10941 Tessera sanitaria

[quote=redimp98;102778]I'm trying to get onto the Italian version of NHS, but have been turned away by ASL. Part 3 of the legislation of Nov 2007 states that a family member of an Italian national does qualify. My wife is Italian and we both have residency in Piemonte. Can anyone provide a link to the Ministerial ruling/legislation? I need the Italian version to put in front of Mr Jobsworth's nose.
(Would the Feb 2008 amendment to legislation affect my entitlement?)[/quote]

[URL="http://www.ministerosalute.it/imgs/C_17_normativa_1514_allegato.pdf"][B]>THIS<[/B][/URL]is the February 2008 document of clarification of the right to SSN given in the 'information note' on 3 August 2007 which was based on the Legislative Decree No. 30 of Directive 2004/38 of 3 February 2007.

Hope this is what you're looking for!

Yes, thank you. Do we interpret this as

a) Yes, no worries, you qualify for tessera sanitaria as husband of an Italian national,
both with residency in Italy.

b) No, you have no health cover for the next 9 years (until 65) try not to become ill.

[quote=redimp98;102849]Yes, thank you. Do we interpret this as

a) Yes, no worries, you qualify for tessera sanitaria as husband of an Italian national,
both with residency in Italy.

b) No, you have no health cover for the next 9 years (until 65) try not to become ill.[/quote]

Various questions arise regarding your eligibility to the Italian SSN.
Your wife, as an Italian citizen is eligible.
If you are an EU citizen, are of working age and are able to get an E106 from your 'home' country then you should be eligible in your own right
If you are NOT an EU citizen but come from a non EU country, then you must pay for your health care.
If you are an EU pensioner and recieve state pension from your 'home' country, then you can get SSN treatment here but you will need an E121.

The health care must, in one way or another, be paid for. Either by your contributions within another EU country over the years, or elsewhere by you yourself if that is not the case. As you told us nothing about 'you', I imagine that you hoped that your wife, being an Italian citizen, was all you would require to get your health cover!

I'm not certain about this, but is your wife working? If so, I would have thought that you were covered by her health insurance as a member of the famiglia nucleare.

[quote=Charles Phillips;102901]I'm not certain about this, but is your wife working? If so, I would have thought that you were covered by her health insurance as a member of the famiglia nucleare.[/quote]

Good point Charles - I'd missed that one. But she could also (maybe) be registered as unemployed an still include the family on her tessera...

She is casalinga. I am a retired teacher, with 30 years service, aged 56. I get a teachers pension, + return to England twice a year to do public examinations marking. UK income tax is paid, but NI contributions are not paid any longer. Perhaps I should arrange to pay NI on uk earnings.

Private health care is fraught with problems eg existing illnesses are not covered, and these Cos are expert in finding reasons for not paying out anything. One third of critical illness claims are rejected, for example. Also, decent level of cover is expensive.

An edited extract from the English version of the directive posted by Carole B:

[I]B) Effects of Directive on compulsory NHS cover:-......

On stays exceeding 3 months
An EU national staying in the national territory for a period
exceeding three months shall have to register with the National
Health Service if he/she:-......

3. is a family member of an Italian national;.....

3. Family member of an Italian national;
For the definition of family member as per paragraphs 2 and 3,
please refer to Interior Ministry Circular No 19 of 6th April 2007
which provided for the implementation of Directive No 38/2004.
On that basis, family members include:-
1. the spouse;[/I] [url]http://ukinitaly.fco.gov.uk/resources/en/pdf/3094091/health-residency-requirement[/url]

Family member status appears to be a category on its own, and not to require other forms/insurance/employment etc?

but is Item 3 of the Nov 2007 legislation overruled by anything in Feb 2008?

This is the crucial question.

[quote=redimp98;103045]but is Item 3 of the Nov 2007 legislation overruled by anything in Feb 2008?

This is the crucial question.[/quote]

You have drained the best brains of this forum: why don't you just present yourself as a husband of an Italian citizen, and then report to us as to how you got on?

That would add to the knowledge on this forum!

Here you have more information about the "tessera sanitaria"

[url=http://www.agenziaentrate.it/ilwwcm/connect/Nsi/Servizi/Codice+fiscale+-+tessera+sanitaria/tessera+sanitaria+faq2/#faq2]Agenzia delle Entrate - Tessera sanitaria: le risposte alle domande più frequenti[/url]

I was turned away by the local ASL !!!!!!! That's why I'm trying to establish what I am entitled to.

