FOR PARENTS · TREATMENT ABROAD
Order 1011 (formerly Order 50)
When the intervention your child needs is not available in Romania’s public hospitals, Order 1011 is the route through which the state pays for treatment at a clinic abroad, anywhere in the world.
IN BRIEF
What you need to know in ten seconds
Who approves it
The Ministry of Health, through its specialist committee.
Where it applies
Anywhere in the world, not only in the European Union.
Who pays
The Public Health Directorate, into the clinic’s account, after the treatment has been carried out and on the basis of original supporting documents.
How long it takes
A maximum of 2 days until the file reaches the ministry and a maximum of 7 working days until the committee’s conclusions.
WHO CAN APPLY
Who is eligible
Order 1011 covers interventions that are not performed in Romania’s public hospitals. Two categories of patients are eligible.
Conditions that cannot be treated in the country
Patients who have conditions that cannot be treated in the country, are registered with a family doctor, have gone through all levels of medical care — primary and specialist — and have been hospitalised in facilities that offer high professional and technical quality medical services, but whose health has not been restored.
Patients who need a transplant
Patients who need an organ, tissue or human-origin cell transplant and who also have associated conditions that prevent the procedure from being carried out in accredited centres in Romania.
Exception for children under 1 year. For children aged 0 to 1 year, the file can be prepared immediately after diagnosis in a healthcare facility in a university centre, without having to go through all the stages required for other age groups.
HOW YOU GET APPROVAL
Three stages, in this order
Stage 1
The medical report from the treating doctor
The family asks the treating doctor for a medical report in which they clearly state that the treatment the patient needs cannot be carried out in Romania and explain the reasons.
Please note: the medical letter must be issued by a university hospital and include the doctor’s stamp and the facility’s seal.
Step 2
You submit the file to the Public Health Directorate
The documents are submitted by the patient, their legal representative or a family member (spouse or a relative up to the fourth degree) to the DSP covering the area where the patient lives. The file includes:
- Hospital discharge note, medical letter and the results of medical investigations
- The treating doctor’s recommendation that treatment be carried out abroad
- An application from the patient, legal representative or family member, together with copies of identity documents
Step 3
How the file moves forward
From here, the DSP represents the patient in dealings with the Ministry of Health. What happens next:
- The DSP sends the file to the ministry’s specialist committee within 2 days at most
- The committee decides whether treatment abroad is needed and draws up the medical report, with at least 3 recommended clinics and their contact details
- The conclusions are communicated in writing within 7 working days of examining the case
- The DSP appoints someone to handle correspondence with the clinics — the patient or their legal representative may choose to do this themselves
- The ministry committee selects the clinic and transfers the funds to the DSP, which pays for the treatment
What the law guarantees you
2 days
The deadline by which the DSP must send the file to the Ministry of Health specialist committee.
7 working days
The deadline by which the committee must communicate its conclusions in writing, including the medical course of action to follow.
At least 3 clinics
The committee’s report must recommend at least three clinics abroad, with their contact details.
Follow the progress of the file and ask for updates often, by phone, from the institutions responsible for forwarding the application. It is the only way to find out where it has stalled.
RESOURCES
Useful documents and links
The Ministry’s official page
The “Treatment abroad” section, with up-to-date legislation and the status of approved files.
The text of the law
Order 50/2004, as subsequently amended — including Order 1011/2011 — which sets out the methodology.
Need help with your file?
Write to us. We’ve been through this process with many families and we can tell you where to start.
info@daruiestearipi.ro
