Prestazioni garantite dal SSN - LEA (Livelli essenziali di assistenza)
DISCOVER THE SERVICES AND BENEFITS YOU ARE ENTITLED TO
Essential Levels of Assistance (Essential Levels of Assistance , LEA)
Essential Levels of Assistance (hereinafter LEAs, widely used acronym of the Italian Livelli essenziali di assistenza) are the services that the Italian National Health Service (INHS) is required to provide to all citizens, free of charge or upon payment of a fee (ticket), by using public resources collected through general taxation (taxes).
The services that the INHS must provide and cover are divided into three categories:
• Collective preventionwhich includes all prevention activities aimed at communities and individuals (vaccines, screening, food safety, etc. ...);
• District assistancethe health and social-health activities and services spread throughout the territory (primary health care, pharmaceutical, prosthetic, thermal care, etc. ...);
• Hospital assistance first aid, in-patient hospitalization for acute care, day-patient admission, etc. ...).
On 12 January 2017, a new Decree on LEAs (Decree of the President of the Council of Ministers, DPCM) was approved which:
- defines and updates the activities, services and benefits provided to citizens by using the public resources made available to the Italian National Health Service;
- describes in greater detail the services and activities already included in the LEAs;
- redefines and updates the lists of rare diseases and chronic and disabling diseases that give the right to exemption;
- innovates the nomenclators of the outpatient specialist and prosthetic care, introducing technologically advanced prosthetic aids and excluding obsolete services.
As it was already the case, the Regions will still be able to provide and cover additional services other than those included in the LEAs, using their own resources.
SOURCE : MINISTRY OF HEALTH
Dental care
These national provisions provide that the dental care paid by the INHS is limited to programs for the protection of dental health in the developmental age (0-14 years) to certain categories of subjects in particularly vulnerable conditions.
The national legislation on dental assistance which defines the criteria for determining the essential levels of assistance (LEA) consists mainly of Legislative Decree 502/1992 and subsequent amendments and additions.
SOURCE: MINISTRY OF HEALTH
Essential Levels of Assistance (Essential Levels of Assistance , LEA)
Essential Levels of Assistance (hereinafter LEAs, widely used acronym of the Italian Livelli essenziali di assistenza) are the services that the Italian National Health Service (INHS) is required to provide to all citizens, free of charge or upon payment of a fee (ticket), by using public resources collected through general taxation (taxes).
The services that the INHS must provide and cover are divided into three categories:
• Collective preventionwhich includes all prevention activities aimed at communities and individuals (vaccines, screening, food safety, etc. ...);
• District assistancethe health and social-health activities and services spread throughout the territory (primary health care, pharmaceutical, prosthetic, thermal care, etc. ...);
• Hospital assistance first aid, in-patient hospitalization for acute care, day-patient admission, etc. ...).
On 12 January 2017, a new Decree on LEAs (Decree of the President of the Council of Ministers, DPCM) was approved which:
- defines and updates the activities, services and benefits provided to citizens by using the public resources made available to the Italian National Health Service;
- describes in greater detail the services and activities already included in the LEAs;
- redefines and updates the lists of rare diseases and chronic and disabling diseases that give the right to exemption;
- innovates the nomenclators of the outpatient specialist and prosthetic care, introducing technologically advanced prosthetic aids and excluding obsolete services.
As it was already the case, the Regions will still be able to provide and cover additional services other than those included in the LEAs, using their own resources.
SOURCE : MINISTRY OF HEALTH
Dental care
These national provisions provide that the dental care paid by the INHS is limited to programs for the protection of dental health in the developmental age (0-14 years) to certain categories of subjects in particularly vulnerable conditions.
The national legislation on dental assistance which defines the criteria for determining the essential levels of assistance (LEA) consists mainly of Legislative Decree 502/1992 and subsequent amendments and additions.
SOURCE: MINISTRY OF HEALTH
DISTRICT ASSISTANCE
Vaccines
Vaccinations are among the most effective preventive interventions available to public health, allowing to prevent effectively and safely serious diseases, which can cause major complications, disability or death.
By consulting the vaccination schedule, you can learn on all the compulsory and recommended vaccinations divided by age groups and risk categories.
FOCUS VACCINES
SOURCE : MINISTRY OF HEALTH
Vaccines
Vaccinations are among the most effective preventive interventions available to public health, allowing to prevent effectively and safely serious diseases, which can cause major complications, disability or death.
By consulting the vaccination schedule, you can learn on all the compulsory and recommended vaccinations divided by age groups and risk categories.
FOCUS VACCINES
SOURCE : MINISTRY OF HEALTH
Screening
Screening tests are administered to a more or less wide range of the population to identify a disease before it manifests itself with symptoms.
Identifying the pathology at an early stage allows for greater possibilities of treatment and recovery.
The screening for colorectal cancer, breast cancer, cancer of the cervix are among the most common.
SOURCE : MINISTRY OF HEALTH
DISTRICT ASSISTANCE
Primary health care
Thanks to the involvement of its healthcare services and the accredited primary care provider (PCP) and paediatricians, the Italian National Health Service provides the outpatient and home healthcare management of acute and chronic diseases according to best practice and in agreement with the patient, including interventions and actions for the promotion and global protection of health.
SEE FOCUS
Primary health care
Thanks to the involvement of its healthcare services and the accredited primary care provider (PCP) and paediatricians, the Italian National Health Service provides the outpatient and home healthcare management of acute and chronic diseases according to best practice and in agreement with the patient, including interventions and actions for the promotion and global protection of health.
