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HEALTH

Brits living in Italy under post-Brexit rules won’t pay healthcare fee

British nationals who moved to Italy before January 1st 2021 are exempt from paying Italian healthcare fees, according to an update on the UK government website for British nationals overseas.

A photo shows the San Raffaele hospital in Milan
The San Raffaele hospital in Milan.(Photo by GABRIEL BOUYS / AFP)

Italian authorities have clarified that British residents covered by the post-Brexit withdrawal agreement (WA) should not be subject to fees for using the Italian national health service (servizio sanitario nazionale, or SSN), according to the update published on the British government’s Living in Italy website on Friday afternoon.

“The Italian government has recently decided that British nationals who entered and have been living in Italy prior to January 1st 2021 and are beneficiaries of the Withdrawal Agreement can register for free with the Italian national health system and are therefore not required to make voluntary contributions,” it read.

READ ALSO: Trouble proving residency rights leaves Brits in Italy paying €2k health charge

The unexpected announcement came as a relief to many of The Local’s British readers, who have been battling local authorities’ varying interpretations of the rules for those who are covered by the WA.

However there were no further details available immediately about how the rules would work or how this would be communicated to local healthcare offices around Italy.

The British government’s update stated: “We continue to engage to fully understand guidelines and requirements,” and added that any updates would be published on the website.

Clarissa Killwick, citizens’ rights campaigner with Beyond Brexit, told The Local the update on Friday had come as “a big surprise”.

“Obviously very good news, but we need to wait and see the detail as to how this is going to work.”

READ ALSO: Why Brits in Italy say they’ve been ‘hung out to dry’ over €2K healthcare fee

“There has been a very positive reaction from our members,” she said. “I can feel a great weight lifting from those who have gone through a lot of anxiety since the new minimum of €2,000 for SSN voluntary contributions was first mooted last October.”

Italy’s government confirmed the new minimum €2,000 charge applies from the start of 2024, though there has been a persistent lack of clarity over exactly who it applies to.

In the absence of clear national guidelines, local health authorities have reportedly applied differing interpretations of the rules for WA beneficiaries, with several British nationals reporting being wrongly charged the fee in January.

Member comments

    1. Sorry to hear that! We’re still waiting for the detail, but we’ll try to find out what, if anything, can be done in your situation.

  1. we paid our usual fee without issue and received our tessera sanitaria, yesterday we received a letter requesting payment of €2000 each by 31st March. No one can give me a straight answer as to what our actual position is.

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HEALTH

Italy records first ‘indigenous’ case of dengue fever in 2024

Italian health authorities said on Thursday they recorded the first 'indigenous' case of dengue fever for 2024 after a patient who had not travelled abroad tested positive.

Italy records first 'indigenous' case of dengue fever in 2024

“The person who tested positive for dengue fever is in good clinical condition,” the provincial health authority of Brescia, northern Italy, said in a statement on Thursday.

The areas where the patient lived and worked have begun mosquito control measures, including setting mosquito traps, the agency said.

The head of the epidemiology department at Genoa’s San Martino Hospital, Matteo Bassetti, questioned whether it was indeed the first indigenous case of the year, or rather the first recognised one.

“By now, Dengue is an infection that must be clinically considered whenever there are suspicious symptoms, even outside of endemic areas,” Bassetti wrote on social media platform X.

Dengue is a viral disease causing a high fever. In rare cases, it can progress to more serious conditions resulting in severe bleeding.

Deaths are very rare.

An indigenous case means that the person has not recently travelled to regions of the world where the virus, which is transmitted from one person to another by tiger mosquitoes (Aedes albopictus), is widely circulating.

The presence of those mosquitoes have been increasing in several southern European countries, including Italy, France and Spain.

The World Health Organization has said the rise has been partly fuelled by climate change and weather phenomena in which heavy rain, humidity and higher temperatures favour mosquitoes’ reproduction and transmission of the virus.

In 2023, Italy recorded more than 80 indigenous cases, while France had about fifty, according to the WHO.

Cases in which the person is infected abroad number in the hundreds.

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