Health insurance for the Italian work visa

Visa-compliant cover for your visa application and the waiting period before your SSN card arrives. Online sign up, instant certificate.

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What is the Italian work visa?

The Italian work visa, formally the visa for subordinate work (lavoro subordinato), is the route for non-EU citizens who have a job offer from an Italian employer. It's an employer-led process: your future employer applies for your work authorisation first, and you apply for the visa at the Italian consulate once that's approved.

The initial residence permit is valid for up to two years and can be renewed. After five years of continuous residence, you can apply for the long-term EU residence permit - and after ten years, you're eligible to apply for Italian citizenship.

Quota full? You still have options.

The Italian work visa runs on an annual quota system called the Decreto Flussi. The government sets a fixed number of permits each year, broken down by nationality and sector, and applications are only accepted on specific click days. If this year's quota is closed for your category, your application has to wait until the next round.

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Digital Nomad Visa

For remote workers and freelancers earning €28,000+ a year from a non-Italian employer or as a freelancer. Open year-round, with the same €30,000 minimum health insurance requirement.

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Elective Residence Visa

For people with €31,000+ a year in passive income — pensions, investments, rental income — who won't be working in Italy. Open year-round, and health insurance is required for the application.

How the visa process works


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Your employer applies for the Nulla Osta

The process starts with your future employer in Italy. They apply for your Nulla Osta al Lavoro Subordinato (the work authorisation) through the local Sportello Unico per l'Immigrazione. Processing usually takes 30 to 60 days.

Once the Nulla Osta is issued, your employer sends you the original document - you'll need it for the next step.

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You apply for the visa at the consulate

With your Nulla Osta in hand, book an appointment at the Italian consulate in your country of residence. Processing takes 15 to 90 days, and the visa fee is around €116.

You'll need your passport, the original Nulla Osta, your signed employment contract, proof of accommodation, proof of qualifications (often translated and apostilled), proof of health insurance with minimum €30,000 coverage, and the visa application form.

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Apply for the permesso di soggiorno within 8 days

Within 8 working days of arriving in Italy, apply for your residence permit at a Poste Italiane post office using the official kit. The fee is €70.46 plus a €16 marca da bollo.

You'll get a receipt with a date for your biometric appointment at the Questura - keep it with your passport at all times, as it acts as your temporary permit until the physical card arrives, usually 1 to 4 months later.

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SSN coverage starts on day one of employment

Once your employment begins, your employer enrols you in the Servizio Sanitario Nazionale (SSN), Italy's public health system. Your health contribution is around 7.5% of your gross salary, split between you and your employer.

Coverage is active from day one. But the physical Tessera Sanitaria (your health insurance card) takes 2 to 8 weeks to arrive. A temporary certificate is available from your local ASL in the meantime.

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Where health insurance fits in

Once your job starts, the SSN covers you. The private health insurance requirement on the work visa is really about bridging two specific windows:

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Your consulate appointment

Italian consulates require proof of valid health insurance for your visa application, with minimum €30,000 coverage including hospitalisation and repatriation. Without it, your visa can be delayed or denied.

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Your first weeks in Italy

Your SSN coverage starts on day one of employment, but the physical Tessera Sanitaria can take 2 to 8 weeks to arrive. A temporary ASL certificate works in most cases, but having private cover in this window gives you a backup if you need care before your card arrives.

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