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Italy · visa health insurance

Health insurance for Italy's retirement (elective residence) visa

By Covered Abroad Research Desk · Last verified July 2026

Italy's retirement route is the elective residence visa, for people living on passive income without working. It needs a health policy valid in the Schengen area with the widely-applied €30,000 standard of cover, hospitalisation, and repatriation — and, in year one, commonly zero deductible. Income thresholds vary by consulate; check your consulate's page. Below is the insurance rule and its source.

Visa-ready plans from $721 per adult, billed annually · see your exact price by age.

The rule in writing

“The elective residence visa is widely handled to the €30,000 Schengen insurance standard — hospitalisation and repatriation cover for the full visa year — though published consulate checklists vary: some ask for cover of 100% of medical expenses, and requirements differ by consulate.”

Based on: Official esteri.it consulate checklists (Chicago, Boston et al., which vary) & widely-applied Schengen standard — Last verified:

The rule in writing

“For the first year, consulates commonly expect zero deductible or co-pay and repatriation cover — practice varies by consulate, and no published checklist states a deductible rule outright.”

Based on: Consulate application language & applicant reports (b2 forum pass; re-checked vs 8 esteri.it checklists 2026-07) — Last verified:

Will your certificate pass?

What a consulate officer actually looks for on the page.

Passes when it shows

  • Private health cover — not travel or Schengen
  • Valid in Italy and the Schengen area (widely-applied €30,000 standard)
  • Covers your full visa period (up to a year)
  • No disqualifying deductible on the core cover

Refused when it’s

  • A travel or Schengen “trip” policy
  • A deductible / excess on core cover
  • Cover that ends before your visa does
Check your policy in 2 minutes

The retirement visa is the elective residence visa

Italy has no visa literally named 'retirement visa.' Retirees apply through the elective residence visa (ERV) — for people who can support themselves on passive income, such as a pension, and will not work in Italy.

The consulate checks two things closely: proof of stable income and the right health insurance. Income thresholds vary by consulate, so read your consulate's page for the figure.

The insurance rule for retirees

The insurance rule is the same one that trips up most applicants. You need a health policy — not travel insurance — valid across the Schengen area, covering the widely-applied €30,000 standard, with hospitalisation and repatriation, for the full visa year.

For the first year, consulates commonly expect zero deductible on the core cover. A deductible clause is a documented reason files get refused.

Age, health, and what to check before you apply

Two honest points for retirees before you apply:

  • Age caps apply. Our International Health cover is available to age 70, and Essential cover to age 80.
  • Pre-existing conditions are excluded, including ones you did not know about. We disclose this before you request a quote.

You can apply and get cover the same day, with no medical exam. Cover excludes treatment in the United States.

Honest limits: Cover is worldwide but excludes treatment in the United States. Pre-existing conditions are excluded, including conditions you did not know about. We disclose this before you request a quote. Consulates keep discretion, and requirements can change. We show the published rule and its source; the final decision is the consulate’s.

Cover levels that meet the rule

Benefits are public, and so are the 2026 prices: your exact rate depends on age.

Standard

From $1,133/yearabout $94/mo billed annuallyChildren 0–17: flat $853/yr

Adds everyday outpatient care — GP and specialist visits, prescriptions, and tests — to hospital cover.

  • US$1,000,000 overall plan limit per year
  • GP, specialist, medication & lab tests (US$750 each)
  • Outpatient surgical to US$25,000
  • Semi-private hospital room & board
  • Pre- & post-hospitalisation cover

New applicants up to age 70.

+ everything included — hover to expand

Scope: No dental or wellbeing benefits at this level.

Choose StandardSee your price by age →

Fully Comprehensive

From $1,906/yearabout $159/mo billed annuallyChildren 0–17: flat $1,439/yr

The highest level: full-cover room, uncapped surgeon fees, routine dental, and the largest limits.

  • US$2,000,000 overall plan limit per year
  • Full-cover private room & board
  • Full surgeon, professional & outpatient cover
  • Routine & major dental (after 6-month wait)
  • Wellbeing check-ups & vaccinations to US$500

New applicants up to age 70.

+ everything included — hover to expand

Choose Fully ComprehensiveSee your price by age →

See your exact price by age →

Budget options — limited cover

Essential Health

From $392/yearabout $33/mo billed annually

A budget plan for accident and emergency care in state hospitals only. Not full private health cover.

  • US$100,000 maximum plan limit per year
  • Unforeseen accident & emergency care only

Scope: State hospitals only, accident/emergency only. No outpatient, dental, or wellbeing cover. Not a substitute for full private health insurance on a visa application.

Choose Essential Health →

Major Medical

From $721/yearabout $60/mo billed annually

Hospital-focused cover: inpatient treatment, surgery, and emergencies, worldwide outside the US.

  • US$1,000,000 overall plan limit per year
  • Semi-private hospital room & board
  • Theatre, ICU, and emergency-room cover (full)

Scope: No outpatient, dental, or wellbeing benefits at this level.

Choose Major Medical →
  • Treatment is covered worldwide, excluding the United States.
  • Pre-existing conditions are excluded — including conditions you did not know about.
  • Evacuation & repatriation is an optional benefit that costs an additional premium.
  • Prices are Regency’s 2026 rates for the EU region: per person, per year, billed annually, starting at adult age 18 — your exact price depends on age. Children 0–17 pay a flat rate on every plan.
  • Plans run in 12-month terms and renew at the anniversary; the age limits shown apply to new applicants.

Common questions

Is there a retirement visa for Italy?

Retirees use the elective residence visa (ERV). It is for people living on passive income, like a pension, who will not work in Italy. There is no separately named 'retirement visa.'

How much health insurance does a retiree need?

At least €30,000, valid across the Schengen area, with hospitalisation and repatriation, for the full visa year. For year one, consulates commonly expect zero deductible on the core cover.

What income do I need for the elective residence visa?

Income thresholds vary by consulate and change over time. We don't quote a figure here — check your consulate's official page for its current requirement.

Is there an age limit on the insurance?

Yes. International Health cover is available to age 70 and Essential cover to age 80. You can apply the same day with no medical exam.

I have a health condition — can I still get cover?

You can apply, but pre-existing conditions are excluded, including ones you did not know about. We disclose this plainly before you request a quote.

Get a certificate that meets the published rule

Tell us your destination, visa, and who’s moving. Our team reviews it against the current requirement and calls you with a quote — no obligation.

Cover underwritten by Regency Assurance · every rule on this site cited and dated · a person calls back within one business day.

Before you request a quote: cover is worldwide but excludes treatment in the United States, and pre-existing conditions are not covered — including conditions you did not know about. We say this up front so a quote is worth your time.

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