How to check and obtain health insurance in Romania
Clear guide for CNAS insured status, options to gain public health insurance, and official steps for the European Health Insurance Card.
Quick checklist before you go to the counter
- Start with SIUI status check (CNP + ID verification code).
- If you appear uninsured, choose the right route: D212 (no income) or post-September 1, 2025 rules for former co-insured persons.
- Prepare identity documents and supporting records before submission.
- Keep your D212 receipt and CASS payment proof, when applicable.
- If you travel in EU/EEA/Switzerland/United Kingdom, request EHIC as soon as your insured status is active.
What D212 is
ANAF Single Tax Return (Form 212): filed to establish CASS obligations when you need to obtain/maintain insured status under legal routes.
SIUI insured-status check
0 RON
CASS for no-income persons (D212)
10% applied to a base of 6 gross minimum wages (12-month coverage)
EHIC issuance fee
0 RON (cost covered from FNUASS)
EHIC issuance time
Maximum 7 business days
EHIC validity
2 years
Online verification and application flow
From March 1, 2025, insured-status verification is done in SIUI. Recommended order: SIUI check, status clarification (if uninsured), then EHIC request for temporary travel in EU/EEA/Switzerland/United Kingdom.
Fast online flow
- 1Open the CNAS verification page and follow the SIUI link (siui.casan.ro/asigurati).
- 2Enter CNP and the ID verification code (CID) to view your current insured status.
- 3If result is uninsured, use D212: this is ANAF Single Tax Return (Form 212) used for social contribution setup.
- 4Fill D212, submit it to ANAF (SPV / e-guvernare / registry), and pay CASS under the applicable legal basis.
- 5After activation, submit EHIC request online via cardeuropean.ro.
- 6Track EHIC issuance (max 7 business days) and request PRC/CIP if travel is urgent.
If issues appear
- •Status still uninsured after recent filing: check your receipt and processing timeline, then contact your CAS.
- •Wrong CID for SIUI check: use the code from your valid identity document.
- •If you were co-insured: check CNAS post-September 1, 2025 rules, because no-contribution co-insured status is no longer automatically maintained.
- •Need quick coverage but route is unclear: start from CNAS FAQ, then confirm directly with CAS/ANAF.
- •EHIC may not arrive before departure: request provisional replacement certificate (CIP), issued within 24h in urgent/exceptional cases.
Choose the scenario that matches your case
The check is online and free in SIUI. The result shows whether your insured status is active in the national system.
Required documents
- •CNP.
- •ID verification code (CID) from your identity document.
- •Valid identity document to verify entered data.
Where to go
- •CNAS (access page for verification).
- •SIUI platform for the actual status query.
- •County CAS if your data appears inconsistent.
Fees and payment
- •Online insured-status check is free.
- •No fee is charged for SIUI query.
Deadlines and risks
- •You can check anytime, including before medical appointments or travel.
- •Re-check after major tax/employment status changes.
Check locally with SPCLEP before filing
Exact document lists, office schedule, and pick-up details may vary by locality.
- •Ask your county health insurance house (CAS) whether they require additional documents beyond the legal minimum.
- •Confirm SIUI update timing after submission/payment to avoid unnecessary trips.
- •If you were co-insured, confirm with CAS/ANAF which obligations apply after September 1, 2025 and which D212 channel is accepted.
- •For EHIC, verify delivery address and contact data in the application.
- •If departure is close, request the provisional replacement certificate (PRC/CIP) from CAS.
Institution flow (infographic)
Recommended path: status check -> insurance activation (if needed) -> EHIC request.
1. Check status in SIUI
Use CNAS/SIUI pages to verify for free whether your insured status is active.
2. Choose route if uninsured
No income: D212 + CASS. If you were co-insured, check post-September 1, 2025 rules.
3. Prepare documents
D212 means ANAF Single Tax Return (Form 212): complete it, prepare supporting data, and clarify exceptions with CAS.
4. File and pay obligations
Submit D212 to ANAF (SPV/e-guvernare/registry) and pay CASS according to the applicable legal framework.
5. Request EHIC for travel
After status turns active, submit EHIC online and track issuance timeline.
Deadline timeline (infographic)
Time markers below follow official CNAS and Fiscal Code references.
24 hours for PRC/CIP
If card cannot be delivered on time and there is urgency, CAS can issue a provisional replacement certificate within 24h.
Real user experiences
Public community posts about SIUI, D212/CASS, and the European health card
These are individual public experiences and may vary by county and timing. Always verify against official CNAS/CAS/ANAF rules.
"Ca sa verifici daca esti asigurat intri aici: https://siui.casan.ro/asigurati/. Daca ai depus declaratia si totusi nu s-a updatat, iei legatura cu casa de asigurari din judetul tau si le trimiti recipisa."
"Daca am citit eu bine pe DU, de anul asta s-ar parea ca trebuie sa si bifezi casuta cu «vreau sa fiu asigurat» din declaratie, altfel nu esti asigurat desi platesti."
"Daca are doar venituri din dividende trebuie depusa declaratia unica si bifat ca vrea sa fie asigurat pe anul in curs... Dupa care trebuie trimisa copie dupa declaratie si CI la casa de asigurari... Mai trebuie asteptat 2-3 saptamani."
"La Bucuresti dureaza vreo 30 zile, pana nu primesti mail nu e trimis. Dupa ce il trimit, in 5-7-10 zile ajunge la posta."
Frequently asked questions
What is D212 and what exactly do I need to do?
D212 is ANAF Single Tax Return (Form 212). Fill it in, submit it to ANAF (SPV/e-guvernare/registry), then pay CASS under Fiscal Code rules. Keep filing and payment proofs, then verify activation in SIUI.
Does no-contribution co-insured status still exist?
According to CNAS information note on Law no. 141/2025, after September 1, 2025 this status is no longer automatically maintained. For covered cases, maintenance is done via D212 filing and CASS payment.
Is the European health card (EHIC) paid?
No. EHIC issuance is free (0 RON), with costs covered from FNUASS.
What if I leave soon and EHIC does not arrive in time?
Request provisional replacement certificate (PRC/CIP) from your health insurance house; in urgent/exceptional cases it is issued in 24 hours.
Related problems you can check
Official sources
Last verified: March 5, 2026
S1: CNAS - Insured verification (official page)
Official CNAS page; since March 1, 2025 the actual verification is done in SIUI.
S2: SIUI - Insured status checker (application)
Online tool used to check active insured status in real time.
S3: CNAS - Frequently Asked Questions
Contains no-income route (D212 + CASS), 12-month validity details, and EHIC clarifications.
S4: CNAS - EU/EEA/Switzerland/United Kingdom member states
Official EHIC rules: free issuance, 7 business days issuance term, 2-year validity, and 24h PRC/CIP in urgent situations.
S5: cardeuropean.ro - EHIC online platform
Online channel for submitting European health card requests.
S6: Law no. 227/2015 - Fiscal Code (updated text)
Legal basis for CASS calculation and fiscal mechanism for obtaining insured status through D212.
S7: CNAS information note on Law no. 141/2025
Official CNAS clarification: co-insured changes after September 1, 2025, including D212 + CASS mechanism.
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