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‘We are desperate’: Why the UK must help Britons with Italian healthcare charges

A 74-year-old British woman has explained the "frustration and fear" Britons in Italy are facing when trying to access healthcare and appealed to the UK government for help.

Published: 11 April 2024 09:53 CEST
A photo shows the San Raffaele hospital in Milan
The San Raffaele hospital in Milan.(Photo by GABRIEL BOUYS / AFP)

Pat Eggleton, a teacher and writer from the UK, appealed to the UK’s Foreign Secretary David Cameron in the letter sent April 9th about the “desperate” situation faced by UK citizens entitled to free healthcare in Italy – but unable to access it.

British nationals residing in Italy before Brexit, and covered by the Withdrawal Agreement (WA), are in many cases being told by Italian health authorities that they must pay steep new fees at a minimum of €2,000 a year – even though they are exempt from paying at all.

READ ALSO: ‘Life or death situation’: Brits facing high Italian healthcare costs amid rule change uncertainty

In her open letter seen by The Local, Ms. Eggleton, who has lived in Italy since 2005, highlighted that the current minimum is a huge jump from the previous €387, and said that the sum was “difficult, or even impossible, for some to find when there had been no prior notification and there is no option to pay in instalments.”

“A great deal of undeserved worry, frustration and even fear has ensued,” she wrote.

“Some of our group have serious, ongoing health conditions. All we require is for one sentence from the Italian government confirming that Withdrawal Agreement beneficiaries do not have to pay for healthcare access to be circulated to all regional health authorities.

“We implore you to act before this becomes even more serious. As someone put it, “This is a matter not only of money, but of health.” 

Ms Eggleton’s letter came exactly one month after the British government confirmed that all WA agreement beneficiaries are exempt from paying the €2,000 fee, provided they were living in Italy before January 1st 2021.

But there were no details available at the time from the Italian government setting out how the rules would be implemented or communicated to local health authorities around Italy.

Since then, there has been no further information released by the Italian government on any official platform. 

One Withdrawal Agreement beneficiary, Graham Beresford, told The Local last week how he was having trouble accessing healthcare, even though he has a right to it.

Mr. Beresford suffers from blood cancer and needs access to the Italian healthcare system to obtain his medication. 

“Every time I go to my ASL (local health unit) office, I always feel like I’m dismissed,” Graham said. “I told the ASL worker I need medication for my cancer and she replied lots of people come in here with sob stories.

“There genuinely seems to be no compassion whatsoever.”

The Local has written to the Italian health ministry for comment.

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BREXIT

Will Brits in Italy face travel problems under new EES passport system?

The EU's new Entry & Exit System (EES) of enhanced passport controls is due to come into force later this year, but will this create more headaches for non-EU nationals who need to prove their Italian residency rights?

Published: 30 April 2024 16:36 CEST
Will Brits in Italy face travel problems under new EES passport system?

Currently scheduled to start in autumn 2024 (unless it’s delayed again, which is possible) the EU’s new Entry & Exit System is an enhanced passport check at external EU borders.

You can find a full explanation of the new system and what it means for travellers HERE.

Those crossing an external EU or Schengen border for the first time will be required to complete EES ‘pre-registration’ formalities, including facial scan and fingerprinting.

Several groups are exempt from EES, and one of them is non-EU nationals who have a residency permit or long-stay visa for an EU country.

A European Commission spokesman told The Local: “Non-EU citizens residing in the EU are not in the scope of the EES and will not be subject to pre-enrollment of data in the EES via self-service systems. The use of automation remains under the responsibility of the Member States and its availability in border crossing points is not mandatory.

“When crossing the borders, holders of EU residence permits should be able to present to the border authorities their valid travel documents and residence permits.”

READ ALSO: What will EES passport system mean for foreigners living in Europe?

But there have understandably been questions about how this exemption will work in practice.

Most airports, ports or terminals have two passport queues – EU and non-EU. It remains unclear whether the non-EU queue will now have a separate section for those who are exempt from EES.

It appears that exempt groups will not be able to use the automated passport scanners – since those cannot scan additional documents like residency permits – but should instead use manned passport booths.

What does this mean for travel between Italy and the UK?

It seems that nothing will therefore change for those who already have to show their Italian residency documents along with their passport when travelling to and from the UK (or another non-EU country) in order to avoid having their passport incorrectly stamped.

UK citizens who were legally resident in Italy before the end of the Brexit transition period are in a somewhat unusual position, as Italy is one of a handful of “declaratory” countries in the EU where getting a post-Brexit residency card (Italy’s is known as the ‘carta di soggiorno‘) was optional, rather than compulsory.

The British government has long recommended that British nationals who were resident in Italy before Brexit should obtain the card as it’s the easiest way to prove residency rights and avoid delays at the border.

In practice, many of Italy’s British residents have since found that the post-Brexit residency card is also necessary in order to complete various bureaucratic procedures within Italy.

READ ALSO: EES: Could the launch of Europe’s new border system be delayed again?

But will the EES system mean that the card now becomes a de facto requirement when travelling between Italy and the UK?

The British government has not issued any updated guidance on the matter in light of the introduction of EES, and the British Embassy in Rome did not immediately respond to a request for comment from The Local.

Although EES does not change any rules relating to residency or travel, it seems likely that it will be more hassle to travel without a ‘carta di soggiorno’ than it is now.

As always, our advice is that getting the card, if you haven’t already, will probably save you a considerable amount of time and trouble, both within Italy and when travelling.

You can find our full Q&A on EES HERE.

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