Accessing care in Italy

With a European Health Insurance Card (EHIC), you are entitled to medically necessary treatment during a temporary stay in Italy. Medically necessary treatment refers to treatment that cannot wait until you return home. You may need such treatment, for example, in the event of a sudden illness or an accident.

You can also receive treatment for pregnancy, childbirth, or chronic conditions. If you have a medical condition that requires regular treatment during your stay abroad, contact a healthcare provider in advance to make the necessary arrangements for your care.

The European Health Insurance Card does not guarantee free treatment; you will pay the same cost for healthcare as local residents. We recommend carrying additional copies of your card with you. If you do not have a European Health Insurance Card, or if it is not accepted, you will have to pay for the treatment yourself. You can then apply for reimbursement from Kela.

In Italy, public healthcare is administered regionally, which means that fees may vary between regions.

You can enquire about medical care from the Local Health Unit (Azienda Sanitaria Locale, ASL) in your area. ASL’s contact information can be obtained, for example, from a telephone directory, a hotel reception desk, a pharmacy, or the websites of local health units.

Sudden illness in Italy

Doctor

To see a general practitioner, visit a public health centre (casa della salute or centro di assistenza primaria) run by the ASL. You can also consult a general practitioner (medico di medicina generale or medico di famiglia) who is registered with the Italian National Health Service (Servizio Sanitario Nazionale, SSN) by requesting an occasional visit (visita occasionale). You can obtain a list of such doctors, for example, from the ASL (Local Health Unit), a pharmacy, or the healthcare section of the regional websites. You can always receive emergency medical care at a hospital emergency department (pronto soccorso ospedaliero). In the evenings, on weekends, and during holidays, you can also receive emergency medical care from the territorial emergency medical service (Guardia Medica).

At the reception, show your European Health Insurance Card and identity card. This will allow you to receive treatment free of charge at all public and private healthcare providers accredited by the Italian National Health Service. However, you may have to pay a deductible (referred to as a ‘ticket’).

You can see a specialist if you have a general practitioner´s referral. Private hospitals that collaborate with the Italian National Health Service (Servizio Sanitario Nazionale) may have varying policies regarding referrals.To obtain treatment at the co-pay rate, the specialist must be approved by the ASL or by a general practitioner (medico di medicina generale) following an occasional visit. You will pay a co-pay fee, which may vary locally, for appointments with specialists and for laboratory tests.

Dentist

Dental care in Italy is mainly provided by private practitioners who are not required to accept the EHIC, so you will need to pay the full cost billed. However, a number of dental clinics run by the local health authorities (ASL) and other NHS-affiliated clinics offer certain dental treatments. Please be aware that these treatments are subject to co-payment (ticket) and usually have long waiting lists.

In exceptional and urgent circumstances, a dental consultation is possible at clinics within SSN hospitals providing urgent dental treatment. Nevertheless, you will need to cover some of the treatment costs.

Medication

If you need to take medication during your stay in Italy, ask your doctor (or another healthcare professional qualified to prescribe) to prepare a prescription that complies with EU standards.You can then claim for reimbursement from Kela.

If you do not have the prescription with you, or if your prescription is not accepted by the pharmacist, you should go to a general practitioner, paediatrician, hospital emergency room, or primary care out-of-hours service (guardia medica) to obtain a new prescription.

Hospital treatment

You can access public and accredited private hospitals through the emergency room by presenting your EHIC or a provisional replacement certificate. Some emergency room services, identified by a specific code, are subject to a co-payment (“ticket”). Hospital admissions are free of charge; however, if you prefer more comfort, you may request a private room for an additional fee. Ambulance services are generally free of charge with a European Health Insurance Card or a provisional replacement certificate.

Read also: Falling ill abroad.

Patient data

Remember to make sure that your patient data is transferred between countries. You can provide those responsible for your follow-up care or your health centre with the patient records concerning the treatment you received abroad. If the patient records need to be translated, you will be responsible for arranging that yourself.

An electronic Patient Summary is in use between Italy and Finland, which means that doctors can, to a limited extent, view the health information that has been previously recorded about you in Finland. The Patient Summary contains information such as diagnoses, prescriptions and allergies. Check with your place of treatment whether they use the Patient Summary. You must also give your consent in MyKanta for the use of the Patient Summary.

Read more about the Patient Summary on the MyKanta website

Quality and safety of treatment in Italy

In the event of a treatment injury, the legislation and patient insurance of the country where the care is provided always apply. If you are unhappy with the treatment you received, you should first try to resolve the matter with the treatment provider, the hospital’s Health Directorate (direzione sanitaria), or the Local Health Unit (ASL). You can also contact the local Office for Relations with the Public (Ufficio Relazioni con il Pubblico, URP). The National Contact Point can assist you in finding the appropriate authority if you wish to file a complaint.

If you are dissatisfied with the treatment you received in Italy, you can contact the National Contact Point of Italy. They can provide guidance to foreign patients on the complaints procedure and any potential legal action.

Healthcare system in Italy

The Ministry of Health is the main authority responsible for public healthcare in Italy and guarantees the core package of healthcare services, known as the Essential Levels of Care (LEA). Regional authorities are responsible for organising and providing healthcare services through local health units.

Useful websites

If you want to travel to Italy to use healthcare services there, you should read our website for general information about seeking treatment abroad. If you have any questions about healthcare in Italy, contact the National Contact Point of Italy (https://www.salute.gov.it/portale/formNCP/p_sendMailNCP_ENG.jsp or ncpitaly@sanita.it).

An official online listing of healthcare providers in Italy is not available. However, you can request this information from the local ASL (Azienda Sanitaria Locale). You can search for ASL offices on their websites. For private hospitals and clinics, you can search by area and speciality on the Italian Yellow Pages website (in Italian)

In Italy, you can always call 116117 to obtain non-urgent medical assistance. Please note that the number is not available in all regions of Italy. You can find more information about the service from the website of Ministry of Health of Italy.