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HEALTH CARE FOR FOREIGNERS Foreigners who are present in the Italian territory can have the right to health care in various ways: 1. Citizens from one of the European Union (EU) countries and from countries with which bilateral reciprocity agreements are in force, are entitled to the same services guaranteed to Italian citizens by the National Health Service (S.S.N. – Servizio Sanitario Nazionale). • European Union citizens can directly access hospitals and doctors covered by the National Health Service as long as they have the European Health Insurance Card (T.E.A.M. – Tessera Europea di Assicurazione Malattia); • Citizens from countries with which a bilateral agreement is in force must address to the qualified office of the A.S.L. providing the application form required by the agreement. 2. Foreign citizens present in the Italian territory who intend to enroll in the National Health Service must address to the “Scelta/revoca” desk of the A.S.L. providing the following papers: • EU citizens: fiscal code, residence/domicile certificate, employment contract; • Non-EU citizens: residence permit*, fiscal code, certificate of residence. 3. Non-EU citizens without any residence permit (STP code) and not complying with the rules on entry and residence and E.U. citizens without any health insurance are eligible for: urgent hospital services; pregnancy protection services; preventive care, diagnosis, and therapy for infectious diseases; vaccinations within collective prevention campaigns. 4. Non-EU pregnant women or in postpartum condition who do not comply with the rules on residence, can apply for a residence permit “for medical care” (permesso di soggiorno "per cure mediche"), which will give them the right to enroll in the National Health Service for the pregnancy period and for 6 months after the delivery. At the moment of enrollment, they must bring a suitable medical certificate attesting the state of pregnancy or the accomplished delivery, and the residence permit “for medical care”. At birth, the baby will be enrolled in the National Health Service for 6 months. 5. Children under the age of 14 who do not comply with the rules on residence can apply for the enrollment in the National Health Service without any assignment of the free choice pediatrician or the general practitioner, and they can access pediatric examinations, public and accredited clinics. In cases provided by law, a self-certification or a substitute statement for the affidavit is possible. *Depending on the type of residence permit, there are differences in the right of enrollment in the National Health Service: Residence permits for: dependent or self-employment, achieving citizenship, family reasons, political asylum, humanitarian asylum, asylum application, foster care, and awaiting adoption; all give the right to compulsory enrollment in the National Health Service without any additional payment. Residence permits for study/elective residence allow the enrollment in the National Health Service with an additional payment. Residence permits for tourism and medical care do not allow the enrollment in the National Health Service.

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Page 1: HEALTH CARE FOR FOREIGNERS - ats-pavia.it · HEALTH CARE FOR FOREIGNERS Foreigners who are present in the Italian territory can have the right to health care in various ... (STP code)

HEALTH CARE FOR FOREIGNERS

Foreigners who are present in the Italian territory can have the right to health care in various

ways:

1. Citizens from one of the European Union (EU) countries and from countries with

which bilateral reciprocity agreements are in force, are entitled to the same

services guaranteed to Italian citizens by the National Health Service (S.S.N. –

Servizio Sanitario Nazionale).

• European Union citizens can directly access hospitals and doctors covered by the National

Health Service as long as they have the European Health Insurance Card (T.E.A.M. –

Tessera Europea di Assicurazione Malattia);

• Citizens from countries with which a bilateral agreement is in force must address to the

qualified office of the A.S.L. providing the application form required by the agreement.

2. Foreign citizens present in the Italian territory who intend to enroll in the National

Health Service must address to the “Scelta/revoca” desk of the A.S.L. providing

the following papers:

• EU citizens: fiscal code, residence/domicile certificate, employment contract;

• Non-EU citizens: residence permit*, fiscal code, certificate of residence.

3. Non-EU citizens without any residence permit (STP code) and not complying with the

rules on entry and residence and E.U. citizens without any health insurance are eligible

for: urgent hospital services; pregnancy protection services; preventive care, diagnosis, and

therapy for infectious diseases; vaccinations within collective prevention campaigns.

4. Non-EU pregnant women or in postpartum condition who do not comply with the rules

on residence, can apply for a residence permit “for medical care” (permesso di soggiorno

"per cure mediche"), which will give them the right to enroll in the National Health Service

for the pregnancy period and for 6 months after the delivery. At the moment of enrollment,

they must bring a suitable medical certificate attesting the state of pregnancy or the

accomplished delivery, and the residence permit “for medical care”. At birth, the baby will

be enrolled in the National Health Service for 6 months.

5. Children under the age of 14 who do not comply with the rules on residence can apply for

the enrollment in the National Health Service without any assignment of the free choice

pediatrician or the general practitioner, and they can access pediatric examinations, public

and accredited clinics.

In cases provided by law, a self-certification or a substitute statement for the affidavit

is possible.

*Depending on the type of residence permit, there are differences in the right of

enrollment in the National Health Service:

• Residence permits for: dependent or self-employment, achieving citizenship, family reasons, political

asylum, humanitarian asylum, asylum application, foster care, and awaiting adoption; all give the right

to compulsory enrollment in the National Health Service without any additional payment.

• Residence permits for study/elective residence allow the enrollment in the National Health Service with

an additional payment.

• Residence permits for tourism and medical care do not allow the enrollment in the National Health

Service.