Claim for medical expenses to a supplementary health fund or insurer (Italy)
Published byDocMuse
This document is in Italian
The PDF you download is in Italian — that is the language it has to be filed in, so it is not translated. Everything on this page is here to tell you what it says.
An Italian letter, in Italian, from a member of a supplementary health fund, a mutual fund or a health insurance policy, claiming back visits, tests, treatment or hospital stays already paid: it lists the invoices and prescriptions enclosed, gives the IBAN and asks to be told in writing of any missing documents. It is for funds that accept claims by post or PEC, or to chase a claim that has stalled; if the fund has its own members’ area or form, use those. It holds health data, so it is sold blank and filled in by hand.
- Made for use in Italy
- Last updated October 14, 2026
Fill out the form
This document is sold blank, to print and complete by hand.
Your answers appear in place as you type. The full wording is in the PDF you download.
When to use this document
- You paid for a private visit in Italy and the health fund from your job should refund it.
- You sent the invoices to the insurer months ago and have still received nothing.
- Your fund asked for more papers without saying exactly which ones.
- You want to claim back medical expenses in writing from your fund or health insurance.
What you fill in
The details the document asks for.
- Sender
- Sender's address
- Sender's codice fiscale (Italian tax code)
- How the letter is sent (printed above the recipient)
- Health fund, mutual fund or insurer
- Fund's postal address or PEC (as given in its rules)
- City
- Date
- Fund membership or policy number
- Amount
- Patient
- List of invoices
- IBAN
Common questions
- By when must a claim be made to an Italian supplementary health fund?
- Within the time set by the fund’s rules or the policy, which differ from one fund to another: some want the claim by a given month of the year after the invoice, and incomplete or late paperwork is not refunded. Read your plan’s rules and, if the fund has a members’ area or a free form, use them: this letter is for funds that accept a written claim, or for chasing one.
- What can you do if an Italian health insurer refuses the refund?
- Ask in writing for the reasons and the clause applied. With an insurance company, make a written complaint to it: if after 45 days there is no answer or it does not satisfy you, you can go to the Arbitro Assicurativo, the Italian insurance ombudsman, within 12 months of the complaint, for a fee of 20 €. A supplementary health fund that is not an insurer follows the complaints procedure in its own rules.
- Does the Italian national health service refund private visits?
- No: the national health service provides care directly, in its own or contracted facilities, with any prescription charge (ticket). Refunds of private expenses come from supplementary health funds, often set up under collective agreements, from mutual funds and from health insurance policies. Care abroad follows a procedure of the local health authority that this letter does not cover.
How you can sign this document
- Print it and sign by hand. The signature lines in the document are left blank on purpose — sign on them in ink.
- Sign it yourself with a qualified electronic signature. If you already hold a QES — Evrotrust, B-Trust, StampIT, ZealiD or any qualified provider on the EU Trusted List, on a card, a USB token, in a mobile app or in the cloud — our signing guide explains step by step how to sign this exact file without invalidating it. Step-by-step help, and a way to check it worked
DocMuse sells documents, not legal advice. Acceptance always depends on the recipient's rules and your local law.
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