawn up by specialised units under the comprehensive assessment and social surveys conducted prior to the beneficiary’s admission to the care home.

In Romania, social services may be thus classified, according to the category of beneficiary:

• social services intended for children and/or families,
• disabled persons,
• older persons,
• victims of domestic violence,
• homeless persons,
• persons with various addictions, including alcohol, drugs, other toxic substances, the internet, gambling, etc.,
• victims of human trafficking,
• persons in custody,
• persons sanctioned by a non-custodial educational order or sentence, who are under the supervision of the probation services,
• persons with mental health disorders,
• persons from isolated communities,
• long-term unemployed persons,
• support social services for beneficiaries’ accompanying persons.

Responsibility for developing, managing and providing social services is shared between the following:

• The Ministry of Labour and Social Protection, alongside the authorities under or coordinated by it (e.g. ANPDCA, ANPD, ANPIS, ANES) – drafting of public policies and relevant programmes and strategies at national level, as well as assessment and monitoring of the quality of social services;
• local public administration authorities through the public welfare service – organisation, management and provision of social services. These duties may be outsourced to the non-governmental sector, religious establishments, and other natural and legal persons governed by public or private law, in accordance with the law.

Social services are financed from the local budget, contributions by the beneficiary and/or, where applicable, their family, the State budget and other sources.

112: a single number for alerting the police, fire brigade, ambulance, SMURD emergency service and gendarmerie

112 is a single number for emergency calls, available free of charge across the country. It can be dialled from all landlines or mobile phone networks. Citizens in emergency situations can dial the 112 number 24 hours a day, 7 days a week, in order to request the assistance of specialised intervention services (ambulance, SMURD [Mobile Emergency Service for Resuscitation and Extrication], police, fire brigade, gendarmes).

"Apel 112" is an application for mobile phones with Android and iOS systems, which allows you to call 112 and is capable of generating location information and sending the geographical location of the phone to the emergency services.

eCalls on IVS devices installed in vehicles are answered and handled at national level through the single emergency number 112, by means of the STS-managed eCall platform.

116000 number – European hotline for missing children

The European hotline for missing children takes any calls reporting the disappearance of children, which are then transferred to the police. The service provided through this number will be available nationwide 24 hours a day and access to the 116000 number will be free of charge for all callers, without the need for prior registration.

In Romania, besides 116000, there is the 116111 number – for the children's helpline service – and the 116123 number for a helpline providing emotional support.

113 SMS service

The 113 SMS service is a solution implemented by the Special Telecommunications Service to help persons with hearing and/or speech impairments call the emergency services.

By embedding the 113 SMS service into the existing architecture of the SNUAU (Single National Emergency Call System), it allows communication using SMS-type short messages with persons registered in the SNUAU database, maintaining the baseline functional characteristics of the 112 voice service: free of charge and accessible.

RO-ALERT

The RO-ALERT system allows the dissemination of Cell Broadcast messages used to alert and warn the population in case of emergency situations. It is used in drastic situations where the life and health of citizens are in danger, such as extreme weather phenomena, life-threatening floods, terrorist attacks or other situations seriously threatening communities.

As of 2007, insured persons from Romania can apply for the European Health Insurance Card (EHIC), which entitles them to any necessary medical care during their temporary stay in an EU Member State, a country in the European Economic Area or the Swiss Confederation.

Temporary stay refers to a person travelling to one of the Member States of the European Union/European Economic Area/Swiss Confederation for tourism, professional, family or study purposes, for a period not exceeding 6 months.

This card is issued upon request. The insured person submits a written application (published in PDF format) at the office of the health insurance fund where they are registered.

The insured person takes possession of the card within a maximum of 7 working days from the date of registration of the application in the single national computer system that manages the implementation of European regulations on the rights of insured persons during their temporary stay in a Member State of the European Union. If exceptional circumstances prevent the issuance of the European Card or if emergencies occur that would necessitate the issuance of the card in less than 7 working days, the health insurance fund issues a provisional replacement certificate (PRC).

The cost of the European Card is drawn from the National Single Health Insurance Fund (FNUASS).

The period of validity of the European Health Insurance Card is 2 years from the date of issuance.

Insured persons holding an EHIC benefit from any necessary medical services during their temporary stay in a Member State of the EU/EEA or the Swiss Confederation, under the same conditions as the insured persons from that country. However, it is possible that, for certain services, co-payment may be necessary, even if in Romania the same services are fully reimbursed. This depends on the insurance system in the country where such services are provided.

The European Card does not cover situations where the insured person travels to a Member State of the EU/EEA/Swiss Confederation in order to receive planned medical treatment.

The EHIC only covers medical services obtained from providers that participate in the social security system in that country.

During the validity period of the card, holders of a European Card issued by one of the Member States of the European Union, the European Economic Area or the Swiss Confederation benefit from medical services in Romania under the same conditions as persons insured under the Romanian social health insurance system. Medical service providers in contractual relationships with health insurance funds must provide the necessary medical care, and are to highlight and report separately to the social health insurance funds the medical services provided for these categories of persons.

Reimbursement of medical services provided through use of the European health card is done at interinstitutional level.

If an insured person is in a Member State of the EU or EEA or the Swiss Confederation and, for various reasons, is no longer in possession of the EHIC (did not request it on departure, lost it, it was destroyed or stolen or the card is not recognised by the healthcare provider where it is presented or in any other similar situation), he or she must contact the insurance fund that issued the card (by post, fax, email) and request a provisional replacement certificate for the European Health Insurance Card. The health insurance fund sends the replacement certificate to the address indicated within 24 hours.

The provisional replacement certificate (PRC) grants the insured person the same rights as the EHIC.

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