European and National Health Insurance Card by ijk77032

VIEWS: 9 PAGES: 3

									Law 95/2006
Title IX
                    European and National Health Insurance Card


Chapter 1
  General instructions

ART. 318
   This title establishes the principles, the general framework and the procedures
concerning the elaboration, the implementation and the distribution within Romania of
the European cards and of the National health insurance card, as well as the
responsibilities of the public institutions involved in this process.

ART. 319
  In the meaning of this title, the terms and the notions used have the following
meaning:
  a) European health insurance card, named further on European card – the document
which gives to the insured titular the right to receive necessary health care during its
temporary staying in an EU member state;
  b) National health insurance card, named further on national card – the document
which proves that it’s titular is insured in the Romanian social health insurance system;
  c) Health insurance houses – the district health insurance houses and the Bucharest
health insurance house;
  d) Insured – the person insured according to the present legislation of the Romanian
social health insurance system;
  e) temporary staying – a persons’ trip in one if the EU member states for tourist,
professional, family reasons or for study, for a period of time necessary to the trip, but
not longer than 6 months.

Chapter 2
The European health insurance card

ART. 320
   The European Card contains visibly the following obligatory set of information:
   a) The insured’s first and last name;
   b) The numerical personal code;
   c) The insured’s birth date;
   d) The cards’ expiry date;
   e) The code of the International Standard Organization for the card’s issuing state;
   f) The number of identification and the acronym of the issuing health insurance house;
   g) The card’s number.
   ART. 321
   (1) The European card is issued on the insured’s expense, by the health insurance
house where the person is insured.
   (2) The European card’s issue can not be refused by the health insurance house,
unless the insured does not prove that he has paid in time the social health insurance in
time.
   (3) The European card’s issue is done only through the unique national informatics
system which manages the application of the EU regulations concerning right of the
insured persons temporary staying in an EU member state.


                                                                                        1
  (4) The insured who requests the replacement of the European card during the validity
period established by the EU regulations will be able to beneficiate, after paying, of
another card whose validity period will not have to surpass the validity period of the initial
card
  (5) the information requested by the health insurance houses issuing the European
card, as the information requested by other institutions which manage this information
are submitted to the legislation concerning the use of the personal data.
  (6) If some exceptional circumstances prevent the issuing of the European card, the
health insurance house will release a provisory replacement certificate with a validity
period established according to the art. 323. The model of the provisory certificate is
approved by the order of the NHIH’s president.

ART. 322
  The European card is issued only in the situation of the insured’s travel for a
temporary staying in an EU member state.

ART. 323
   The validity period of the European card is established in such a way in order to cover
the period of time necessary to the temporary staying, but it cannot surpass 6 months
form the issuing date.

ART. 324
   (1) The European card can be used by the persons insured of the Romanian social
health insurance system only on the territory of the EU member states.
   (2) For the persons obviated at the paragraph (1) the European card does not have
effects on the Romanian territory and does not create any obligations for the Romanian
medical health services supplier.

ART. 325
   (1) The medical services suppliers which have contracts with the health insurance
houses have the obligation to provide necessary medical assistance to the titular of the
European card issued by one of the EU member states, during the card’s validity period,
and in the same conditions as for the insured persons of the Romanian social health
insurance system. The medical assistance provided to this category of persons will be
distinguished and reported distinctly to the health insurance houses
   (2) The health insurance houses have the obligation to accept the cards issued by the
EU member states.

ART. 326
   (1) The European card confers to the insured the right to beneficiate of necessary
medical assistance during his temporary staying in an EU member state.
   (2) The expenses generated by the medical assistance foreseen an the paragraph (1)
will be reimbursed by the card’s issuing health insurance house, through out the National
Health Insurance House.
   (3) The medical assistance foreseen at the paragraph (1) does not have to excel what
is necessary, from the medical point of view during the temporary staying.
   (4) The persons insured in one of the EU member states, owner of a European card,
will be treated in Romania in the same way as the Romanian insured.
   (5) The budget of the NHIH will allocate distinct sums for the reimbursement
operations foreseen at paragraph (2).



                                                                                            2
ART. 327
  The European card is issued individually, for each insured who requests it.

ART. 328
  The European Card does not cover the situation in which the insured travels in a EU
member state to beneficiate of medical treatment.

ART. 329
  The technical characteristics of the European card, as well as the elaboration and
implementation procedures are approved by the order of the NHIH president.




                                                                                   3

								
To top