Health Care for Expats! You Better Learn the System FAST! 🇮🇹❤️

[@nathanlaurenson]

Big fan of Your Channel Brad. My wife and I plan on making the move From US within the year .

[@BradsWorld]

Best of luck! More than likely you won't be sorry. Just remember that it is a BIG move, so pack plenty of patience with each other and the system here.

[@nathanlaurenson]

@BradsWorld thanks for advice

[@timoneill5658]

Thanks for sharing your experience! I would only add that people need to be prepared for three important considerations. The first is the possible need to travel to see specialists, which are often located in the larger cities of the north. The second is the necessity of hopping back and forth between the public system and the private, which is often necessary for expedited treatment of non-emergency conditions, and is sometimes necessary to receive the highest standard of care. The third is that the quality of care is often very dependent on location. The quality of care varies from location to location (rural hospitals are often under-resourced) and is generally better in the north.

[@BradsWorld]

I keep saying that all these people that wanna move to a remote village in the south of Italy because they think they’re gonna save a ton of money on their taxes are really on a full Aaron. You’re gonna spend that money traveling to see better doctors, or even getting to a hospital, And you have so much less selection. All the name of saving two to $300 a month in tax.

[@timoneill5658]

@ Point taken. There is a lot more to think about when choosing a home in Italy than just the tax situation.

[@BarryTallant]

Yes a no brainer in terms of the health care costs in Italy. We are currently working on the final steps of our dual citizenship and then we will start the process of obtaining our Italian health care card. Makes so much more sense than US. Medicare. Thanks for this video Brad. Very helpful and reassuring. Salute!

[@MrJymboS]

Thanks for the insight Brad. We have been looking at various countries etc. BUT... just wanted to say as a Texan (still living here) and a retired insurance guy, homeowner etc. You are not lying, dissembling or misleading in your approximations. Your general numbers of prop tax vs income vs healthcare costs are pretty spot on and the property tax #'s in Texas have actually gotten better than they were like 10yrs ago or so...(we used to have the 2nd highest property tax rates behind New Jersey... but have now dropped to around 11-13th comparatively. So it's nice to see a little comparison betwixt the 2. Thank you so much.

[@bradbianchi6953]

Thank you both for being so honest and open when you show your true experiences in the country. That’s why I always say that your channel is the best - because of all the practical information.

[@BradsWorld]

Thanks BRAD 2.0! Let us know how the rehab is coming along!

[@stewartthomas970]

Thanks!

[@BradsWorld]

Gosh thanks so Much!

[@annedodd5888]

Really useful health care information. Thanks, Brad Hope all goes well for Ollie.

[@BradsWorld]

It did. We got into a specialist the very next day, so naysayers can stop whining about how long appointments take. If it’s important, you get in quick. Everything checked out. We’re hyper vigilant with her health history. All good right now!

[@CoolTripWalks]

Tell it like it is Brad! The numbers are compelling, thanks for confirming the financial reality, confirms my analysis. 🙂

[@BradsWorld]

You got it!

[@SamManor-r5i]

SO glad you did this video... not watching yet as feeling overloaded on healthcare right now due to its enrollment time in US. But I will watch & most appreciative of this topic! ty

[@luisatiano1134]

A few years ago, I extended my stay 90 days. The local doctor and pharmacy were very helpful. I couldn't believe how cheap the cost for non generic meds.

[@BradsWorld]

I pay €3 for a 90 day supply of my two meds combined. And that was before insurance. That’s $3.30 for those of you who don’t do math! 🤣🤣

[@bharrison]

Amazing information Brad. Thanks very much for doing these videos. They are extremely helpful!

[@ahealingteacher1514]

Hi Brad & Ollie, 🥰 Just wanted to say thank you for sharing your experiences with the Italian healthcare system. I always appreciate your willingness to be vulnerable, open, and honest. It means a lot that you take us along for the ride and actually show us what's going on, instead of just telling us. It really helps me understand everything so much better, especially since healthcare is an area of much concern for me. I love your videos and that you're showing us not only homes but what real daily living is like in Italy. Not just the easy parts! We return to Italy in 42 days to celebrate Christmas, visit the beautiful markets, and tour towns. It's something to look forward to after my surgery on November 5th. I've got to heal fast, and I will definitely be using my cane and wheelchair. Be well and take good care of yourselves! Many blessings - Tiff😉

[@BradsWorld]

Good luck with the surgery and will see you in Italy! 💪🏼🇮🇹❤️

[@robertoposa1120]

I would say that is a first class healthcare system - may be not all over Italy but for sure in most of the regions

[@BradsWorld]

I’d agree!

[@filoavignonesi2128]

hello, i am very happy to see the remodeling in the palazzo Avignonesi after so many years. congratulations 😀

[@BradsWorld]

Thank you very much!

[@filoavignonesi2128]

@BradsWorld do you have more pictures of the remodeling?

