The National Health System, by law, provides that all citizens have free access to health services of any kind provided that they pay, depending on the type of examination or examination required, the payment of a ticket. Some citizens, however, depending on the case, are exempt from paying it. That's why, in which cases it is possible to request exemption from the payment of the ticket and what is the bureaucratic procedure to be followed to request it.
ticket exemption
WHAT IS A TICKET EXEMPTION CERTIFICATE?
The legislation that regulates the National Health Service provides that every citizen can have access to all health services upon payment of a ticket , the amount of which varies depending on the exams required and the service provided. Not all citizens, however, are required to pay this amount .
This happens for purely economic reasons and for health conditions ; the State then takes care of citizens suffering from diseases and less well-off, identified through income, and allows them access to free completion of health services as needed. This particular treatment is sanctioned through a certificate of exemption from the ticket . So let's see what it is, what are the groups of citizens who are entitled and how to request this type of exemption.
CITIZENS WHO HAVE THE RIGHT TO REQUEST THE EXEMPTION
The citizens who are entitled to access to health services in a completely free are:
Persons under 6 and over 65 with an annual income of less than € 36,151.98
The unemployed subjects, with a family income of less than 8,263.31 euros, increased to 11.362, 05 if in the presence of a spouse and dependent children
Subjects holding a social allowance
Pensioners with 60 years and a family income of less than 8,253.31, brought to the figure of 11.362.05 euros if in the presence of spouse and dependent children
At this point it is necessary a clarification concerning the concept of "family nucleus". What is a family unit? For tax purposes, it consists of the person concerned, the spouse who is not legally separated and all other dependent family members. If the different family members live together, it is irrelevant.
For the same reason, it should be noted that "dependent family members" are all family members who are not independent from the fiscal point of view and for whom the family enjoys tax deductions.
Another clarification concerns the overall income of the family unit . This value is given by the sum of the individual income produced by each member of the family member and is shown on the tax return including all deductible expenses:
Certified income with the Unico model
Income certified with the 730 model
HOW TO OBTAIN THE EXEMPTION CERTIFICATE
The ticket exemption certificate is obtained through assessment and recognition of this right by searching for the name of the person in a list that the Inland Revenue provides to the region, the local health authorities and the family doctor . The list is updated every year.
The certificate is sent at home , by post, with an official communication attesting that the citizen has been included in the list of the Ministry of Economy and Finance. At this point, it is sufficient to show up at the ASL counters enabled to request the reprint of the ticket exemption certificate.
However, there are special cases for which a citizen , even if he meets all the required requirements, can not be automatically entered in the Ministry's lists . This is the case, for example, of unemployed people or citizens who, even if they possess the income for which it is possible to apply for and obtain the exemption, are not in any case on the list produced by the Ministry.
In cases such as these, the citizen must go to the ASL of competence , submit the self-certification and be issued with the exemption certificate.
Let's make a summary of what has been said so far. To find out if you have the right, or not, to request a ticket exemption, you must:
Know what are all the members of the family unit (dependents referred to in the tax return)
Make the sum of all the total gross income of the components
Check if the sum is lower or higher than the parameters indicated and established by the legislation
Let us now examine some of the most frequent individual cases.
TICKET EXEMPTION FOR THE UNEMPLOYED
All citizens who have ceased their employment for any reason are entitled to the exemption certificate; dismissal, termination of a fixed-term contract and resignation . The employment relationship must be dependent and the citizen, in order to apply for the certificate, must be registered with the Employment Office pending a new occupation. A citizen who has never carried out any type of work activity or a person who has ceased work as an independent worker, whatever that is, can not be considered unemployed.
The various types of exemption, which indicate the reason why the citizen can enjoy these services, are indicated with a code and the one that indicates the exemption due to unemployment is the E02 code . The certificate is issued by the ASL of membership, which certifies this type of condition annually.
TICKET EXEMPTION FOR RETIRED PEOPLE
I retired to a minimum have direct exemption ticket. But who are the pensioners at a minimum? This category of citizens is made up of pensioners who hold a minimum pension, recognized by the INPS on the basis of the calculation of the contributions paid. If the value of the pension is lower than the limit set by the law, it is called a minimum pension.
TICKET EXEMPTION FOR THOSE ENTITLED TO EXEMPTION BUT NOT LISTED
As mentioned above, this case may also occur : a citizen is in possession of all the requirements necessary to obtain the exemption, but does not appear in the lists of exempt income . This can happen because, for example, the income of the previous year was of a lower value than that found in the Inland Revenue, or because a citizen started to receive a minimum pension or a social allowance.
