It's important to note that healthcare services in Le Marche, as in the rest of Italy, are primarily delivered through the public healthcare system. However, private healthcare facilities and practitioners also exist, offering additional options for those who prefer private healthcare services or want to supplement their public healthcare coverage.

Find out more about Italian Preventive Healthcare Measures.

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Healthcare Coverage for Foreigners in the Marche Region, Italy

 

If you are planning to visit or reside in the Marche region of Italy, it's important to be aware of the healthcare coverage requirements based on your purpose of stay.

Tourism

Foreign tourists from non-EU countries visiting Italy for up to 90 days must have travel health insurance. This insurance should cover at least €30,000 for emergency hospital treatment and repatriation costs. It is mandatory to obtain a tourist visa. Even those who do not require a visa must show proof of such insurance upon entry. Tourists can receive urgent medical treatments, but they are subject to regional fees.

Work

Non-EU nationals working in Italy are generally required to enrol in the National Health Service (SSN) by obtaining a residence permit and paying an annual fee. This registration allows them access to all health services provided by the SSN under the same conditions as Italian citizens. This mandatory registration applies to those with regular employment contracts and valid residence permits​.

Study

Foreign students from non-EU countries staying in Italy for study purposes can voluntarily enrol in the SSN for access to comprehensive healthcare services. Alternatively, they can opt for private health insurance that meets the required coverage standards. SSN registration is usually preferred due to its extensive health benefits throughout their stay. The voluntary registration involves paying an annual fee, this option is available even for study periods shorter than three months​.

Elective Residence

Non-EU Individuals who choose Italy for elective residence and do not engage in any work activities must also ensure health coverage. They can opt for voluntary registration with the SSN by paying an annual contribution. Alternatively, they may secure private health insurance to cover medical risks, injuries, and maternity needs. This category includes retirees or individuals living on their own means who have a valid residence permit for elective residence​.

General Information 

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EU Citizens: EU citizens visiting Italy for short-term stays (less than 90 days) for vacation, study, or work are entitled to necessary medical care under the same conditions as Italian citizens, provided they have the European Health Insurance Card (EHIC)​.

Non-EU Citizens: For non-EU tourists, proof of financial means, accommodation, and a return ticket might also be required alongside health insurance. Emergency care is available to all, though it may incur costs based on regional tariffs​

Emergency Services: All foreign nationals are entitled to urgent medical care in Italy, but these services are not free and require the payment of a fee as per regional tariffs.

Voluntary SSN Enrollment: Foreigners not covered by mandatory registration can opt for voluntary enrollment in the SSN by paying an annual contribution. This provides access to a full range of healthcare services similar to those available to Italian citizens.
The annual contribution for voluntary enrollment in the Italian National Health Service (SSN) varies based on the category of the foreigner and the purpose of their stay.

Here are the specific amounts:
General Contribution: The minimum annual contribution for voluntary enrollment in the SSN is €2,000​;
Students: Foreign students enrolling in the SSN for study purposes pay a reduced annual contribution of €700;​
Au Pairs: Foreign individuals working as au pairs pay an annual contribution of €1,200​.
These contributions allow foreigners to access health services provided by the SSN under the same conditions as Italian citizens. The voluntary enrollment is valid for one calendar year, from January 1 to December 31, and must be renewed annually.

How to Apply:
Gather Required Documents:
Valid passport or identification document.
Valid residence permit (permesso di soggiorno).
Proof of residence in Italy.
Certificate of enrollment (for students).
Any other documents specific to your category (e.g., employment contract for au pairs).

Visit the Local Health Authority (AST):
Locate the nearest AST office in the region where you reside. In the Marche region, you can find information on the regional health portal or by visiting the AST website.
Complete the Application Form:
Fill out the application form for voluntary enrollment in the SSN. Forms are available at AST offices or can be downloaded from the regional health authority’s website.

Pay the Annual Contribution:
The payment is made via F24 form, which can be obtained from any post office or financial institution. The specific payment code and instructions will be provided by the AST.
After filling out the F24 form, pay the contribution at a post office, bank, or online through the financial institution’s website.

Submit Proof of Payment:
After making the payment, return to the AST office with the receipt of payment to complete the registration process. The AST will issue a certificate of enrollment in the SSN.

Benefits:
Access to all health services provided by the SSN.
Equal treatment as Italian citizens in terms of healthcare access.

Important Notes:
Enrollment is not retroactive and does not cover past medical expenses.
The contribution is non-refundable and non-transferable.
In the case of residence permit renewal, provide proof of payment to maintain continuous enrollment.

What is the AST?
The AST (Azienda Sanitaria Territoriale) is the local health authority in Italy responsible for delivering public health services within a specific area. They provide primary and secondary healthcare, preventive services, health administration, social health services, and emergency care. For more information or to find your nearest AST office in the Marche region, visit https://www.asur.marche.it/.

By following these requirements, foreigners visiting the Marche region can ensure they have the necessary healthcare coverage for their stay, whether for tourism, work, study, or elective residence.