The rights of the insured

Rights and obligations of the insured (Law no. 95/2006)

As an insured you have rights guaranteed by law but also obligations that you must comply with.

The rights of the insured

  • To choose the provider of medical services, as well as the health insurance house to which he is insured, under the conditions of the presence of the law and of the framework contract;
  • To be registered on the list of a family doctor they request, if they meet all the conditions of the present law, bearing the transport expenses if the option is for a doctor from another locality;
  • To change their chosen family doctor only after the expiration of at least 6 months from the date of registration on its lists;
  • To benefit from medical services, medicines, sanitary materials and medical devices in a non-discriminatory manner, in accordance with the law;
  • To carry out prophylactic controls, under the conditions established by the framework contract;
  • To benefit from preventive health care and health promotion services, including for the early detection of diseases;
  • To benefit from medical services in outpatient clinics and hospitals in a contractual relationship with health insurance companies;
  • To benefit from emergency medical services;
  • To benefit from some dental assistance services;
  • To benefit from physiotherapeutic treatment and recovery;
  • To benefit from medical devices;
  • To receive home health care services;
  • To ensure confidentiality of data, especially in terms of diagnosis and treatment;
  • To have the right to information in case of medical treatments;
  • To benefit from holidays and social health insurance benefits under the law.

For details on the conditions under which the insured can benefit from these rights, access the page of the National Health Insurance House:  Ce trebuie să facă asiguratul?

Obligations of the insured:

  • To be on the list of a family doctor;
  • Notify the family doctor whenever there are changes in their health;
  • To appear at the prophylactic and periodic controls established by the framework contract;
  • To notify within 15 days the family doctor and the insurance company on the changes of the identity data or of the changes regarding their classification in a certain category of insured persons;
  • Strictly follow the doctor's treatment and instructions;
  • To have a civilized conduct towards the medical-sanitary personnel;
  • To pay the contribution due to the fund and the amount representing the co-payment, under the conditions established by the framework contract;
  • Present to health care providers  supporting documents certifying the quality of the insured.
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