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Italian Healthcare system

All students must possess a health insurance certificate valid in Italy for the entire duration of their stay in the country. This applies to both EU and Non EU citizens.

In this section you will find an explanation of:
a) The services supplied by ASUR n.9, our regional Health Authority;
b) The documents needed to access them;
c) How to register with the Italian Health Care System;
The same information is available in our pdf Guide to Macerata's Health Care System and in the relevant map.

ASUR n.9 (Azienda Sanitaria Unica Regionale) is the regional health authority supplying standard medical assistance financed by public funds. Some treatments are free, others require a financial contribution (“ticket”). If you pay, please keep all the receipts, as you may be able to ask for a reimbursement in your home country.

a) SERVICES OFFERED

EMERGENCIES AND FIRST AID

If you need medical advice out of office hours (that is after 8 p.m. or during the week end) you can consult the doctor on duty, also called “guardia medica”. You can either call him/her at: 0733 2313780733 231378 or go directly to his/her clinic in Via Santa Lucia 2, very close to Macerata’s general hospital (point 2 of the map).

In case of emergencies or if you need an ambulance, you can call the emergency medical service at 118 or go directly to the first aid station of Macerata’s general hospital (point 1 of the map).

MACERATA'S FAMILY DOCTORS

family doctor, or general practitioner, is a doctor you can consult when:
- you need general medical advice;
- you need a medicine that pharmacies are allowed to sell only with a doctor’s prescription (called “ricetta”), such as antibiotics, anti-inflammatory medications, etc.
- you need a prescription (called “impegnativa”) for specific treatments or checkup at Macerata’s hospital, such as a visit to a dermatologist, or a blood test.

Family doctors are only available during office hours (approximately from 8 a.m. to 6 p.m.). We suggest that you go to their clinics, or call and check their surgery hours in advance. Here is a short list of Macerata’s family doctors.

More contacts are available on the complete list of Macerata's family doctors. When you register with the Italian Health Care System, you are assigned a specific family doctor, whom you will consult, for the entire duration of your stay in Macerata.

SPECIFIC TREATMENTS AND CHECK-UP

i.e. blood test laboratory; ear, nose and throat specialists; dermatologists; orthopedists; oculists; dentists; gynecologists of the “consultorio” system, etc…

If you feel you need a specific treatment or checkup, go first to your family doctor’s clinic and ask him/her advice. If needed, he/she will issue the prescription (“impegnativa”) required for most treatments supplied by ASUR n.9. Macerata’s hospital has two main buildings: the general hospital, and the head offices of ASUR n.9 (also called “Distretto”). When you make an appointment for a specific treatment, you are told which building to go to:

1) ASUR N.9 – Distretto (head offices) 
Belvedere Raffaello Sanzio, 1 – Macerata (point 3 of the map)

Main treatments offered: dentist and gynecologist, dermatologist, oculist, ear, nose and trhoat....
2) OSPEDALE DI MACERATA (general hospital)
Via Santa Lucia, 2 – Macerata (point 1 of the map)

Main treatments offered: emergency and first aid; blood test laboratory; ear, nose and throat specialist; dermatologist; orthopedist; oculist…

CONTACTS
Reception: 0733 257210733 25721
Customer care ("URP"): 0733 25727530733 2572753 (available Monday to Saturday, from 8 a.m. to 13 p.m.; Tuesday and Thursday from 3 to 5.15 p.m.) 
E-MAIL: zt9urp@sanita.marche.itnunzia.pagliariccio@sanita.marche.it
WEB: http://www.asurzona9.marche.it

APPOINTMENTS
To make an appointment and book the needed treatment you can either:
• refer directly to the general hospital’s customer care service;
• call the general booking service
Tel: 8000 98798 land line numbers; 
Tel: 199 419891199 419891 mobile phone numbers.
The day of your checkup or treatment, you will be asked to present your family doctor’s prescription (“impegnativa”). You might also be asked to pay a contribution called “Ticket”. In this case, please keep the receipt, as you can ask for a reimbursement in your home country.


b) DOCUMENTS NEEDED TO ACCESS THE ITALIAN HEALTH CARE SYSTEM

EUROPEAN HEALTH INSURANCE CARD  (EU CITIZENS)

Thanks to reciprocal health care agreements, this card guarantees emergency medical services to all EU citizens. It also allows you to access the Italian Health Care System if you stay in Italy for less than 90 days. It is very important that you always carry your European Sanity card with you.

E-106 or S1 FORM (EU CITIZENS)

The E-106 o the S1 form issued by the Health authority of your country, before leaving for Italy. It is free and can be obtained immediately by simply presenting your Erasmus Certificate; A major reform of European social security law entered into force in May 2010. This reform abolished E forms, which had been used for years by people moving within the EU. New simplified forms have replaced E forms but in practice, some national authorities are still working with E-forms for a transitional period. More info at: http://europa.eu/youreurope/citizens/work/social-security-forms/e-forms_en.htm and http://europa.eu/youreurope/citizens/work/social-security-forms/index_en.htm .When you are in Italy, this form allows you to register with the Italian Health Care System and to have a family doctor, for the entire duration of your stay. It is compulsory for European students staying in a EU country for more than 90 days.

