Registration with the National Health Service

Permesso soggiorno distacco intrasocietario

Assistance to citizens of non-EU countries in Italy

If you are a foreign citizen legally present in Italy, you can access the National Health Service (SSN) in different ways depending on the reason for your stay. If you are temporarily present, for a period not exceeding 90 days (e.g. tourist), you can take advantage of urgent and elective health services upon payment of the relevant regional rates. There is no registration with the NHS except for students and au pairs. If you have a regular residence permit, you can register with the SSN by contacting the ASL of your municipality of registered residence, or, if you are not yet resident, the municipality of actual domicile indicated in the residence permit.

Registration with the SSN allows you to choose the general practitioner registered in the ASL registers
Health care is extended to your dependents who regularly stay in Italy.

Contact us

Do you need assistance with immigration paperwork?

You can turn to InfoVisti for a specific consular service or even for comprehensive support. Read more about InfoVisti and its immigration services, contact us now by email at the address consulenza@infovisti.it, permessi@infovisti.it or through the form active on the page Contacts. Request a free quote by filling out the form next to it and we will be happy to help you by answering with all the necessary details about the costs, delivery times and methods.

How to register with the NHS

All non-EU foreign citizens are entitled to compulsory registration with the National Health Service (SSN):

✓ who are legally resident in Italy and have regular subordinate or self-employed activities in progress or are registered in the employment lists

✓ who are legally resident and have applied for the renewal of their residence permit for:

– subordinate or self-employed work, family reasons, asylum, subsidiary protection, special cases, special protection, medical treatment (Article 19, paragraph 2, letter d-bis of T.U.286/98), for asylum request, for awaiting adoption, for foster care, for acquisition of citizenship

– waiting for the first issue of the residence permit for subordinate work or family reasons

– unaccompanied foreign minors, even pending the issuance of the residence permit, following the legal reports after their discovery in the national territory and in any case all minors regardless of the state of regularity of the stay, with the consequent right to the general pediatrician from 0 to 14 years of age and to the general practitioner from 14 to 18 years of age.

To benefit from the services provided by the NHS, you must register and the health card is the document that proves registration. This document is individual and is used to access assistance.

servizio sanitario nazionale immigrazione infovisti

Where to go to register with the NHS

Registration with the SSN must be carried out at the choice and revocation offices of the ASL where you have your residence or habitual residence indicated on the residence permit.

Duration of SSN membership

The health card has the same duration as the residence permit. While waiting for the issuance of the permit for family reasons or the first permit for subordinate work, the registration is temporary and will be converted with the same duration as the permit at the time of submission of the permit.

How to access healthcare

When registering, choose your family doctor or paediatrician, whose name is on your health card, whom you can contact free of charge.
When you are in possession of the request for the health service, issued by your doctor, you will be able to make the relevant booking according to the procedures defined by the Region in which you are registered. Each specialist visit involves the payment of a contribution to the health expense (ticket) as is the case for Italian citizens. There are ways of exemption from the payment of tickets for recognized specific conditions of income, age, disability or pathologies. The Ticket Exemption Card is issued at the counters of your ASL.

What to do to register with the National Health Service

To register with the National Health Service, you must go to the ASL counters with the following documents:

✓ Valid residence permit or request for renewal of the permit attested by the receipt issued by the Post Office or Police Headquarters

✓self-certification of residence or, in the absence of the latter, a declaration of actual residence, as it appears, on the residence permit

✓tax code or self-certification

✓receipt certifying the submission of the application for the issuance of the first residence permit, for subordinate work issued by the Post Office

While waiting for the issuance of the permit for family reasons for the purposes of mandatory registration with the National Health Service, you must show the following documents:

✓Entry visa

✓receipt, issued by the authorized Post Office, certifying the submission of the application for a residence permit

✓photocopy, not authenticated, of the authorization issued by the One-Stop Shop.

For minors in foster care or awaiting adoption , a permit is not required for the purposes of regular stay. From the moment of entry into Italy, foreign minors enjoy all the rights attributed to an Italian minor in foster care. Therefore, in such cases, the minor, adopted or fostered, must be compulsorily registered with the SSN under the same conditions and procedures provided for the first registration of the Italian minor.

What does the health insurance card entitle you to?

The personal health card entitles you to receive the following benefits:

✓ Have a family doctor or pediatrician

✓ Free hospital admission to public and conventional hospitals

✓ Pharmaceutical assistance

✓ General medical examinations in the clinic

✓ Specialist medical examinations

✓ Home medical visits

✓ Vaccinations

✓ Blood tests

✓ X-rays

✓ Ultrasound scans

✓ Medicines

✓ Rehabilitation and prosthetics assistance

✓ other benefits provided for in the essential levels of care

Do you have any questions about Immigration Services? Read the FAQ.

Intra-company secondment: what does it mean?

Let’s shed some light on the meaning of intra-company secondment.

Intra-company posting is defined as “temporary posting of a foreign worker by a company established in a third country to the host entity”.

The employment relationship between the worker to be transferred and the posting company located outside the European Union must be governed by the employment contract that has been active for at least three months without interruption immediately before the date of transfer.

InfoVisti will deal with the implementation for the entry and residence of third-country nationals who move for subordinate work, as skilled workers or in training, or managers in the context of intra-corporate transfers both outside the EU and from another Member State.

The posted worker must be hosted either by a host entity established in Italy belonging to the company or to the same group of companies.

