Here, in our part of Umbria, we are required to obtain our social security statements from the US Embassy in Rome to obtain our enrollment in the National Health system. This statement must be stamped and signed by the American Embassy in Rome. This is ONLY a requirement in this part of Umbria. How and why this came about I do not know. When we first moved here, we self declared our income. After a couple years they decided we needed this statement. It really threw a monkey wrench into the works that year for all of us! We eventually got used to it and just go with the flow, requesting the statement from the Embassy.

I always send off two emails, one for me, and one for Luther to the Social Security office in Rome asking for this statement to be sent. Usually I do this in mid-December so I can get them by January 1. I complain, and everyone does, about Italian bureaucrats. Now, in this case they work at the American Embassy which is almost entirely staffed by Italians. I got a nice reply from a woman to me that she was sending out my statement right away. But I also got a reply from a man to Luther that he would have to ask again after the first of the year. 😡 Annoyed I shot back an email that said essentially “my wife can get hers now why not me?” He replied that he “normally” waits until the year is done to send it, but would send it now. Think about it, this is our Social Security benefit for the year 2022. It is not like this will change in the next two weeks! Geesh. Dealing with bureaucrats can be exhausting.

When we receive the statements from the Embassy we will go to the USL which is the agency of health and re-up for our annual payment and enrollment for 2023. It is 7.5% of our social security benefits. It is paid annually in January. We are usually out of the system for a week or two while completing the payment and application. Once we sign up, most things are free. Co-pays are small and linked to your income on a sliding scale. For Italian citizens and workers they are automatically enrolled. I am happy with our care here. It is a good system.