From September 1, co-insured patients lose their quality of insured and will be able to benefit from services settled by health houses only based on the payment of the contribution. There are, however, a number of medical consultations and investigations that uninsured people will be able to benefit for free, especially for the early detection of cancer or viral hepatitis.
The cost of hospitalization services varies according to photo complexity: Pixabay
Why free medical services can benefit uninsured patients
Even if from August 1, 2025, by Law no. 141/2025 by which a series of fiscal-budgetary measures have been adopted, some of the insured will lose their quality of insured (co-insurance), and other categories among the insured without contribution will enter, starting at the same date, in the category of insured persons contributing to the FNUASS, it should be mentioned that certain medical services are granted in the state system. In order to have access to these services, it is necessary to register on the list of a family doctor, who can issue a special referral ticket for non -insurance in case of oncological suspicion or viral hepatitis.
It is, as I mentioned above, about the medical services offered for the situations in which the patient’s life is endangered or it is in an irreversible progression of the disease if it does not intervene. Also the non -insurance will continue to benefit from the necessary medical services until the diagnosis in the case of suspicion of an oncological disease, if the patient is confirmed being subsequently enrolled in the oncological program and benefiting from the quality of insured in the national program.
Patients in the oncological program benefit from medical services for cancer treatment, but also services for other conditions that may occur during this period, which does not happen with patients from other programs.
“Patients with conditions included in the national health programs, who do not make income (58,200 persons), other than those with oncological disorders (7,193 persons), will continue to benefit from medical services, related services, medicines, medical devices granted within the national health program whose beneficiary is, as well as to their medical services, as well In the package of basic medical services, until the healing of the respective affection ”according to CNAS.
What analysis are free for uninsured people in the health system:
– medical emergencies;
– services for the supervision and detection of diseases with endemo-epidemic potential;
– consultations for supervising the evolution of pregnancy and praise;
– consultations for the detection of oncological disorders;
– Diagnostic procedures for the detection of oncological conditions as well as medical services for diagnosis – case, provided by mobile health care – for the early detection of breast and cervical cancer.
The quality of the insured patient offers, in addition to the services settled in Romania, the possibility of treatment abroad, under certain conditions.
A day of admission to the uninsured patient is charged differently
Over 650,000 patients who could benefit from medical services settled by the CAS based on the co-insurance quality loses this right if they do not decide to ensure, paying the contribution. The notion of co-graduated disappears from August 1, 2025, but the co-insurances lose the right to the medical services settled from September 1, 2025 (they have a month of grace, in this interval being able to decide, either in their own name, or the person in maintenance, to pay a contribution-the contribution calculated to 6 minimum salary, for a minimum salary, to be paid being 2,430 lei).
If I choose not to do this and need medical services, they will have to pay the value of most services.
Under what conditions is the hospitalization for non -insured
If, on the other hand, it is presented at the hospital with a medical-surgical emergency, they can benefit, in state hospitals, free treatment until the state of health. From this moment, if it is necessary to continue to provide medical services, the patient will have to pay the costs related to hospitalization.
According to the Order of the Ministry of Health no. 1091/2006, an emergency is “The situation that involves an acute alteration of the health, with real or potential vital risk, which requires immediate medical intervention to prevent death or irreversible aggravation of the disease.”
Therefore, the emergency lasts as long as the vital danger or the risk of acute aggravation is present, after stabilization the patient’s condition is not considered emergency.
In practice, emergencies last between 24 and 72 hours, but the period can be longer if we talk about the cases treated in the intensive anesthesia-therapy section. It is important to remember that the hospital will have to justify the emergency.
If, after exceeding the vital risk/risk of irreversible aggravation of the disease, the patient still needs medical care, the days that run from this moment will be days of hospitalization for which the patient must bear the value of the services he benefits from.
How much does a day’s hospitalization day cost for uninsured patients CNAS
The cost of a day of hospitalization for patients who do not have the quality of insured in the public health system can be different from one hospital to another, even if we talk about hospitals of the same rank (county hospital, municipal hospital, etc.). The costs that the uninsured patients pay (in the case of the insured patients, in the state hospitals, these costs being fully borne, or with a copulation that can vary between 5 and 10 lei, by the hospital that is financed for these services) include accommodation, food, medical investigations and medicines, as well as care.
The differences between hospitals intervene in view of the level of equipment and medical equipment, the number of medical staff and the local payroll level, local operational expenses (rents, utilities, consumables, etc.), the cost recovery policy, etc.
Hospitals have the obligation to display on their own site the rates for hospitalization practiced, so they can be consulted.
The minimum rates exceed 200 lei/day for hospitalization in the chronic sections or the basic specialties and can reach and even exceed 3,000 – 4,000 lei in the complex sections (cardiovascular surgery, ATI, infectious diseases, etc.)
At the Mureș County Clinical Hospital, according to the data on the website of the health unit, in 2025 the highest tariff is the one at the ATI section-2,740 lei. At ophthalmology a day of hospitalization costs 1,220 lei, in endocrinology – 374 lei, for pneumology – 364 lei, and in orthopedics and traumatology – 229 lei/day.
At the Neamț County Emergency Hospital, a day of hospitalization in endocrinology costs almost three times more than at SJU Mureș, namely 980.29 lei, on the other hand, the tariff for hospitalization is comparable – 1,233 lei. A day of hospitalization in neurosurgery costs 1,159.88 lei, in obstetrics-gynecology-867.16 lei, in general surgery-630.69 lei, in dermatovenerology-663.47 lei etc.
How much does a private admission day cost
For the services offered in the private hospitals the costs for a day of hospitalization can be, and are usually, above those in the state system, because the law allows these providers of medical services to include in costs, even in those offered to insured patients (for an intervention that in the patient state does not cost anything, at a private hospital, the patient is not paying) settled by CJAS (if applicable).
Much of the cost of hospitalization in a private unit is the cost of accommodation with a high degree of comfort, given that in the case of standard comfort we speak of the salon with at least three beds, its own bathroom, without additional equipment (television, radio, refrigerator, etc.). Even state hospitals can provide accommodation services with a high degree of comfort, but they cannot practice, according to the normative acts in force, an additional cost of more than 300 lei/day. Instead, such limitations are not required in private.
For a standard room, in private hospitals, patients can pay between 375 and 700 lei/day (accommodation, mass and standard medical supervision), and the price can skip this amount for VIP cameras. For investigations, treatment and interventions, other costs are added, which can take the total amount from 1,500 – 3,000 lei/ day in the case of not very complicated conditions, but can easily exceed 4,000 lei/ day if it is about surgery, complex imaging investigations, anesthesia and intensive care services, etc.