SEE FOCUS
Supplementary assistance
Supplementary assistance includes the provision to specific categories of patients of:
- medical devices (including devices for people suffering from diabetes or some rare diseases and disposable medical devices)
- particular foods (such as gluten-free products for celiac people or products for specific categories of patients).
Ministry of Health – Supplementary assistance
Outpatient specialist assistance
Outpatient specialist assistance consists of the set of diagnostic and therapeutic services provided by specialist doctors in local clinics, hospitals and laboratories, which may be public or accredited private. It is divided into:
diagnostic activity (Instrumental: X-ray, CT, MRI, etc.; Laboratory: virology, anatomy, genetics, etc.) and clinical activity (specialist visits, therapeutic activity, rehabilitation).
- clinical activity (specialist visits, therapeutic activity, rehabilitation).
CONSULT THE NOMENCLATOR OF OUTPATIENT SPECIALIST
BONE DENSITOMETRY, REFRACTIVE SURGERY AND DENTAL SERVICES
Prosthetic care
The National Health Service provides to persons recognized as disabled, or awaiting recognition of disability, health services that involve the provision of prostheses, orthoses and technological aids for the prevention, correction or compensation of functional impairments or disabilities resulting from pathologies or injuries, the enhancement of residual skills as well as the promotion of the autonomy of the patient.
SEE THE LIST OF COVERED SERVICES
SOURCE: MINISTRY OF HEALTH
Thermal Care
Thermal care is provided by the INHS - as provided for by the essential levels of assistance (LEA) - to citizens suffering from certain diseases that can receive an “effective benefit” from this type of treatment.
SEE THE LIST OF COVERED SERVICES
Residential and semi-residential social and health assistance (Chapter IV - Art. 21-35)
The Italian National Health Service offers to non self-sufficient people suffering from chronic diseases or in frail conditions - who do not have the possibility to be treated at home - , the opportunity to live in non-hospital residential structures that offer them all the assistance they need
SOURCE: MINISTRY OF HEALTH
HOSPITAL ASSISTANCE
The level of hospital assistance is divided into 8 areas of activity:
1. First aid
2. Ordinary hospitalization for acute cases
3. Day surgery
4. Day hospital
5. Rehabilitation and post-acute long-term care
6. Transfusion activities
7. Cell, organ and tissue transplant activity
8. Poison Control Centers (CAV)
Ministry of Health - Hospital Assistance
The level of hospital assistance is divided into 8 areas of activity:
1. First aid
2. Ordinary hospitalization for acute cases
3. Day surgery
4. Day hospital
5. Rehabilitation and post-acute long-term care
6. Transfusion activities
7. Cell, organ and tissue transplant activity
8. Poison Control Centers (CAV)
Ministry of Health - Hospital Assistance
Day surgery
One-day surgery is a clinical-organizational arrangement to carry out surgical interventions or invasive diagnostic and/or therapeutic procedures, in a hospital for a period limited only to the hours of one day, under general, loco-regional or local anesthesia. This allows for an early return to the family environment, minimizing the discomfort due to hospitalization.
SOURCE : MINISTRY OF HEALTH
Day hospital
The day hospital (DH) or day hospitalization is a form of assistance provided by the Italian National Health Service, which allows the patient to benefit from hospital care during one or more scheduled hospitalizations (all lasting less than one day and without overnight stay) for carrying out diagnostic tests, specialist visits and therapies.
SOURCE : MINISTRY OF HEALTH
Day Service
The outpatient day service is an innovative method of assistance, included in the territorial level of specialist outpatient services. It is aimed at patients suffering from pathologies that require often numerous clinical and instrumental investigations and pertaining to different, even complex, disciplines. The patient is facilitated in accessing the services as it is the same supplying structure that manages the reservations, reducing the number of accesses to the user.
Rehabilitation and post-acute long-term care
Rehabilitation is a process in which a person with disabilities is brought to reach the best possible level of autonomy on a physical, functional, social, intellectual and relational level, with the least restriction of their operational choices, though within the limits of their impairment.
The rehabilitation activity can be provided in:
• hospitalization regime, ordinary or day (day hospital);
• regimen of specialist outpatient assistance/day service at physical medicine and rehabilitation clinics;
• area of home, outpatient, semi-residential or residential territorial assistance.
SOURCE : MINISTRY OF HEALTH
Transfusion activities
Blood and blood components are essential therapeutic products as they are used for supportive therapy in many medical and surgical clinical situations and in emergencies.
• the National Health Service (SSN) guarantees the services and benefits identified by Law 219/2005 (article 5).
• the SSN also guarantees the research and retrieval of hematopoietic stem cells from national and foreign registers and banks.
Ministry of Health - Transfusion activities
Transplantation of cells, organs and tissues
Transplantation is a surgical intervention which consists in the replacement of a diseased organ or tissue, therefore no longer functioning, with a healthy one of the same type coming from another individual who is called a donor. The Prime Ministerial Decree of 12 January 2017 deals with the activity of transplantation of cells, organs and tissues in art. 48
SOURCE : MINISTRY OF HEALTH
Poison Control Centers
Through the Poison Centers (CAV, acronym from the Italian Centri AntiVeleni), the Italian National Health Service provides specialized consultancy activities for highly complex toxicological problems, in support of the first aid operating units and other hospital and territorial services, as well as adequate surveillance and alert systems
SOURCE : MINISTRY OF HEALTH
Resolution
Open the complete PDF of the resolution.
DPCM of 12 January 2017 - Go to the Ministry of Health page
Open the complete PDF of the resolution.
DPCM of 12 January 2017 - Go to the Ministry of Health page