InfoVisti will take care of obtaining all the documents necessary for the performance of the service and all the preventive and consulting information to allow you to deal with the intra-company secondment with simplicity, punctuality and efficiency.

Intra-company secondment: what are the obligations of the posting company?

The foreign company that requests the posting of its employees or self-employed personnel is obliged to give prior notice of the posting to the Ministry of Labour and Social Policies within one day before the transfer, delivering the following information:

– Data of the foreign company requesting the posting

– Number of self-employed or paid persons who need to be posted

– Total time frame of the posting, start and end date.

– Address of the place where self-employed or employed persons will work.

– Data of the subjects to be seconded.

– Type of services provided by workers.

– Data of the contact person designated by the foreign company domiciled in Italy and in charge of sending and receiving the deeds and documents.

– Data of the contact person appointed by the foreign company, who as a representative maintains relations with the social partners concerned.

– Number of the authorization to carry out the activity.

Blue Card: What is it?

The EU Blue Card is a specific type of residence permit that was introduced by
Legislative Decree No. 100 of 28 June 2012
and is issued by the Police Headquarters to highly qualified workers from countries that do not belong to the European Union.

The work of the non-European citizen must be regulated by a work residence contract that must have been communicated to the police station.

The duration of validity of the Blue Card differs depending on the singular employment relationship.

If the employment relationship is for a fixed term, the blue card has a duration of two years, if the employment relationship is for a fixed term, the residence permit has a duration of three months longer than the expiry of the employment relationship.

In order to obtain the Blue Card, the non-European citizen must carry out, as a self-employed person, work for another natural or legal person, otherwise who has an employment relationship as an employee. The application for authorization must be submitted by the employer to the prefecture.

Highly qualified work must be certified by suitable educational qualifications and certificates of professional qualification that have been issued by the non-EU citizen’s country of origin.

The blue card can be issued to: foreigners residing in a non-EU country; working citizens who reside on a regular basis in Italy; citizens legally residing in another EU country; citizens who are in possession of the Blue Card issued by another Member State of the European Union.

Highly Skilled Workers: Who Are They?

Highly qualified managers and subordinate or self-employed workers are workers who have obtained recognition for high professional and sector-specific qualification through the certification of their work, which must be specialized in the sector continuously for at least six months.

Executives or highly qualified personnel of companies that have Italian branches, representative offices of foreign companies.

InfoVisti assists managers or staff of foreign companies with a representative office in Italy in their temporary relocation. The staff may have been hired either on a self-employed or subordinate employment contract.

The temporary posting must not exceed five years. Its duration is defined according to the company’s needs and may be subject to extensions.

According to the Decree of the President of the Republic of 31 August 1999 to the Consolidated Law on Immigration, at the end of the transfer it is possible to hire staff on a fixed-term or permanent basis in Italy.

Entry for the self-employed: what do you need?

In order to obtain a visa and transfer, it is necessary to:

– the employment contract stipulated with the company endorsed by the Territorial Labour Directorate.

– Nulla Osta obtained at the police station attached to the request for transfer.

All documentation that demonstrates professional skills and work in the company sector for at least six months.

Entry for the employee: what do you need?

In order to obtain a visa and transfer, it is necessary to:

Request for Nulla Osta to work that must be sent to the Immigration Desk in the prefecture by the company after filling out a special form.

For all the necessary documents, InfoVisti will take care of obtaining them and their Sworn Translation.

Residence permit: how do I apply for it?

In order to apply for a residence permit, foreign citizens must apply to the Police Headquarters of the province in which the citizen wishes to stay, according to
Article 5, paragraph 2 of Bill 286/98
and subsequent amendments to
the Consolidated Law on Immigration
.

A residence permit must be applied for within 8 working days of entry, otherwise the request will be refused and the foreign citizen will be expelled, unless the delay is due to him, or force majeure.

The request will be submitted to the Police Headquarters of the province where the citizen wants to stay through the “Sportello Amico” of the authorized Post Offices.

With regard to the Residence Permit required for subordinate work, a completed form must be submitted to the Immigration Desk of the UTG Prefecture. Also in this case, the deadline of 8 days from entry applies.

The residence permit required for self-employment or subordinate work can ONLY be used for the provision of the reported service, a work activity for which the authorization has been granted.

Special cases for job transfer: what are they?

The request for entry for work is regulated individually according to each particular case according to the provisions of art. 27 of the Consolidated Law on Immigration.

Below is the list of special cases for which InfoVisti provides consultancy, documentation and operational services in the field of immigration:

– Executives or highly qualified personnel.

– University professors, translators, interpreters and family staff.

– Transfer request for internship.

– Workers who need to be transferred by contract and seafarers.

– Artists and circus performers.

– Athletes, journalists, au pair exchanges for work.

-Nurses

-Volunteers

-Researchers

– Highly skilled workers, Blue Card

– Intra-company secondments

Family reunification: how is it achieved?

Family reunification is a practice regulated by Article 28 et seq. of the Consolidated Law on Immigration , which allows non-European citizens with legal residence in Italy to obtain authorization for entry and residence in Italy for some of their family members.

The foreign citizen who applies for family reunification must be the holder of a residence permit for at least one year obtained for subordinate or self-employed work reasons, but also for religious study or family reasons.

Family reunification is permitted for married and adult spouses (provision also extended to civil unions between persons of the same sex) of minor children, even those born out of wedlock if the working citizen making the application has expressed his or her consent. Family reunification is also allowed to adults with disabilities and parents over 65 years of age who for health reasons need to be reunited with the foreign citizen who has been transferred.