You can voluntarily enroll in the SSN and benefit from its services, by paying a (relatively inexpensive) fee, or "contribution".
Enrolment in SSN entitles you to have a general practitioner and benefit from public healthcare services (on the Italian territory only).
The voluntary registration (registrazione volontaria) validity period always starts on 1/1 and expires on 31/12 of the current solar year, no matter when you enroll.
For students without dependents, the cost is €149.77 per solar year.
For students with dependent family members*, Clergy, Doctorates, or Researchers who are no longer students, the minimum contribution is €387.34 per solar year.
The contribution must be paid in one single payment.
It is never retroactive nor fractionable (that means: they are not taking charge of any event before the date of enrolment and that you can't enroll for a part of the solar year only).
- Go to the post office, get and fill in a blank "Bollettino Postale" payment form. The contribution must be paid on the postal account 379222, in the name of (a favore di:) "P.T. REGIONE LOMBARDIA", reason for the payment (causale): “iscrizione al SSN anno…[write the year of coverage]
- (See our .pdf SLIDES attached to this article for an example of how to fill in the postal payment slip.)
Students from non-European countries with a bilateral agreement with Italy:
In general, bilateral social security agreements guarantee only urgent services for temporary stays except for pensioners and posted workers. Therefore it is advisable to register voluntarily with the methods specified above.
The voluntary registration with the SSN always expires on 31/12 of the current year, it is never retroactive nor fractionable and entitles the general practitioner and health services only on the Italian territory.
For technical reasons, first-time applications must be done after the 1st of January of the year in which you want to enroll.
The voluntary registration with the SSN does not entitle you to:
a. Issue of the European Health Insurance Card (TEAM)
b. Issuing of legal certificates required by bilateral agreements in force
c. Issue of the certificate according to art. 15 of Presidential Decree 618/80
d. Issue of portable document S2 (high specialization care abroad)