Welcome Week. Introduction to the Italian National Health System

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1 Welcome Week Introduction to the Italian National Health System

2 Art. 32 of the Italian Constitution The Republic holds health as both a fundamental right of individuals and a common interest and therefore guarantees cures to all those who require them. No one an be coerced into being cured except by law. The law may in no case violate the limits inherent in the respect of human rights.

3 The Inspiring Principle Art. 32 of the Italian Constitution Right to Health Assistance Organisation of Assistance Bill 833 of 1978 Creation of the SSN As of January 1, 1980, health insurance is mandatory for all citizens Art. 1 The Republic safeguards health as a fundamental human right and commont interest through the national health service. The Italian National Health Service (SSN) provides assistance to all citizens without any discrimination in terms of gender, residence, age, income or occupation.

4 EU STUDENTS Non-EU STUDENTS STUDENTS from Countries with BILATERAL AGREEENTS

5 EU STUDENTS

6 European Union Austria (AT), Belgium (BE), Bulgaria (BG), Cyprus (CY), Croatia (HR), Denmark (DK), Estonia (EE), Finland (FI), France (FR), Germany (DE), Greece (EL), Ireland (IE), Italy (IT), Latvia (LV), Lithuania (LT), Luxembourg (LU), Malta (MT), Netherlands Holland (NL), Poland (PL), Portugal (PT), United Kingdom (UK), Czech Republic (CZ), Slovakia (SK), Romania (RO), Slovenia (SI), Spain (ES), Sweden (SE), Hungary (HU), European Economic Area Norway (NO), Liechtenstein (LI), Iceland (IS)

7 Legislation for EU Citizens D.lgs n 30/07 Implementation of Bill 2004/38/CE on the rights of European Union citizens and their families to freely circulate and reside in member states Note Ministry of the Interior July 18, 2007 Bill (Feb. 6, 2007) on the rights of European Union citizens and their families to freely circulate and reside in member states. Note Ministry of Health August 3, 2007 Right to reside for European Citizens Bill and N. 30/2007 Note Ministry of Health February 19, 2008 Further indications on Health Assistance for EU citizens residing in Italy Note Ministry of Health April 29, 2010 New EU regulations for Welfare General Principles and Main Innovations

8 EUROPEAN HEALTH CARD

9 EUROPEAN HEALTH CARD

10 EUROPEAN HEALTH CARD

11 EUROPEAN HEALTH CARD

12 EUROPEAN HEALTH CARD

13 EUROPEAN HEALTH CARD

14 EUROPEAN HEALTH CARD

15 EUROPEAN HEALTH CARD

16

17

18 EUROPEAN HEALTH CARD DOES NOT INCLUDE CAESERIAN SECTIONS DOES NOT INCLUDE ABORTIONS UNLESS MEDICALLY REQUIRED DOES NOT INCLUDE MEDICAL OPERATIONS THAT ARE NECESSARY BUT PLANNED Fees required for National Health Service are the same as for Italian citizens.

19 Are there other options?

20 REGISTERING WITH THE NATIONAL HEALTH SERVICE

21 STUDENTS EU Citizens (including European Economic Area and Switzerland) Documents required to register for the National Health Service WITH Form 106/S1: ID Tax Code Self-certification of residence Form E 106/S1 Certificate of University attendance WITHOUT Form E106/S1: May request voluntary registration to NHS after paying fee for self and family, if applicable.

22

23 Alternatively: You can purchase private health insurance coverage with nationally recognised insurance companies

24 NHS Fees Euro 149,77 - for students Registration is individual and excludes any coverage for family. Euro 387,34 and up - for students with family Students with family are required to pay fees based on their income Voluntary Registration is annual (Validity January 1 December 31).

25 NHS COVERAGE Free Hospitalisation Medical Visits and Prescriptions (just as for Italian citizens) Assignment to a GP Fees required for NHS are the same as for Italian citizens.

26 WHERE TO REGISTER AZIENDA SANITARIA LOCALE A.S.L Required documents: Form E 106/S1 Payment of fee to Regione Lazio Postal Account No (Euro 149,77 or 387,34 and up)

27 Non-EU STUDENTS

28 VOLUNTARY REGISTRATION WITH NATIONAL HEALTH SYSTEM

29 Alternatively: You can purchase private health insurance coverage with nationally recognised insurance companies

30 STUDENTS Non-EU Citizens Documents required to register for the National Health Service Payment of Fees for self and family, if applicable Residence Permit for Study Self-certification of residence Tax Code

31 Students with Residence Permits for Study may voluntarily register to the NHS by paying a 149,77 Fee The registration is individual and does not cover any family. Students with family members, who require NHS coverage, will pay fees based on the income, starting from 387,34 Voluntary Registration is annual (Validity January 1 December 31).

