Voluntary SSN cost calculator for foreigners in Italy (2026)

Students, au pairs, elective-residence holders and some others can join Italy's health service (SSN) by paying a yearly contribution. Choose your case.

Rules that catch people out

• Calendar year only. Registration runs from 1 January to 31 December. It cannot be split or backdated: join in October and you pay the full year, then pay again in January.
• Students: the €700 rate usually requires a self-declaration that you have no income other than Italian public grants or scholarships. With other income, or with dependants, the general rule applies.
• No European health card. Voluntary registration does not give you the TEAM/EHIC card for trips to other EU countries.
• Pay by F24, Sezione Regioni, tax code 8846, with your region's code and the year covered. The health office usually gives you the codes.

Full explanation: voluntary SSN registration in 2026.

Amounts can change through the yearly budget law or be indexed by ministerial decree. Ask your health office (ASL) for the current figure before paying. Sources: D.Lgs. 286/1998 art. 34 on normattiva.it; Law 213/2023 art. 1 c. 240; salute.gov.it. Checked October 2026.