[@thatswhatilike_]

Loved this video, it’s all really useful information for someone like me who’s always dreamt of moving to Italy ❤ Can you also please do a video about getting a car in Italy? I’ve been told you can’t buy a car as an ex pat and that you have to re-take the Italian driving tests? Would really like to know more about these subjects. But thanks for posting this information because it’s all really useful. Another video idea would be when you buy a place how easy it is to set up utilities? Like where do you go. What’s the best suppliers? Do you need an Italian bank account to set these things up?

[@BradsWorld]

So.... You can get a car without residency but you need to set up a simple LLC, Called an SRL here. It is a shell company. It buys the car and you own the company so you control the car. Then you get commercial auto insurance to cover the car. Upsides are you can hand the keys to anybody with a license from anywhere and you are covered on the policy for anything including a hail storm which happened to us in Veneto last summer and destroyed the car but it was covered. You are supposed to get an Italian license within a year of moving here. How does the local police know your residency and entry status you ask?!? They don't. Am I worried about it? No. I never even see police here very much. All this sounds a little sketchy and a little too laissez-faire for your taste? Welcome to Italy. You got bigger fish to fry here and frankly there are bigger and better things to worry about.

[@debsmith7120]

Great video, Brad. Thank you very much!

[@BradsWorld]

My pleasure!

[@goodphone156]

I don't know who say that In Italy the health care system is bad , but they sure are wrong! The health care system in Italy it is one of the best in the world!

[@WriterJenOnYT]

Thanks for this! It's super helpful to see what the healthcare system is like in Italy. I'm just starting the citizenship process at 55 but will be moving to Italy from the US before I'm 60 (hopefully), so healthcare is going to be important.

[@BradsWorld]

You can do it! I can almost guarantee. It’ll be better than you’re even dreaming it could be.

[@heyitsTonya]

Thanks that was great!

[@jamesbarr2357]

What a great insight. Grazie mille 🤩.

[@BradsWorld]

You are really welcome. I don't mind getting personal on such important stuff!

[@jetlaggedchef6806]

Great points. I might have missed it, but I didn't hear you mention the wealth tax.

[@BradsWorld]

I didn't mention it. don't have wealth.

[@MK-tk8tb]

Brad, good video. Thank you

[@BradsWorld]

Very welcome

[@anaanastasoglou9498]

Very valuable info, brad. I totally agree with you that if you do the math even if you pay 6% more taxes in italy you are still ahead of the game! I do have a question. I understand that italy and the United States have an agreement in order to avoid double taxation. How does it work if, for example, you move to italy, become an official resident but your income is generated in the United States. Will your income tax be taxed in italy or the US ? And if so what percentage either way ? Thanks

[@BradsWorld]

You won’t get double taxed. We just finished our tax returns for 2023 and since we’re residence of Italy, we paid here and our US tax bill was zero. And by the way, we paid less tax in Italy than we paid for healthcare the previous year in the United States. And the healthcare here is included. So stop worrying too much everybody about the higher tax rates here.

[@DonaldHammond-w8d]

Good info

[@BradsWorld]

Glad you think so!

[@beautifulflorida]

Thank you very much for sharing! Like 68 Very interesting information.

[@BradsWorld]

You are welcome. It is so important. Without health we got nothing, what is 68?

[@JefferyRoberts-h5s]

Australia has a reciprocal arrangement with Italy regarding health care. If an Italian citizen comes to Australia on holiday they are entitled to use the public healthcare system. And the same for Australians visiting Italy. This mean I don’t have to pay for a public hospital in Italy. The same applies in couple of other countries in Europe for Australians.. I REALY fail to understand why the USA is so backward when it comes to health care.

[@BradsWorld]

We all wonder it! Insane richest country in the world treats citizens this way. Now if Australia and Italy can work out the home buying situation right now that seems to be effecting lots of Aussies not being able to buy here…!?

[@jayajaya788]

How is the healthcare system for the elderly? do they have Medicare over there? Thank for doing this video Brad

[@BradsWorld]

The whole system is Medicare basically…. That’s the point.

[@jetlaggedchef6806]

BTW, hello from down the road in Orte Centro!

[@BradsWorld]

🙏🏼

[@emiliopandini1195]

i moved to Italy from Ga and i live in Popoli and had to stay 9 days in the hospital for heart issues,never saw a bill...ekg's echo's the whole work,and therapy.Dr visits are free,and unlike you,i prefer a morning cappuccino :)

[@BradsWorld]

Man I love a morning cap! (And a night cap!) Glad you had a good experiences. I’d love to come and film your area and talk about you being a long term expat sometime for the channel. Just email me at [e-mail] if interested.

[@stewartthomas970]

Well accomplished and thanks for sharing. I do have a few questions and would like to contact you. I’m looking to obtain my visa when I return in about two months from Italy. I will need temporary health insurance. Would appreciate your opinion. Thank you.

[@BradsWorld]

for temporary you can go with any number of providers like Allianz or Cigna etc etc. Should only cost you about $2-300 a month. good luck!

[@stewartthomas970]

@ thank you so much sir👍

[@mvp019]

How good is your Italian? How challenging is navigating the system absent fluent Italian skills? Also, have you looked into private health insurance there?

