Access procedures


Citizens of EU countries can plan their care in Italy using the health facilities of the NHS present there. The costs covered by the health system of the home state are covered in two ways.

DIRECT ASSISTANCE (social security regulations nos.883 / 2004.987 / 2009):

It is allowed to receive treatment in Italy on the same conditions that the NHS guarantees to its citizens. The services provided by healthcare facilities, whether public or private, are paid directly by their own health system. The programmed treatments require prior authorization to be requested from their competent health institution, with which they certify that: “the treatments are adequate and aimed at guaranteeing the protection of the applicant’s health; they are health services provided by the health system to which they belong but they are not payable in one’s own country in a period of time deemed congruent under the medical profile “. In the event of a positive assessment, a certificate (form S2) is issued to the interested party to be presented to the competent institutions or directly to the assistance providers of the country chosen for treatment. Travel and accompanying expenses may also be authorized.

INDIRECT ASSISTANCE (EU Directive n.24 / 2011):

There are further possibilities to take advantage of treatment in Italy if the citizen anticipates the related costs, subsequently reimbursed by his own health system. The care provided for by the health system to which they belong is reimbursable, except for long-term health care, allocation and access to organs for transplantation purposes and public vaccination programs against contagious diseases. The reimbursement, unless otherwise indicated by the country to which it belongs, is equal to the cost that one’s health system would have incurred if the treatment had been provided in one’s own State, without however exceeding the total cost of treatment.
Furthermore, states may request prior authorization for cross-border care in the cases provided for by Article 9, Legislative Decree 38/2014. More information on the relative procedures is available by contacting the NCP (National Contact Point) of your State.

Even citizens of non-EU countries (outside the EU) can plan their care in Italy (art. 36, TU 286/98) at accredited public or private health facilities, upon issue of a specific entry visa to be requested from the Italian Embassy in his own State, attaching: declaration of the chosen health facility with indication of the type of care, start and end date, length of stay; certification of a deposit of 30% of the presumable total cost of the health service; documentation proving availability of sufficient financial resources for full payment of care, food and lodging outside the facility, own repatriation and any accompanying person (mandatory if the patient is a minor); health certification attesting the pathology (translated into Italian). Once in Italy, the citizen must go to the Questura of the place chosen for the treatment within 8 days and request a residence permit for medical treatment. The residence permit obtained is valid for the entire duration of the treatment, unless extended for documented therapeutic needs.
Furthermore, entry for treatment can also take place in the context of humanitarian intervention programs.