The Ministry of Health is the main institution responsible for public healthcare in Italy and it guarantees the health core benefits package i.e. the Essential Levels of care (LEA). The regions are responsible for organizing and delivering healthcare services through local health units.
You can obtain medically necessary treatment by presenting the European Health Insurance Card (EHIC), when you are temporarily staying in Italy. Medically necessary treatment refers to treatment that cannot wait for your return home. You may need such treatment in case of acute illness or accident. You can also receive treatment related to pregnancy and childbirth or to a chronic illness. The need for treatment must emerge during the course of your stay. If your illness requires regular treatment while you are temporarily staying abroad, agree with the treatment provider beforehand on the arrangement of treatment. Treatments that need to be arranged in advance include, for example, dialysis, oxygen therapy, specialised care of asthma and chemotherapy as well as echocardiography in chronic autoimmune diseases.
You will receive treatment on the same terms and at the same price as the locals. It is advisable to carry copies of your European Health Insurance Card with you, along with the card itself. If you didn’t have your EHIC with you or it was not accepted, and you were required to pay all the costs of treatment yourself, you might be able to apply for reimbursement from Kela retrospectively.
In Italy, public healthcare is administered regionally, which means that there can be differences, for example, in fees within the country.
You can enquire about medical care from the local health authority, Azienda Sanitaria Locale (ASL), in your area. ASL´s contact information can be obtained, for example, from a telephone directory, the reception desk of a hotel, a pharmacy or from websites.
You can see a general practitioner by going to a public healthcare system health centre of the ASL. You can also consult a general practitioner (medico di medicina generale) who is registered with the Italian National Health Service (Servizio Sanitario Nazionale, SSN) asking for an occasional visit ( visita occasionale). You can obtain a list of such doctors, for example, from the local health authority, ASL. Emergency care can be obtained in the evenings and at weekends from the territorial emergency medical service (Guardia Medica) or from emergency clinic (pronto soccorso).
Show your European Health Insurance Card and ID at the appointment. This will enable you to obtain treatment in most areas free of charge, except the co-payment (called ticket).
You can see a specialist if you have a general practitioner´s referral. You should check this in advance with the specialist. Private accredited hospitals (meaning that they work in agreement with the Italian National health Service –servizio sanitario nazionale) may have varying practices with respect to referrals. In order to obtain treatment at the co-pay rate, the specialist must be approved by the ASL. You pay a co-pay fee, which can vary locally, for appointments with specialists and for laboratory tests.
Public dental services are available in Italy only on a very limited basis, and the use of private services is very common. In rare cases, it is possible to consult a dentist at a SSN-operated hospital or a health centre managed by the ASL, but a doctor´s referral is usually needed to obtain treatment. You can ask the ASL office about the possibility to obtain treatment.
You will be reimbursed for prescription medicines prescribed by a doctor registered with the national health system when you present your European Health Insurance Card and ID at the pharmacy (farmacia).
Medicines are divided into three categories according to the seriousness of the illness. Medicines intended for the most serious conditions are free. A certain proportion of the costs of medicines for less severe illnesses is reimbursed. The amount may vary regionally. If a medicine is not on the Italian national health service´s list of reimbursable medicinal products, you will have to pay the full cost yourself.
In order to obtain hospital treatment, you generally need a doctor´s referral. If you need urgent treatment, you can go directly to the emergency clinic (pronto soccorso) of a public hospital (ospedale pubblico) or a private accredited by SSN hospital (ospedale privato accreditato). You can also go to a private hospital (casa di cura privata or clinica privata) if it is accredited by SSN. Inpatient care is free when you show your European Health Insurance Card and ID. If you want a private room or other special services in hospital, you pay separate surcharges.
Ambulance transport is usually free for holders of a European Health Insurance Card.
Read more about suddenly falling ill in Europe.
Read more about reimbursement of costs of treatment abroad.
If you wish to travel to Italy for the purpose of using healthcare services, you can find general information on our site concerning seeking treatment. Some useful sources of information are also listed below. You should direct your questions about healthcare in Italy to the Italian contact point.
An official listing of healthcare providers in Italy is not available online nor is there a search service available. However, the list can be requested from the ASL. You can search ASL office in their website. You can search by area and speciality for private hospitals and clinics on the online version of Italy´s Yellow Pages (in Italian).
Quality and safety of treatment
In the event of treatment injuries, the legislation and patient insurance of the country providing the treatment is always applied. In case you are unhappy with the treatment you received, you should primarily try to sort the matter out with the treatment provider or contact the local URP (Ufficio Relazioni con il Pubblico). The national contact point can help you with finding the right authority if you wish to make a complaint.
If you are dissatisfied with treatment received in Italy, you can contact the Contact Point of Italy. They can advise foreign patients about the complaint procedure and any legal proceedings.