Medical Care and Sport

Temporary enrollment in the Tuscan Regional Health Service

Students residing in another Italian region who are staying in Florence for study purposes for more than three months can apply for temporary enrollment in the Regional Health Service (Servizio Sanitario Regionale) of Tuscany. To proceed, you must submit the specific application form, stating your reasons and attaching the required self-certifications.

How to apply

The application can be submitted in two ways:

• In person: By visiting the registry offices (uffici anagrafe) of the relevant ASL health centers, bringing a valid ID and your health insurance card (tessera sanitaria).
• Via email: By sending the completed form along with a scan of your ID and health card to the email address of the office responsible for your area of residence.

On the application form, simply tick the box marked "for study purposes" and state the faculty in which the student is enrolled.

Healthcare access

With temporary enrollment (which is renewable annually), you are entitled to choose a local general practitioner (medico di medicina generale).

Alternatively, for occasional medical needs, you may:

• Contact the Out-of-Hours Medical Service (Guardia Medica).
• Visit any general practitioner by paying the standard fee for an occasional visit.

For more information, please visit the Azienda Usl Toscana Centro website.

Citizens of the European Union (EU), the European Economic Area (EEA), and the Swiss Confederation staying in Italy for study purposes who are not registered with the health service in their home country (subject to the presentation of Form E104/SO41) may opt for voluntary enrollment in the Regional Health Service (Servizio Sanitario Regionale SSR).

• Cost: The contribution for students without dependent family members is 700 euros per calendar year.
• Payment: Must be made exclusively via the F24 form (Tax Code: 8846, Region Code: 17) with the description: "Contributo S.S.R. anno [insert year]".
• Application procedure: The required documentation must be sent via email as a single pdf file to: iscrizionivolontarie.firenze(AT)uslcentro.toscana.it

For more details, please consult the dedicated Insurance Coverage page.

Students from outside the European Union holding a residence permit (permesso di soggiorno) for study purposes can choose between two options:

Option A: Voluntary enrollment in the National Health Service (Servizio Sanitario Nazionale SSN)

• Cost: The contribution for students without dependents is 700 euros.
• Payment: Made via the F24 form (Tax Code: 8846, Region Code: 17).
• Application Procedure: Applications must be submitted via email to: iscrizionivolontarie.firenze(AT)uslcentro.toscana.it

Required attachments:

• Copy of the residence permit (permesso di soggiorno).
• Tax code (codice fiscale).
• Self-certification of enrollment from the university.
• Payment receipt.
• Completed statistical data sheet.

Option B: Mutualitas Insurance Coverage

For students participating in international mobility or study abroad programs, the University suggests the "Mutualitas - Travel for University" policy, specifically dedicated to the academic community.

Who can apply:

• Students, researchers, and professors residing in Italy traveling abroad for study or university business.
• Students, researchers, and professors residing abroad traveling to Italy for study or university business.

Key Features:

• Purpose: Covers travel for study, training, exchange, or teaching.
• Age limits: Valid for students up to 35 years old and researchers/professors up to 45 years old.

Duration and Coverage: Maximum duration of 365 days per trip, including:

• Travel Assistance: Telephone medical consultation, medical transport, return of the insured, and travel for a family member in case of hospitalization.
• Medical Expenses: Reimbursement for medical, hospital, and surgical expenses abroad (up to €500,000) and pharmaceutical expenses (up to €2,000).
• Baggage Protection: Reimbursement for loss or damage.
• Accidents: Coverage for death or permanent disability during the trip.

Important Note: To activate any service or reimbursement, it is mandatory to contact the Operations Center at +39 02.24128658 before incurring any costs. Failure to follow this procedure may jeopardize your right to reimbursement.

For more details, please consult the dedicated Insurance Coverage page.

Citizens from countries of the European Union, the European Economic Area (EEA) and Switzerland

Stays of less than 90 days: Citizens of the European Union, the EEA and Switzerland present on Italian territory for stays of less than three months can choose one of the following options:

• use health care in Italy if they are in possession of the Tessera Europea di Assicurazione Malattia (TEAM) - European Health Insurance Card (EHIC), which entitles them to obtain health services paid for by the Italian National Health Service and therefore allows them to use assistance under the same conditions provided for those assisted by the SSN-NHS;
• be holders of private health insurance valid in Italy.

Stays of more than 90 days: Citizens of the European Union, EEA and Switzerland who intend to stay in Italy for a period of more than 90 days can choose one of the following options to registered with the National Health Service (SSN):

• Compulsory registration with the SSN (free of charge) is possible, for example, in the event that the foreign citizen has an employment contract in Italy subject to IRPEF taxation. Voluntary registration with the SSN is possible, for example, for foreign citizens in possession of a permit for study and/or research purposes and in the event that the type of employment contract is not subject to IRPEF obligations (e.g. in the case of a research grant).
• be holders of private health insurance valid in Italy.

Citizens from non-EU/EEA/Switzerland countries

Stays of less than 90 days: For non-EU citizens present on Italian territory for stays of less than three months, there is no registration with the SSN (except for those who are in possession of specific types of residence permit); they can take advantage of urgent hospital services (Emergency Room, outpatient, ordinary hospitalization or day hospital), for which the relative rates must be paid in full at the time of discharge. The rates of health services are determined by the Regions and Autonomous Provinces. It is recommended to take out a private health policy valid in Italy.

Some non-EU countries have signed bilateral agreements or conventions with Italy, which allow you to extend the health coverage of the country of origin to Italy before leaving for a short-term stay.

Stays of more than 90 days: Foreign citizens who are not among those who are automatically registered with the SSN and who intend to stay in Italy for a period of more than 90 days, must be holders of:

• private health insurance valid in Italy, to be contracted before departure
• private health insurance to be taken out in Italy with an Italian insurance company

or, alternatively, they can request:

• voluntary registration with the NHS upon payment of the contribution due.

It is recommended to check the validity of private health insurance in Italy with the competent Italian diplomatic authority in the country of origin.