PRIVATE HEALTH INSURANCE (non-EU CITIZENS)

If you want to access the Italian health care system and you are an extra-European student, you need a private health insurance policy against illness and accident. If during your stay, you pay for treatments or examinations and keep all the receipts, you can ask your health insurance for a reimbursement in your home country. You will need the same insurance policy to apply for you temporary residence permit (“Permesso di soggiorno”).

ITALIAN IDENTIFICATION TAX CODE – “Codice Fiscale

This code can be obtained for free at the Agenzia delle Entrate (District Tax Office) by simply presenting an identity card or passport. This does not require a great deal of time since the tax code is issued immediately, after filling in a specific form. Click here to download the tax code Application form.

AGENZIA DELLE ENTRATE | Via Roma, 157 - 62100 Macerata | (point 4 of the map) | Tel: +39 0733 369211+39 0733 369211
Opening hours: Monday to Friday __ 9.00 a.m./1.00 p.m.
Tuesday and Thursday __ore 3.00 p.m./5.00 p.m.

c) HOW TO REGISTER WITH THE ITALIAN HEALTH CARE SYSTEM

EU CITIZENS WITH E-106 or S1 FORM

Citizens from the European Union staying in Italy for more than 90 days must register with the regional health authority – ASUR n.9, in order to have a family doctor in Macerata and enter the Italian Health Care System. The registration is to be done at the head offices of ASUR n.9, also called “Distretto” (point 3 of the map).

The office taking care of the registration is:

UFFICIO ANAGRAFE ASSISTITI
Belvedere Raffaello Sanzio, 1 (point 3 of the map);
Office hours: Monday to Friday 9.30/13.00–15/18; Saturday 9.30/13.00
Where: ask for a building called “Distretto”, ground Floor, on the left.
For the registration the following documents will be required
• an ID card or passport;
• your European Sanity Card;
• the E-106 form;
• a declaration of your address in Macerata;
• your Tax code.
After the registration, you will be assigned a specific family doctor, whom you will consult for medical advice, for the entire duration of your stay in Macerata.

EU CITIZENS WITHOUT E-106 or S1 FORM

If you do not have any E-106 form, you cannot register with the Italian Health Care System. You will access  the main health care services using your European Health Card. It will not be possible for you to be assigned any family doctor in particular and you will consult any of the doctors listed above, to get medical advice or prescriptions.

NON EU CITIZENS WITH A PRIVATE HEALTH INSURANCE

Thanks to your health insurance policy against illness and accident, you can register with the Italian health care system and access to the medical services supplied by ASUR n.9. The registration is to be done at the head offices of ASUR n.9, also called “Distretto”.
The office taking care of the registration is:
UFFICIO ANAGRAFE ASSISTITI
Belvedere Raffaello Sanzio, 1 (point 3 of the map);
Office hours: Monday to Friday 9.30/13.00–15/18; Saturday 9.30/13.00
Where: ask for a building called “Distretto”, ground Floor, on the left.

You will be requested:
1.     to pay a fee of about € 149,77 which will allow you to be fully covered by the Italian health service for a calendar year. The  payment is to be credited at the Central Post Office in Macerata (via Gramsci, 44; T.  +39 0733 273053+39 0733 273053), using a form called F24 where you will specify the following details: Region code 11; Fee code 8846.
2.      your registration at the UFFICIO ANAGRAFE ASSISTITI (see above).

For the registration the following documents will be required:
• an ID card or passport;
• a copy of your health insurance policy;
• a certificate issued by the University of Macerata. If you are an exchange/Erasmus student, you get this certificate when you register with the International Relations Office;
• a copy of the receipt you got at the post office, when you posted the application form for your residence permit;
• a declaration of your address in Macerata;
• your Tax code.

NON EU CITIZENS WITHOUT A PRIVATE HEALTH INSURANCE

If you do not have any health insurance policy against illness and accidents, you must report to ASUR n.9  (the regional health authority) and apply for an Italian Identification Health Card. This card will allow you to be registered in the national health system for a calendar year. You will be requested:
1.     to pay a fee of about € 149,77 which will allow you to be fully covered by the Italian health service for a calendar year. The  payment is to be credited at the Central Post Office in Macerata (via Gramsci, 44; T.  +39 0733 273053+39 0733 273053), using a form called F24 where you will specify the following details: Region code 11; Fee code 8846.
2.      your registration at the UFFICIO ANAGRAFE ASSISTITI (see above).
For the registration the following documents will be required:
• an ID card or passport;
• the receipt of payment of about euros 149,77;
• a certificate issued by the University of Macerata. If you are an exchange/Erasmus student, you get this certificate when you register with the International Relations Office;
• a copy of the receipt you got at the post office, when you posted the application form for your residence permit;
• a declaration of your address in Macerata;
• your Tax code (Codice Fiscale).

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