32 Voluntary Registration always has ANNUAL VALIDITY (independently from the validity of your residence permit Circ. Min. Sal. N DGRUERI/VI/B11494/l.3.b.a/P del 19/07/07) It allows you to: Be transferred abroad for medical reasons Enjoy health services in the European UnionPEA

33 NHS COVERAGE Free hospitalisation Medical visits and prescriptions, just a form Italian citizens Assignment of a GP Fees required for NHS are the same as for Italian citizens.

34 WHERE TO REGISTER AZIENDA SANITARIA LOCALE A.S.L Required documents: Residence Permit for studies Tax Code Payment of fee to Regione Lazio Postal Account No (Euro 149,77 or 387,34 and up)

35 BILATERAL AGREEMENTS STUDENTS BILATERAL AGREEMENTS The citizens of states with which Italy has signed international agreements are entitled to coverage by the National Health Service. They must present the forms provided by their country of origin. INTERNATIONAL AGREEMENTS WITH ITALY Argentina, Australia, Bosnia-Herzegovina, Brazil, Capo Verde, Vatican, Kosovo, Macedonia, Montenegro, Monaco, San Marino, Serbia, Tunisia, Vojvodina

36

37 Health Assistance in Countries with Bilateral Agreements ARGENTINA -(Form I/RA1) Entitled candidates: Citizens of the two countries who receive pensions and their family (only private sector) AUSTRALIA (Medicare) Entitled candidates: Citizens of the two countries who are entitled to health assistance based on relative national health assistance legislation

38 Health Assistance in Countries with Bilateral Agreements BRAZIL - (Form I/B2) Entitled candidates: Citizens of the two countries who are: Private sector employees Independent workers (farmers, sharecroppers, homesteaders, craftsmen, shop keepers, fishermen) Pension holders (see previous categories) Family members (see previous categories) based on residence legislation. The agreement is not valid for public employees

39 Health Assistance in Countries with Bilateral Agreements CAPOVERDE - (certificate) Agreement suspended as of Sept. 14, 2009 Entitled candidates: Citizens of the two countries, refugees and stateless individuals, resident in one of the two countries, who are: Employees (public or private) or Independent Workers (all categories) Pension holders (see previous categories) Family members (see previous categories)

40 Health Assistance in Countries with Bilateral Agreements MONACO -(Form M/I/C8) Entitled candidates: Citizens of the two countries who are: Employees (private or public) Independent workers (farmers, sharecroppers, homesteaders, craftsmen, shop keepers, fishermen) Pension holders (see previous categories) Family members (see previous categories) The agreement is NOT VALID for: Diplomatic and consular agents Chancellor s Office employees REPUBBLICA DI SAN MARINO - (mod.ismar/8) Entitled candidates: All individuals subject to legislation of the two countires, even if they are a citizen of a third country.

41 Health Assistance in Countries with Bilateral Agreements SERBIA - MONTENEGRO - VOJVODINA - KOSOVO - MACEDONIA - BOSNIA-HERZEGOVINA -(Form OBR/7) Entitled candidates: Citizens Private sector employees Independent workers (farmers, sharecroppers, homesteaders, craftsmen, shop keepers, fishermen) Pension holders (see previous categories) Family members (see previous categories) based on residence legislation. The agreement is not valid for public employees

42 Health Assistance in Countries with Bilateral Agreements TUNISIA - (Form I/TN 11) Entitled candidates: Only Tunisian citizens who are employed in Italy and their family members, who are registered with the NHS and who temporarily return to Tunisia as: Private-sector employees Independent workers Pension-holders in the above categories

43 NHS COVERAGE Free Hospitalisation Medical Visits and Prescriptions (just as for Italian citizens) Fees required for NHS are the same as for Italian citizens.

44 Stefano Guidi Azienda policlinico Umberto I Ufficio Stranieri Tel fax e mail: s.guidi@policlinicoumberto1.it THANKS!

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