Nella seguente sezione, suddivisa per paragrafi cliccabili, troverete pubblicata una miniguida per spiegare con un linguaggio semplice ed immediato quali sono le procedure, i documenti necessari, i luoghi e le prassi per poter essere assistiti in Italia da un punto di vista sanitario. La seguente guida si rivolge esclusivamente a cittadini extracomunitari presenti in Italia con regolare permesso di soggiorno.
All’interno della sezione Sanità sono reperibili altre miniguide con le relative spiegazioni : cerca quella che fa al caso tuo.
Non-EU nationals and their dependant family members living in Italy, with documents in order, are entitled to register with the Servizio Sanitario Nazionale (National Health System).
The registration can be mandatory or voluntary and its validity is for the same duration as the residence permit. Registration and selection of the G.P. further entitles the registering person to 4 points relevant to the integration agreement with the state (accordo d’integrazione con lo Stato).
Mandatory registration is open to those in Italy for reasons associated with work, family, international protection and those waiting for citizenship, foster care and adoption.
In particular, the following types of residence permits can use mandatory registration:
• humanitarian protection (which can be awarded for health or age reasons, great political instability, coercion or insufficient respect of human rights, famine or natural or environmental disasters, etc.)
How to register: non-EU nationals will go to the ASL (Azienda Sanitaria Locale - Local Health Authority) of their municipality (indicated in the residency document) or their official place of residence (indicated in the residence permit) at the “sportello scelta e revoca del medico” (physician selection/revocation help-desk).
By registering with the National Health System, a person is entitled to benefit from all services offered by Italian National Healthcare.
All people registered with the National Health System will pay what is called a ticket, a small economic contribution for the service one has benefited from. The ticket has to be paid at the reception desks of hospitals/clinics prior to the doctor’s appointment.
In certain specific situations, patients are not required to pay the ticket. Further information regarding ticket exemption can be found at the exemption office at the Local Health Authority.
The entitlement to exemption can be checked on the Ministry of Health website:
Voluntary registration can be used by non-EU nationals in possession of a residence permit valid for more than 3 months and who are not entitled to mandatory registration with the National Healthcare System. In particular, this category is relevant to:
• religious personnel
• those in possession of a residence permit acquired by residency
• reunited parents over 65 years of age
Since 5th November 2008, parents of more than 65 years of age reunited to their children (even if in possession of a permit for family reasons), are no longer entitled to mandatory registration with the National Healthcare System. They will have to be in possession of a health insurance policy valid in Italy or register to the National Healthcare System by paying a contribution.
How to register: Voluntary registration to the National Healthcare System is subject to a comprehensive annual fee paid in full once at the moment of registration. To be able to register, the contribution will be paid to the regional current account, which can be requested from the Local Health Authority a person wishes to register at.
Voluntary registration entitles a person to benefit from all services provided by the National Healthcare System all over the country in the same way as an Italian citizen.
After successful registration, a tessera sanitaria (health service card) is issued. It is valid for the whole length of the residence permit and displays an identification code, the name of the person and the name of the G.P. It is essential to keep it safe and not to confuse it with the magnetic card which will be subsequently provided. A tessera sanitaria is in fact made of paper and includes the name of the G.P. and the potential exemptions a person might benefit from; a magnetic card only displays the person’s name, an expiry date, an identification code and the tax identification code.
During registration, the person will choose a G.P. for themselves and their family members and a paediatrician for children until 14 years of age from a list provided.
The following documents will have to be presented at the desk:
- an identity document
- a self-certification of residency and family unit (or a dichiarazione di effettiva dimora, the address indicated on the residence permit of non-resident non-EU nationals with papers in order)
- residence permit
- codice fiscale (tax identification code)
The individual will register for the National Health System at the relevant desk in person or delegate someone else with a copy of an identity document.
A person can only benefit from services by showing a Health Service Card.
A Health Service card can be renewed by presenting documentation proving that renewal of the residence permit is in progress to the ASL, Azienda Sanitaria Locale (Local Health Authority).
A medico di base (G.P. = General Practitioner) and a paediatrician are the two main physicians to see for general issues or:
• requests for non-urgent admissions to hospitals
• requests for thermal treatments
A paediatrician cares for children up to 14 years of age and a G.P. cares for all other patients. Both guarantee free appointments at a clinic, other relevant facilities in which doctors work, or at the patient’s home, and the prescription of drugs and referrals for specialist consultations.
A G.P. or a paediatrician is first chosen at the moment of registration but can be changed at any moment.
Every doctor will see patients free of charge in a clinic on pre-established days and times. Home visits are carried out at the discretion of the doctors and not the patient, and only when a patient’s health condition does not allow them to travel to the clinic.
In the event of an emergency, if it is not possible to contact a G.P. (normally at night or non-working days), it is possible to call an emergency medical service: a guardia medica is a doctor giving advice over the phone or in person.
The following the link displays numbers of the emergency doctors within all municipalities in the Le Marche region:
Four types of drug can be found in Italian pharmacies:
- life saving drugs: these are free medicines given on presentation of a prescription
- drugs subject to the payment of a ticket: these medicines are purchased with a small economic contribution and after presentation of a prescription
- drugs not paid for by the National Health System: these are given after presentation of a prescription but are to be paid for in full
- over the counter drugs: these are to be paid for in full but can be purchased without prescription
Even outside of business hours, it is possible to find a pharmacy open. Pharmacies take it in turns to stay open at night time and on bank holidays. The name and address of the pharmacy open on a certain date is always displayed outside every pharmacy.
This link shows which pharmacies are open during non-business hours:
In order to attend specialist consultations, a patient will require a referral written by the G.P. or a paediatrician.
In order to book these consultations, it will be necessary to present the Health Service Card and referral to the hospital/clinic desk or ring the CUP – Centro Unico Prenotazioni (General Booking Centre) of one’s territory.
CUP call centres are active every day from Monday to Friday from 8:00 am to 6:00 pm and on Saturdays from 8:00 am to 1:00 pm. When calling to book a service, it is necessary to be in possession of the referral (red paper) written by the G.P. and the Health Service Card, as some details will have to be communicated over the phone.
CUP number for Le Marche: 800-098798
Link for CUP of Le Marche:
Admission to hospitals requires a written request by the G.P. or, in the event of an emergency, a request by the Emergency physician.
Before an operation, a patient will be requested to sign a consenso informato (informed consent – a document on which the patient declares his awareness of, and consent to, the treatments suggested by the physicians).
In Italy, there are private and state hospitals. In state hospitals, it is not necessary to pay the personnel.
All hospitals in Le Marche are listed here:
In the event of an emergency, a person can contact phone number 118, a public toll free service active 24 hours a day, to request an ambulance or a helicopter to transfer patients to a hospital. If the person is able to reach the hospital, they can go to the closest Pronto Soccorso (A&E = Accident & Emergency department).
Whenever ringing 118, it will be necessary to:
- communicate your name, surname and telephone number
- describe the emergency situation
- communicate the address to which assistance must be sent
Important: the Pronto Soccorso should be only called in situations of real emergency. For any other, less urgent situations, it is necessary to contact the G.P. (or the guardia medica when the G.P. is not available) and have a specialist consultation after a referral is issued.