Co-paid informations

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The value of the co-payment was established by the sanitary unit with beds based on its own criteria, with the approval of the board of directors, in the amount of 5 lei.

Hospitals collect from the insured the amount corresponding to the co-payment, as follows:

  1. for the medical services provided under the continuous hospitalization regime, in the sections and compartments with beds in the sanitary units with beds organized according to the legal provisions in force and in contractual relations with the health insurance companies.

 

  1. for hospital medical services, granted under continuous hospitalization regime, provided in the basic medical services package and in the service package granted to people who are voluntarily insured.

Exception to copayment:

  1. The hospital medical services for the mandatory admissions of the mentally ill provided for in art. 108, 109 and 110 of the Criminal Code and those ordered by the prosecutor's order during the trial or prosecution, as well as long-term hospital medical services - years.

 

  1. Hospital medical services for which the admission criterion is emergency.

 

Copayment relief:

The categories of insured exempted from the co-payment, provided for in art. 225 of Law no. 952006, with subsequent amendments and additions, prove this quality with documents issued by the competent authorities that they fall into the respective category, as well as with documents and or, as the case may be, with a declaration on their own responsibility that they meet the conditions regarding the realization or not of certain incomes, according to the model provided in the rules.

Categories of people who are exempt from the co-payment:

  1. a) children up to the age of 18;
  2. b) young people between 18 and 26 years old, if they are students, high school graduates, until the start of the academic year, but no more than 3 months, apprentices or students;
  3. c) patients with conditions included in the national health programs established by the Ministry of Health, for medical services related to the underlying disease of the said condition, if they do not earn income from work, pension or other resources;

 

  1. d)natural persons with income from pensions and social allowance for retirees, up to 900 lei, regardless of whether or not they have other income;

 

  1. e) all pregnant women for medical services related to the evolution of pregnancy, and those who have no income or have income below the gross minimum basic salary in the country, for all medical services;

 

  1. f) Romanian citizens who are victims of human trafficking;

 

  1. g) detained or arrested persons, if they do not earn income from work, pension or other resources, who are in detention and pre-trial detention centers.

 

The people provided for in par. 7.4.2. LIT a), e) and f) are exempt from the co-payment and benefit from insurance, without payment of the contribution, under the conditions of art. 224 and if they do not have a personal numerical code, within a maximum of one year from the date of the first presentation to the medical service provider.

 

In the situation where the persons referred to in paragraph 7.4.3. request medical services, they will declare that they are not registered in the civil status registers, with the exception of children up to 14 years old and disabled persons, for which the declaration is made by the persons who accompany them to the medical service provider.

 

In all cases where the stipulations of par. 7.4.3. the medical service providers will immediately notify the police bodies and the social assistance services in the territorial area of the medical service provider, in order to carry out the procedures for registering the birth of these persons in the civil status registers according to the law or their identification, as the case may be.

 

The categories of insured persons exempted from the co-payment provided for in art. 225 of Law no. 952006 regarding the reform in the field of health, with subsequent amendments and additions, prove this quality with documents issued by the competent authorities that they fall into the respective category, as well as documents and or, as the case may be, a declaration on their own responsibility that they meet the conditions regarding the realization or not of certain incomes , according to the model provided in the rules,