Come prescrivere le cure
How to access spa treatment
Each patient has the right to benefit, with costs borne by the National Health Service, of only one cycle of spa treatments, throughout the year, for pathologies that can benefit from the same treatments. To benefit from spa treatments it is sufficient to have your "family doctor" issue you the proposal-request to be drawn up in the standardized recipe book of the National Health Service. By "family doctor" we mean the general practitioner, the pediatrician of free choice or the specialist, in one of the branches relating to the pathologies that can benefit from treatment, who uses the standardized prescription book. The requested proposal must indicate the diagnosis (corresponding to one of the pathologies that can benefit from spa treatments, identified by the Ministry of Health in a specific list attached to the Ministerial Decree of 15 December 1994 and referred to in the subsequent decree of 22 March 2001) and the related cycle of treatments to be practiced. In cases where the spa doctor finds in the proposed prescription a significant difference between the pathology and the prescribed treatments, he can agree on any adjustments to the prescription with the referring doctor of the local health authority where the establishment is located, without modifying the diagnosis formulated. from your GP or specialist. Upon welcoming the patient, the health director of the Spa, or other doctor in charge, fills in the relevant medical record, following a thorough medical examination aimed at ascertaining any clinical contraindications to the treatments and identifying the quality, timing and methods of the prescribed administrations.
Ticket policy Non-exempt patients: pay the fixed fee of 50.00 euros for the entire course of treatment
- Citizens aged between 6 and 65
Partially exempt patients: pay the fixed fee of Euro 3.10
- Citizens under the age of six or over 65, belonging to a family unit with a total income referring to the previous year not exceeding 36,151.98 euros;
- Social pension holders and their dependent family members belonging to a family unit with a total income referring to the previous year not exceeding 8,263.31 Euros and up to 11,362.05 Euros with spouse + 516.46 Euros for each dependent child ;
- Minimum pension holders over 60 years of age and their dependent family members belonging to a family unit with a total income referring to the previous year not exceeding 8,263.31 Euros and up to 11,362.05 Euros with spouse + 516.46 Euros for each dependent child;
- The unemployed and their dependent family members belonging to a family unit with a total income referring to the previous year not exceeding 8,263.31 Euros and up to 11,362.05 Euros with spouse + 516.46 Euros for each dependent child;
- Service-disabled persons belonging to categories from 2nd to 5th
- Service-disabled persons belonging to categories 6 to 8, limited to services related to the disabling pathology;
- Civil disabled people from 67% to 99%;
- Civil disabled people with accompanying allowance;
- Work disabled people from 67% to 79%
- Work disabled people with less than 2/3 disability, limited to services related to the disabling pathology;
- Blind and deaf-mute persons referred to in art. 6 and 7 of law 482/68;
- War invalids belonging to categories 1 to 5 who do not have a direct lifelong pension;
- War invalids belonging to categories 6 to 8 who do not have a direct lifelong pension, limited to benefits related to the disabling pathology;
- Carriers of malignant neoplastic diseases;
- Exempt due to pathology only for services related to the disabling pathology;
Totally exempt patients
- War invalids belonging to categories 1 to 5a who hold direct life-long pensions;- War invalids belonging to categories 6 to 8, who hold direct life-long pensions, limited to benefits related to the disabling pathology;- Service invalids belonging to category 1;
- The 100% civil disabled;
- Civil disabled people with accompanying allowance;
- The severely disabled at work with a disability greater than 80 percent;
- The absolutely blind.
The so-called protected categories (ex art.57 paragraph 3 l.n.833/78 and art.13 c.6 D.L. n.463/83, as amended by the conversion law L.n.638/83) can benefit, during the course of the year, from an additional specific course of treatment. This category includes: invalids due to war and service, blind, deaf-mute and civil invalids with a percentage of more than two-thirds, and labor invalids. All those who undergo treatment are required to declare, on the back of the prescription-proposal, under their own responsibility that, in the current calendar year, they have not benefited from another specific course of treatment, with charges borne by the National Health Service, or that they are entitled to the treatments provided for members of protected categories.
The spa for workers
Spa benefits may not be taken by employees, public and private, outside the period of vacation or ordinary leave. It is possible for personnel falling into the categories of the mutilated, war or service disabled to carry out the treatments prescribed in relation to their state of disability, according to the limits provided for by the regulations in force and the respective CCNLs, making use of leave for treatment, falling under the discipline of sick leave. In the event that, for therapy or rehabilitation related to affections or pathological states, the doctor of the ASL or social security agencies judges it decisive to resort to timely spa treatment and for this reason a postponement of the treatment is discouraged, the employee, making use of sick leave, may go to perform the prescribed therapies at the indicated spas. This normative direction has also been reaffirmed by recent rulings of the Supreme Court, which has emphasized the need for the prescribing physician to make a reasoned judgment regarding the indifference of the treatment and the "specific therapeutic or rehabilitative suitability of the prescribed treatments."
Injured workers are eligible for hydrofangothermal treatment, paid for by the Institution, subject to review by INAIL's physician.
The guaranteed benefits are medical and economic in nature. The latter consist of reimbursement of round-trip travel expenses to the invalid and any accompanying person for the performance of treatment, stay in an affiliated hotel, including for any accompanying person, allowance for temporary absolute incapacity or supplement to the direct pension.
The benefit is paid by the National Health Service and the worker must, therefore, be required to pay the "co-payment" to the extent provided by law. Entitled to the benefit are: workers injured or suffering from occupational disease during the period of absolute temporary disability; annuity holders for whom the last review period has not expired; silicosis or asbestosis patients without time limit.
In order to obtain the benefit, a request must be submitted to the INAIL office to which the person belongs. The INAIL doctor determines, for the treatment, the appropriateness, type and duration taking into account the Ministry of Health's exhaustive list of diseases that can find real benefit from spa treatment.
All employed and self-employed workers registered with INPS who have met the required contribution requirements are entitled to benefits. The benefits, which the Institution has the power to grant are aimed at avoiding, delaying, or removing a state of disability, and are limited only to treatment for broncho-asthmatic and rheumatic-arthropathic diseases. The cost of treatment is borne by the National Health Service; the cost of stay is borne by INPS. The insured person is required to pay the "co-payment" in the amount prescribed by law. Round-trip travel expenses are borne by the insured. The initiation of treatment takes place after INPS has ascertained the existence of contribution and health requirements.
Other Social Security Institutions The law reorganizing the spa sector (No. 323/00) provided, in Article 5, that the special spa regime in force for INPS insured persons also applies, in the same way, to members of institutions, funds or funds in charge of the management of forms, including those in substitution for compulsory disability insurance, who meet the requirements laid down by INPS for admission to the same special spa regime.