National Public Health System: How does it work & how to enroll - as students Step-by-Step - Yes Milano
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National Public Health System:
How does it work & how to enroll
as students Step-by-Step
In cooperation with ASST Milano
How does it work:
Prescribes
most
ME medicines
A general practictioner /
family doctor / medico di medicina
generale is your interface with the NHS 2
EU Students:
Use EHIC
Register with S1 form
Enroll voluntarily
3
1. Get the S1 form from your home country
health authority and/or bring the EHICard
4
EU STUDENTS Students from European Union countries, the European Economic Area & Switzerland CASE A If you stay in Italy temporarily and you need to access a general practictioner the emergency room or necessary health services at an hospital, it is sufficient to show your valid EU ID and the European Health Insurance Card (EHIC / TEAM) of the State of origin. CASE B If you live in Italy for over 3 months and you wish to access additional health services (e.g. be assigned with a general practitioner ad get discounted prices for medicines and therapies) you should better register with the National Health Service. If you are moving from European Union countries, the European Economic Area and from Switzerland you can temporarily transfer your health coverage to take advantage of Italian public healthcare as an Italian citizen, by obtaining S1 Form from your country of origin. If you don't have the S1 form with you, you are still eligible to subscribe for a Voluntary Registration by paying a fee. 5
TIP: Explore the available doctors
around you
You can go to this link
https://www.ats-milano.it/portale/Cerca-medico-o-pediatra
and see available general practictioners (look for MMG doctors) (green dot) in
your area.
When doctors have reached their maximum patients capacity, the dot is red
and you cannot sign up for that doctors until some patients leave.
You may also ask neighbours and friends to suggest the name of a general
practictioner in the area
6
If you have to register with an S1 form
from your home country health authority
7
2a. Find your nearest ASST branch
Azienda Socio Sanitaria Territoriale (ASST) is the
administrative entity that manages local health
services) competent in the area where you
reside. The areas are called "Municipi" – i.e. the
administrative zones of Milan.
Find out in which "Municipio" you live: ask
Google, your landlord, a neighbor, or any shop
owner nearby... or look up to the map in the
next slide:
Find the location and contacts of the "Ufficio
Estero”, the office handling the international
procedures of your local ASST office.
Alternatively, you may book an appointment
with the “Ufficio Scelta e Revoca” of your ASST
8
2b. Find the Ufficio Estero in the
ASST you belong to:ASST Fatebenefratelli Sacco
Municipi 1, 4, 8
estero.oglio@asst-fbf-sacco.it
Municipio 3:
estero.ricordi@asst-fbf-sacco.it
ASST Grande Ospedale Metropolitano
Niguarda Municipio 9
estero.ippocrate@ospedaleniguarda.it
ASST Santi Paolo e Carlo
Municipi 5, 6, 7
estero.bandenere@asst-santipaolocarlo.it
9
2c. OR Find the Scelta e Revoca Office:
(Alternative to ufficio Estero)
ASST Fatebenefratelli Sacco
Municipi 1, 2, 3, 4, 8
sceltarevoca.info@asst-fbf-sacco.it
ASST Grande Ospedale
Metropolitano Niguarda
Municipio 9
sceltaerevoca.livigno@ospedaleniguarda.it
ASST Santi Paolo e Carlo
Municipi 5, 6, 7
sceltarevoca.bandenere@asst-
santipaolocarlo.it 103. Take an in-person appointment
The appointment for first enrollment must be done in person at
Ufficio Estero / Scelta e Revoca
- By phone
- By e-mail
- Through an online appointment booking tool (in some zone)
The office will need to know your exact address, tax code, nationality
and type of request and other information useful to better serve your
needs.
114. Enroll with S1 form
+ +
+
Go to Ufficio Estero / Scelta e Revoca counter with:
- a valid ID
- Tax code
- one photocopy of both ID documents along with the S1 form and a self-certification of
residence / domicile.
The office will retain the first sheet of S1 and the photocopies, and enroll you in the SSN. They
will also assist you to choose a local general practitioner from a list.
They will issue you a form called "Allegato 1" ("Annex 1") which must be shown as a health
card at the time to request any health service. 12Enrollment expiration
Enrolment at the SSN is valid for one year from the date of application.
Should you stay longer you can follow a similar procedure to renew your coverage by using the online
portal https://sr.asst-fbf-sacco.it .
Apart from the first enrollment that must be done in person, the greatest part of all the
next operations can be done online.
You may renew every year as long as the period reflects the dates stated on the S1 form.
Please note: if you have a planned health treatment, e.g. for chronical disease, you need to ask your
local authority in the country of origin for S2 form - Authorization to obtain planned treatment abroad.
13Procedures for ALL Students who
enroll voluntarily
14The Voluntary Registration
Period of coverage
The voluntary registration validity period always starts on
1/1 and expires on 31/12 of the current solar year, no
matter when you enroll and gives access to the general
practitioner and health services only on the Italian territory.
The first application shall be done after January the 1st of
the year in which you want to enroll.
Skip-the-queue tip for renewals: If you are already registered with SSN, renewals can be done in
advance by repeating the same procedure and telling the officer that you are renewing the enrolment
for the subsequent year.