In this case, the citizen has the right to submit the request and at this point the competent local health authority intervenes . The ASL has the task, therefore, to issue a provisional certificate, which indicates the name of the person entitled to exemption, and which is valid for the entire calendar year.
The certificate is issued as long as the citizen presents the following documents :
Self-certification of the right to this type of exemption
Self-certification of the total income and of the family unit in relation to the previous year
Self-certification of the total income of the family in relation to the year for which the exemption of the ticket is required
Self-certification in the case of pension perception integrated with the minimum pension, as a social allowance
Self-certification of unemployed status issued by the Employment Center with which the citizen undertakes to communicate in a timely manner the possible termination of the unemployment status, which obviously involves the loss of the exemption
Statement of awareness of criminal consequences for issuing false statements
Copy of a valid ID
The ticket exemptions are also due to the following categories of people:
Chronic and disabling diseases
Those suffering from chronic illness are exempt from paying the ticket on the services they must access, provided that all the clinical documentation attesting their physical condition is present in the appropriate offices. To consult which diseases are considered chronic and disabling it is necessary to consult the list made available on the website of the Ministry of Health.
Rare diseases
The same is true for rare diseases. If you have a rare disease, after having verified that you belong to this category, you have the right to access the health services necessary to carry out the checks you need for free.
Disability
Those with disabilities have the right to exemption for some or all of health services. Also in this case, to find out what are the categories of people that the State recognizes as disabled, it is necessary to consult the lists of the Ministry of Health .
Exemptions for early diagnosis
Public health facilities provide several screening programs for early detection, such as mammography, pap smear and the search for occult blood in the stool . These exams are totally free and are exempt from the payment of tickets. To know what are all the screening programs available to citizens, simply contact the local health authority or ask the family doctor .
Exemptions for pregnancy
Couples who are looking for a child and pregnant women are entitled to free access to some of the specialist services that need to be performed during pregnancy. To find out what services can be accessed free of charge, even in this case, it is necessary to access the dedicated section on the Ministry of Health website.
Free for the HIV test
In all public hospitals, it is possible to carry out the HIV test in an absolutely anonymous and free way , without having to pay the ticket.
DESKS TO CONTACT FOR INFORMATION
The counters dedicated to all the activities and the documentation related to the exemption of the ticket are those dedicated to the exemptions in each health district of the local health authority.
When you present yourself at the counters, remember to always have with you the tax code of all the members of the family unit for which the exemption and the health card are required, as well as a photocopy of the registrant's identity card.
ticket exemption
WHAT IS A TICKET EXEMPTION CERTIFICATE?
The legislation that regulates the National Health Service provides that every citizen can have access to all health services upon payment of a ticket , the amount of which varies depending on the exams required and the service provided. Not all citizens, however, are required to pay this amount .
This happens for purely economic reasons and for health conditions ; the State then takes care of citizens suffering from diseases and less well-off, identified through income, and allows them access to free completion of health services as needed. This particular treatment is sanctioned through a certificate of exemption from the ticket . So let's see what it is, what are the groups of citizens who are entitled and how to request this type of exemption.
CITIZENS WHO HAVE THE RIGHT TO REQUEST THE EXEMPTION
The citizens who are entitled to access to health services in a completely free are:
Persons under 6 and over 65 with an annual income of less than € 36,151.98
The unemployed subjects, with a family income of less than 8,263.31 euros, increased to 11.362, 05 if in the presence of a spouse and dependent children
Subjects holding a social allowance
Pensioners with 60 years and a family income of less than 8,253.31, brought to the figure of 11.362.05 euros if in the presence of spouse and dependent children
At this point it is necessary a clarification concerning the concept of "family nucleus". What is a family unit? For tax purposes, it consists of the person concerned, the spouse who is not legally separated and all other dependent family members. If the different family members live together, it is irrelevant.
For the same reason, it should be noted that "dependent family members" are all family members who are not independent from the fiscal point of view and for whom the family enjoys tax deductions.
Another clarification concerns the overall income of the family unit . This value is given by the sum of the individual income produced by each member of the family member and is shown on the tax return including all deductible expenses:
Certified income with the Unico model
Income certified with the 730 model
HOW TO OBTAIN THE EXEMPTION CERTIFICATE
The ticket exemption certificate is obtained through assessment and recognition of this right by searching for the name of the person in a list that the Inland Revenue provides to the region, the local health authorities and the family doctor . The list is updated every year.
The certificate is sent at home , by post, with an official communication attesting that the citizen has been included in the list of the Ministry of Economy and Finance. At this point, it is sufficient to show up at the ASL counters enabled to request the reprint of the ticket exemption certificate.
