5.1 FOREIGNERS WITH REGULAR RESIDENCE PERMIT
- Registration with the national health service
- Compulsory registration for every status
5.1.1 REGISTRATION WITH THE NATIONAL HEALTH SERVICE
Foreign citizens who reside regularly in Italy and their dependant family with regular residence permit have the right to assistance supplied by the Servizio Sanitario Nazionale (SSN), with equal treatment and equal rights and duties of Italian citizens for what concerns payment of contributions, assistance supplied by SSN and its validity. In order to obtain this assistance it is necessary to register with the SSN.
The registration can be compulsory or voluntary
Compulsory registration (like for Italian citizens) is concerned with the foreigners regularly living in Italy which are:
- subordinate workers;
- unemployed regularly in Italy;
- self-employed;
- in detention or in internment;
- married with Italian citizens;
- confided minor aged or waiting for an adoption
- employed in embassies;
- foreigner priests working for Diocese of the Lazio region;
- in Italy for family reasons or family reuniting
- refugees or stateless
- in political or humanitarian asylum, or waiting to obtain asylum
- waiting to obtain Italian citizenship;
- in Italy with a residence permit for elective residence;
- regularly in Italy waiting for the renewal of the residence permit;
- guests in reception centres;
- in Italy with a prorogation of the residence permit for health reasons
Voluntary registration comes after paying a fixed value for each year, and it concerns the non communitarian foreigners with a residence permit not superior to 3 months who are not included in the ones who have the right to be registered in the National Health System (SSN):
- students
- people on pair
- religious
- foreigners credited by Italy and working in embassies;
- others who have not the right to be registered with the compulsory registration
Students and people on pair can ask, however, to have a shorter registration, thus paying a smaller value (the registration is not extended to other family members if the foreigner doesn't pay the entire value for the period exceeding the 3rd month).
Necessary Documents
- regular residence permit (or the request for the renewal)
- residence certification, or a auto- certification;
- tax code or its auto-certification
- receipt of the payment (account number of the Regione Lazio n. 370007 - D.M. 8.10.96)
The registration (both the compulsory and the voluntary) must take place in the ASL (Health Local Company) of the residence area. If the foreigner has not any residence the registration may occur in the ASL of the area where the foreigner lives.
At the registration the ASL will issue a health card, an indispensable document in order to have access to services offered by the ASL and by the medical centres linked to the ASL. The registration has validity from the entrance in Italy and till the expiration of the residence permit. It extends to the family members of the foreigner.
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5.1.2 COMPULSORY REGISTRATION FOR EVERY STATUS
SUBORDINATE WORKER
The access to health services is extended to the foreigner's family members.
Documents to be presented to the ASL:
- regular residence permit (or the request for the renewal)
- residence certification, or a auto- certification (if the foreigner has not any residence he/she declares the living place as it results from the residence permit);
- tax code or its auto-certification;
- a declaration which obligates the foreigner to inform the ASL about any variation of his/her status
For the family members:
- certification of the family composition (also auto-certification);
- residence permit
- tax code or its auto-certification;
DOMESTIC WORKER
The domestic worker's family members can accede to the health services only if the employer pays the contribution to the Cassa Unica Assegni Familiari (CUAF).
Documents to be presented to the ASL:
- regular residence permit (or the request for the renewal)
- residence certification, or a auto- certification (if the foreigner has not any residence he/she declares the living place as it results from the residence permit);
- tax code or its auto-certification;
- a declaration of the employer attesting the payment of the state insurance (INPS) contributions
- a declaration which obligates the foreigner to inform the ASL about any variation of his/her status
For the family members:
- certification of the family composition (also auto-certification);
- residence permit
- tax code or its auto-certification;
UNEMPLOYED
The unemployed family members can accede to the health services only if he/she is registered in the unemployed registers;
Documents to be presented to the ASL:
- regular residence permit (or the request for the renewal)
- residence certification, or a auto- certification (if the foreigner has not any residence he/she declares the living place as it results from the residence permit);
- tax code or its auto-certification;
- auto-certification for the registration in the unemployed registers;
- a declaration which obligates the foreigner to inform the ASL about any variation of his/her status
For the family members:
- certification of the family composition (also auto-certification);
- residence permit
- tax code or its auto-certification;
SELF-EMPLOYED
The self-employed family members can accede to the health services if he/she pays every year the contribution fixed by the Regione Lazio for each member of the family.
Documents to be presented to the ASL:
- regular residence permit (or the request for the renewal)
- residence certification, or a auto- certification (if the foreigner has not any residence he/she declares the living place as it results from the residence permit);
- tax code or its auto-certification;
- indication of the registration number in the Commerce Chamber
- Copy of the form Unico attesting the payment of the contribution for the National Health System (SSN)
- a declaration which obligates the foreigner to inform the ASL about any variation of his/her status
For the family members:
- certification of the family composition (also auto-certification);
- residence permit
- tax code or its auto-certification;
USEFUL NEWS
There's no obligation to the registration in the National Health System (SSN) is not compulsory for the foreigners who have a residence permit obtained for business, who are directors of companies with sites in Italy, who are workers employed by employers with sites abroad. All of these foreigners must have an insurance policy to cover themselves and their family members and so to have access to the National Health System (SSN). Otherwise they could accede to the health services with the voluntary registration.
DTEINED PEOPLE
All of the foreigners in detention, both regularly in Italy or not regularly in Italy, are granted the access to the health services through the registration in the SSN for the period of detention. The same right is granted for the foreigners in half-detention or for the foreigners under alternative forms of punishment. Who is in detention must not pay the tickets
FOREIGNERS MARRIED WITH ITALIAN CITIZENS
Documents to be produced to the ASL:
- regular residence permit (or the request for the renewal)
- residence certification, or a auto- certification (if the foreigner has not any residence he/she declares the living place as it results from the residence permit);
- tax code or its auto-certification;
- certificate attesting the family composition or its self-certification;
- a declaration which obligates the foreigner to inform the ASL about any variation of his/her status
MINOR AGED IN GRANTED CUSTODY OR WAITING FOR AN ADOPTION
Documents to be produced to the ASL:
- regular residence permit (or the request for the renewal)
- residence certification, or a self-certification (if the foreigner has not any residence he/she declares the living place as it results from the residence permit);
- declaration of the Minor Aged Court attesting the granted custody or the pre-adoption
- a declaration which obligates the foreigner to inform the ASL about any variation of his/her status
WORKERS EMPLOYED IN EMBASSYS
Documents to be produced to the ASL:
- regular residence permit (or the request for the renewal)
- residence certification, or a self-certification (if the foreigner has not any residence he/she declares the living place as it results from the residence permit);
- declaration of the embassy attesting the payment of the state insurance contributions;
- a declaration which obligates the foreigner to inform the ASL about any variation of his/her status
DIOCESE FOREIGNERS PRIESTS
Documents to be produced to the ASL:
- regular residence permit (or the request for the renewal)
- tax code or its self-certification;
- residence certification, or a self-certification (if the foreigner has not any residence he/she declares the living place as it results from the residence permit);
- declaration of the Diocese offices attesting the payment of Support of the Clero
- a declaration which obligates the foreigner to inform the ASL about any variation of his/her status
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