CNAS vs. private health plans in Romania
Romania operates a mandatory social health insurance system via CNAS (Casa Națională de Asigurări de Sănătate). Every employee pays a 10% health contribution (deducted from gross salary), plus the employer pays additional levies. This funds public hospital care, GP consultations, specialist referrals, and subsidised medications.
In practice, the public system suffers from long specialist waiting times (3–12+ months in many counties), varying hospital conditions, informal payments (plăți informale) that remain common in some facilities, and limited continuity of care. Private health plans address these gaps.
The Romanian private health market
- Regina Maria
- The largest private healthcare network in Romania by clinic count (~350 clinics and hospitals across the country). Founded in Bucharest, now present in all major cities. Known for comprehensive maternity services, oncology, and a broad specialist panel. Regina Maria operates its own hospitals in Bucharest, Cluj-Napoca and Iași.
- MedLife
- The second-largest network (~250 locations), listed on the Bucharest Stock Exchange (BSE). Strong across general specialist care and has invested significantly in laboratory and imaging infrastructure. Presence in most county seats.
- Medicover Romania
- Part of the international Medicover Group, with a strong presence in Bucharest and major cities. The subscription model mirrors its approach in Poland — monthly flat fee for access to the clinic network.
- Sanador
- Bucharest-based private hospital group with a strong reputation for surgical services and high-complexity care. Available as a network destination for some private insurance plans.
Frequently asked questions
- Is this calculator free?
- Yes — completely free, no account needed. Nothing you enter is saved.
- Does private health insurance exempt me from CNAS contributions?
- No. CNAS contributions are mandatory regardless of private health cover — they are a social insurance levy, not an optional insurance premium. Private health plans are additional to, not a replacement for, the CNAS system.
- Can expats access Romanian private health plans?
- Yes — private health plans in Romania are available to expats with valid residence status. EU/EEA citizens and those with a Romanian tax identification number (CNP or CIF) can typically enroll. Some providers offer international plans for expats with coverage extending beyond Romania.