However, there are special cases for which a citizen , even if he meets all the required requirements, can not be automatically entered in the Ministry's lists . This is the case, for example, of unemployed people or citizens who, even if they possess the income for which it is possible to apply for and obtain the exemption, are not in any case on the list produced by the Ministry.
In cases such as these, the citizen must go to the ASL of competence , submit the self-certification and be issued with the exemption certificate.
Let's make a summary of what has been said so far. To find out if you have the right, or not, to request a ticket exemption, you must:
Know what are all the members of the family unit (dependents referred to in the tax return)
Make the sum of all the total gross income of the components
Check if the sum is lower or higher than the parameters indicated and established by the legislation
Let us now examine some of the most frequent individual cases.
TICKET EXEMPTION FOR THE UNEMPLOYED
All citizens who have ceased their employment for any reason are entitled to the exemption certificate; dismissal, termination of a fixed-term contract and resignation . The employment relationship must be dependent and the citizen, in order to apply for the certificate, must be registered with the Employment Office pending a new occupation. A citizen who has never carried out any type of work activity or a person who has ceased work as an independent worker, whatever that is, can not be considered unemployed.
The various types of exemption, which indicate the reason why the citizen can enjoy these services, are indicated with a code and the one that indicates the exemption due to unemployment is the E02 code . The certificate is issued by the ASL of membership, which certifies this type of condition annually.
TICKET EXEMPTION FOR RETIRED PEOPLE
I retired to a minimum have direct exemption ticket. But who are the pensioners at a minimum? This category of citizens is made up of pensioners who hold a minimum pension, recognized by the INPS on the basis of the calculation of the contributions paid. If the value of the pension is lower than the limit set by the law, it is called a minimum pension.
TICKET EXEMPTION FOR THOSE ENTITLED TO EXEMPTION BUT NOT LISTED
As mentioned above, this case may also occur : a citizen is in possession of all the requirements necessary to obtain the exemption, but does not appear in the lists of exempt income . This can happen because, for example, the income of the previous year was of a lower value than that found in the Inland Revenue, or because a citizen started to receive a minimum pension or a social allowance.
In this case, the citizen has the right to submit the request and at this point the competent local health authority intervenes . The ASL has the task, therefore, to issue a provisional certificate, which indicates the name of the person entitled to exemption, and which is valid for the entire calendar year.
The certificate is issued as long as the citizen presents the following documents :
Self-certification of the right to this type of exemption
Self-certification of the total income and of the family unit in relation to the previous year
Self-certification of the total income of the family in relation to the year for which the exemption of the ticket is required
Self-certification in the case of pension perception integrated with the minimum pension, as a social allowance
Self-certification of unemployed status issued by the Employment Center with which the citizen undertakes to communicate in a timely manner the possible termination of the unemployment status, which obviously involves the loss of the exemption
Statement of awareness of criminal consequences for issuing false statements
Copy of a valid ID
The ticket exemptions are also due to the following categories of people:
Chronic and disabling diseases
Those suffering from chronic illness are exempt from paying the ticket on the services they must access, provided that all the clinical documentation attesting their physical condition is present in the appropriate offices. To consult which diseases are considered chronic and disabling it is necessary to consult the list made available on the website of the Ministry of Health.
Rare diseases
The same is true for rare diseases. If you have a rare disease, after having verified that you belong to this category, you have the right to access the health services necessary to carry out the checks you need for free.
Disability
Those with disabilities have the right to exemption for some or all of health services. Also in this case, to find out what are the categories of people that the State recognizes as disabled, it is necessary to consult the lists of the Ministry of Health .
Exemptions for early diagnosis
Public health facilities provide several screening programs for early detection, such as mammography, pap smear and the search for occult blood in the stool . These exams are totally free and are exempt from the payment of tickets. To know what are all the screening programs available to citizens, simply contact the local health authority or ask the family doctor .
Exemptions for pregnancy
Couples who are looking for a child and pregnant women are entitled to free access to some of the specialist services that need to be performed during pregnancy. To find out what services can be accessed free of charge, even in this case, it is necessary to access the dedicated section on the Ministry of Health website.
Free for the HIV test
In all public hospitals, it is possible to carry out the HIV test in an absolutely anonymous and free way , without having to pay the ticket.
DESKS TO CONTACT FOR INFORMATION
The counters dedicated to all the activities and the documentation related to the exemption of the ticket are those dedicated to the exemptions in each health district of the local health authority.
When you present yourself at the counters, remember to always have with you the tax code of all the members of the family unit for which the exemption and the health card are required, as well as a photocopy of the registrant's identity card.
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