[@BradsWorld]

I’m certainly not fluent, but I can get by pretty well. Olivia and I went to a doctors visit with her endocrinology specialist in between the two of us. We were able to understand pretty much everything that was going on. My problem is I’m a little deaf… You really should be studying your Italian hard if you’re gonna be planning on moving here. Never hurts to have an additional language under your belt. When you first moved here, you won’t be on the national healthcare plan so you’ll need private insurance. It runs two to €300 a month on average and there’s many many companies that provide that. We use CIGNA I’m not endorsing them as just who we used. Once you have your national healthcare card, you always have the option of “going private“. That means you don’t wait for a national healthcare provider to do something, You find a specialist and pay them out-of-pocket, but it’s incredibly inexpensive. I paid 30 for a x-ray, we paid 200 for two MRIs with an MD consult, and I paid €100 to see an orthopedic specialist, and get my foot shot with Cortizone to help cure my plantar fasciitis.

[@bethbrowning4952]

Do you need to be fluent in Italian in order to understand your doctor or do you need to take a medical interpreter with you? I'd be coming as a beginner in learning Italian and would be concerned about my communication capabilities.

[@intersezioni]

most speak English

[@BradsWorld]

I wouldn’t say that’s true at all. I would say most speak a little English. We’ve been to a fair number of providers here and I would say one of them was conversationally fluent. That’s why it important to have your Italian down pat before you move here.

[@BradsWorld]

You wouldn’t need a “medical interpreter” but if you’re not going to speak Italian you should at least have a friend who is bi lingual come with you.

[@LilyWasHereMB]

Texas is actually a mispelling. The correct spelling is Taxes. It's a common mistake many uninformed people make. Brad, I like you, you seem like an upstanding guy. We may just do business in the not too distant future.

[@BradsWorld]

Ain't that the truth... Taxes in Texas!

[@sisko212]

unbeliveable to hear how bad and expensive is the us health care system 😢

[@tommynordlander5874]

Expats? Immigrants is the right word!

[@BradsWorld]

Expat is a fine word. Expat community, expat insurance sold by the biggest companies in the world, etc etc. Immigrants are usually people that are planning to make a forever move to a new country like your great grandparents when they came from Sweden to the US in a steamship. Still don’t understand why a number of viewers got their panties in a wad over the verbiage!?! 🤷🏼‍♂️🙄

[@mrlaleather]

I'll be moving soon on an ERV. I'll be a proud immigrant to Italy

[@alessandropino8479]

Are you sure you' re in Italy? Our health care system Is a third world system, wherever you approach to an hospital here in Italy the only thing you can do Is pray!😢

[@BradsWorld]

It’s not a third world system… 🤦🏼 I was in Bali and the xray machine they used was an old Soviet machine that was still labeled in Russian. We have gotten great care here. We just had appointments in Siena at the hospital and the endocrinologist was tops. I find people here complain a lot about things that aren’t bad. 🤷🏼‍♂️. Like taxes.

[@intersezioni]

sorry him is the classic coglions italiota.

[@mapoles1]

Thanks for sharing, we live in Texas also and it is all true. Please, share your contact because I have the same plan as you had. We are looking to central Italy: Tuscany, Umbria, or little north by the Lakes.

[@BradsWorld]

In the description. See Y’all over here soon! 🤠

[@pieromarkuzovich7747]

Yes but the things are getting bad year after year. There's a big lack of doctors throughout all Europe. Looks as young people won't be a doctor anymore, is too much an effort.

[@BradsWorld]

My wife had a appointment with an endocrinologist which was set up just one day after she had had a scan of her neck for cancer screening. Everything was good number one. Number two when we got to the appointment which only took 24 hours to get set up and we are in front of the endocrinologist with a team of four other doctors in training. Don’t believe all the things you read online and in the news. We’ve had no issue at all getting to see specialist here. And the cost has been less than 1/10 of what it was in the United States. But believe what you want. If you’re happy in the US, there’s no point in looking to move overseas.

[@pieromarkuzovich7747]

@@BradsWorld I'm italian and I live in Italy. What I see is that the government had to remove barriers to medical school admissions to increase the number of doctors. you are unlikely to find a young doctor. there is also a great lack of nurses throughout europe. it's a too scary job for young generations where they have to see too many bad things of life

[@Barbara_M.]

I'm Italian living in Italy and in my line of work before retiring I often frequented certain US areas and there are so many things I admire of the country it always amaze me how so many smart people can't rise up united rebeling against such unjust health care reality... Italian NHS has surely many flaws, some regions have it in bad shape and those in needs have to move to other regions, there are long waiting list to get many tests and procedures done but everyone in some way it's granted the chance to be treated in an affordable way and mho is that we Italians who quite often like to complain sometimes we are shortsighted and don't appreciate enough what we have because we don't have to chose between a normal living of going to the doctor, we can monitor our health because it's affordable, we don't have to pay over 30,000€ to deliver our baby and so on. With all it's flaws I'm extremely grateful that my country provides me the opportunity of a NHS with excellent doctors available almost everywhere