How the Servizio Sanitario Nazionale works
A regionalised public system, funded by tax, where you register with your local ASL and choose your doctor. Private care sits alongside, mainly to see a specialist without waiting.
Good to know
- EU citizens working in Italy, and their dependants, are entitled to compulsory SSN enrolment for the length of their contract (indefinitely if permanent or self-employed); other residents can enrol voluntarily against an income-based annual contribution, present an S1 form issued by France or take out private insurance. Source
- Anyone who turns up at a public hospital's emergency department is treated, with a colour code by severity; workers' health insurance rights are the same as Italians'. Source
- Children up to 14 come under the pediatra di libera scelta, free of charge: they prescribe, refer to specialists and monitor growth, with no mandatory referral pathway. After that the family doctor takes over, from age 6 if the parents ask. Source
- Specialist consultations and prescribed tests are booked through the CUP (counter, phone or online) with the prescription; a co-payment may apply, with exemptions by income, age, pregnancy or condition. Source
- Private care is direct access, short waits, teleconsultations and sometimes home visits, paid out of pocket or through insurance: always ask for the fattura parlante (itemised invoice) for reimbursement. Source
- The French state does not cover your health, hospital or repatriation costs in Italy: check your cover (SSN, CFE or insurance) before you need it. Source