151. Book an appointment to
the Scelta e Revoca Office*:
*These are the counters in charge of
assigning / switching a general
practitioner to citizens and residents
and enrollments.
For voluntary subscription,
You can choose any Scelta e Revoca
Office inside the city of Milano. 161. Book an appointment to
the Scelta e Revoca Office:
ASST Fatebenefratelli Sacco
Municipi 1, 2, 3, 4, 8
sceltarevoca.info@asst-fbf-sacco.it
Appointment booking platform
Via A. Doria, 52
Piazzale Accursio, 7
Via Rugabella 4/6
Via Serlio 8
171. Book an appointment to
the Scelta e Revoca Office:
ASST Grande Ospedale Metropolitano
Niguarda
Municipio 9
Appointment booking phone line
(Italian) 02.6444.5743 FROM MONDAY TO
FRIDAY 1.30pm - 3.15pm
Location: Via Livigno, 3
sceltaerevoca.livigno@ospedaleniguarda.it
181.Book an appointment to
the Scelta e Revoca Office:
ASST Santi Paolo e Carlo
Municipi 5, 6, 7
Appointment Booking link
Piazza Bande Nere, 3
sceltarevoca.bandenere@asst-
santipaolocarlo.it
191b. The booking platform
201b. The booking platform
211b. The booking platform
22Contacts if you have specific
problems
Send an email directly to the Scelta e Revoca (write down your personal data, tax code,
address and telephone number) to
sceltarevoca.info@asst-fbf-sacco.it
sceltarevoca.bandenere@asst-santipaolocarlo.it
sceltaerevoca.livigno@ospedaleniguarda.it
you'll be given an in-person appointment at the scelta e revoca office to enroll.
232. Pay the Voluntary Registration
Contribution at any Post office
The voluntary registration coverage starts on 1/1 and expires on 31/12 of the
current solar year, no matter when you enroll.
The subscription is never retroactive nor divisible
The contribution must be paid in one single payment.
For students the contribution is €149.77 per solar year.
Students placed au pair: 219,49 €
Others, including students with dependent family members: 7,50% on the share of
income of the previous year up to 20.658 €, plus 4% on the share of income
24
exceeding 20.658 € and up to 51.646 €2a. Use “Bollettino Postale” Account 379222 For students without dependants, the contribution is: €149.77 CENTOQUARANTANOVE/77 For students with dependant family members*, make the calculation with the help of Scelta e Revoca officers. in the name of (INTESTATO A:): P.T. REGIONE LOMBARDIA Reason for the payment (causale): iscrizione al SSN anno 20--- 25
3. on your appointment.
Documents to provide :
263a. Voluntary Registration
with residence permit / Italian citizens abroad
+ EU students
+ + +
+
Students from European Union countries, the European Economic Area and from Switzerland:
Bring with you: tax code, valid identity document (both in original plus one photocopy) and a self-
certification of residence / domicile, and receipt of payment of the contribution, certificate of
enrollment in a course of study (issued by your university /institute),
Students from non-European countries already in possession of a residence permit for study:
Bring with you: passport, residence permit, tax code (both in original and one photocopy), certificate
of enrollment in a course of study, and receipt of payment of the contribution. 273b.Voluntary Registration with
residence permit application receipt
+ + +
Students from non-European countries holding the application receipt of their residence permit for study
will need to bring:
your passport, tax code, entry visa for study reasons, the receipt / certificate of having applied for a
residence permit (all in original, plus one photocopy), certificate of enrollment in a course of study
(issued by your university /institute), receipt of payment of the contribution
*The voluntary registration health card is issued valid for 3 months and it can be extended going again
to the office, until obtaining the residence permit for study. Once in possession of the actual residence
permit, you may go to the office and have it registered until the deadline, then, will be set to 31/12 of the
current year. 28Disclaimer
The voluntary registration with the SSN is valid in Italy only
and does not entitle you to:
a. Issue of the European Health Insurance Card (TEAM)
b. Issue legal certificates required by bilateral agreements in force
c. Issue of the certificate pursuant to art. 15 of Presidential
Decree 618/80
d. Issue of portable document S2 (high specialization care
abroad)
29TIP: Explore the available doctors
and make a shortlist (optional)
You can go to this link https://www.ats-milano.it/portale/Cerca-medico-o-
pediatra and see available general practictioners (look for MMG doctors)
(green dot) in your area.
When doctors have reached their maximum patients capacity, the dot is red
You may also ask neighbours and friends to suggest the name of a general
practictioner in the area
30TIP: Double Check your Tax Domicile
Make sure that the address registered at Agenzia
delle Entrate on your tax code file is present and
matches with your actual address
Application for enrolling to the National health
system matches your data with those registered
to the Revenue agency
The same form you used to request your
tax code can be submitted again to apply
for variations
Do that some days before going to the
appointment for enrolling in the SSN or there’s a
chance of delay in the procedure
31TIP: Check the YesMilano Students
Website for updates & book a one-to-one
appointment at the One-Stop-Shop
32THANK
YOU David
welcomestudents@yesmilano.it
www.yesmilano.it/students
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