Starting August 1, 2025, spouses and parents without their own income can no longer benefit from free co-insurance under the public health system. This major change stems from the repeal of Article 224(1)(c) of Law no. 95/2006, as amended by Law no. 141/2025. Practically, dependents of an insured person can no longer maintain insured status without paying the social health insurance contribution (CASS).
However, according to a transitional provision in the same law (Article XI(2)), these individuals will retain their insured status until September 1, 2025, provided they were co-insured prior to August 1. After this grace period, continued access to medical services requires payment of the CASS contribution, calculated based on the equivalent of six national minimum gross salaries. In 2025, with a minimum wage of 4,050 RON, the annual contribution amounts to 2,430 RON.
This amount can be paid directly by the individual, by completing the relevant section of the Single Declaration (Declarația Unică), or by the person’s dependent, if the dependent has taxable income. Submission of the declaration, together with payment of the contribution, grants insured status for a 12-month period, which must be renewed annually to maintain continuous coverage.
It is important to note that, starting August 2025, employers are no longer required to declare co-insured persons via Declaration 112, even if they remain temporarily insured until September 1. After this date, full responsibility for maintaining insured status lies solely with the individual or their dependent.
This legislative change has a significant impact, especially on families that relied on this form of social protection for elderly parents or spouses without income. In the context of the rapid change in the insurance regime, it is essential that all affected individuals are informed in a timely manner and, if necessary, submit the Single Declaration to avoid interruptions in medical coverage.