[quote=redimp98;103073]I was turned away by the local ASL !!!!!!! That's why I'm trying to establish what I am entitled to.[/quote]

You might wish to contact ANOLF, an organization which may be able to give appropriate advice. Scroll down on [url=http://www.anolf.it/indirizzi.htm]Indirizzario[/url] for addresses and telephone numbers in Piemonte.

This is the bit about health care for EC people married to Italians, but as you will see it could be read from this that your Italian partner has to be working, so you can claim to be dependent on them. However, since, the requirement for working status is explicitly limited to dependents of non Italian EC citizens in the next lines, I would think it is worth looking into whether you can claim to be 'a carico' of your Italian partner.

"1° ISCRIZIONE CITTADINI STRANIERI COMUNITARI:
L'interessato o in caso di minore il genitore o chi ne esercita la patria potestà deve presentarsi con la sguente documentazione:
- autocertificazione dei dati anagrafici (allegata);
- attestato di residenza anagrafica o di richiesta di residenza o di soggiorno permanente rilasciati dal Comune di residenza;
- contratto di lavoro (se lavoratore subordinato) o iscrizione Camera di Commercio (se lavoratore autonomo) o iscrizione nelle liste del Centro per l'Impiego come disoccupato (cioé che ha perso un precedente lavoro) oppure titolare di uno dei seguenti formulari rilasciati dalla struttura sanitaria del paese di provenienza: E106, E109, E121, E120;
- [B]stato di famiglia se cittadino comunitario a carico di cittadino italiano[/B], o a carico di cittadino comunitario lavoratore subordinato o autonomo;
- codice fiscale."

The following option to subscribe voluntarily to the SSN is taken from guidelines for non-EC citizens. (It used to be the situation for EC non-working citizens some years ago, and the cost of cover is about €400 pa). Again, I don't see why (assuming you can obtain a permesso di soggiorno, which I believe is possible) you couldn't ask to take this route.

"a) iscriverti facoltativamente al S.S.N., insieme ai tuoi familiari, se presenti in Italia. Puoi ottenere l’iscrizione volontaria se:
- hai un permesso di soggiorno superiore a tre mesi (con l’eccezione se hai un permesso di studio);
- sei iscritto, insieme ai tuoi familiari, negli elenchi degli assistibili dell’ASL di residenza o, nei casi di prima iscrizione, di domicilio indicato sul tuo permesso di soggiorno.
L’iscrizione non è possibile se sei titolare di un permesso di soggiorno per motivi di cura.
In questo caso le prestazioni sanitarie ti saranno garantite dietro pagamento all’ASL delle tariffe previste per legge, che possono cambiare a seconda della regione in cui ti trovi. Se sei privo delle risorse economiche sufficienti ti saranno comunque assicurate le prestazioni ambulatoriali, ospedaliere urgenti o comunque essenziali, o continuative, per malattia o infortunio e i programmi di medicina preventiva (per es. vaccinazioni), nei presidi sanitari pubblici o privati accreditati."

Charles Phillips' advice is correct. The same system applies in Spain. The best thing is to be "a carico" of the Italian citizen. They will charge you a bit of money it the Italian citizen if he/she is under 65 years of age. I pay some 87 euros monthly in Spain but it covers both myself and my husband who is not an EU citizen. After the age of 65 I will cease to pay and it will be free of charge.

Why not approach the problem from a different angle?
Assuming that your wife is an Italian citizen and you have lived legally in Italy for more than six months after your marriage why don't you apply for Italian citizenship? Under Art 5 of the following you are entitled to do so:

[url=http://www.interno.it/mininterno/export/sites/default/it/sezioni/servizi/legislazione/cittadinanza/legislazione_30.html]Ministero Dell'Interno - Legislazione[/url]

You would then automatically have full access to the health care system.
Here's what you have to do:

[url=http://www.interno.it/mininterno/export/sites/default/it/sezioni/servizi/come_fare/cittadinanza/Concessione_della_cittadinanza_italiana_a_cittadini_stranieri_coniugati_con_italiani_xart._5x_legge_5_febbraio_1992x_n._91x.html]Ministero Dell'Interno - Come fare per[/url]

Here's the English version of the first page for you...it may be useful

[URL="http://www.interno.it/mininterno/export/sites/default/it/temi/cittadinanza/Sottotema_007_English_version.html"][B]>ENGLISH VERSION<[/B][/URL]

I'm a UK national. I've lived in Italy for five years. The internal ministry website cites four years for European citizens to have to live in Italy before applying for Italian citizenship. If I were to do so would I lose my UK citizenship? I can't image that I would but you never know - I've learnt to my cost that with Italian bureaucracy the unexpected can and probably will happen!