The Italian state recognizes endometriosis as a chronic disease: the process for requesting ticket exemptions for specialist services
Endometriosis ticket exemptions
L‘endometriosis it is a devious disease. It is often not easy to diagnose. And many women live with hallucinating pain for years without knowing they have it. It is in fact a very painful pathological disorder of the uterus, but the diagnosis times are still too long. And so far, women suffering from this disease have not felt supported enough. But now things are slowly changing. The Italian state has finally recognized endometriosis as a disease that causes disability and inserted it in the INPS tables. Let’s see what benefits you can have, such as the ticket exemptions.
What is endometriosis? It is the presence of the endometrium, the mucous membrane that covers the internal cavity of the uterus, outside the uterus. It can affect women from the first menstruation and is a major cause of infertility. Women who suffer from it often have very heavy and painful periods. And they can also experience pain during sexual intercourse. THE symptoms of endometriosis may include:
Painful menstrual cycles
Chronic pain in the lower back and pelvis
Pain in the lower abdomen during or after intercourse
Pain when urinating in the menstrual period
Very often, however, it is not diagnosed, unless the woman begins to do more tests because she has difficulty getting pregnant: it is estimated that on average it takes seven years before being able to have a correct diagnosis.
In Italy, endometriosis affects about 5% of women, in total it is estimated about 3 million cases of endometriosis, in the various clinical stages. The peak occurs between i 25 and 35 years, but the pathology can appear much earlier.
L’endometriosis it is the cause of sub-fertility or infertility (30-40% of cases) and the impact of the disease is high and is closely linked to the decrease in the quality of life and to direct and indirect costs.
What the Ministry of Health says
Since 2012, the Ministry of Health has included endometriosis in the list of recognized chronic and disabling diseases. Patients suffering from endometriosis in the most advanced stages, therefore “moderate or III degree” and “severe or IV degree”, can benefit from exemption from some specialized control services (approximately 300,000 exemptions are estimated).
What does the law say?
Endometriosis is part of the functional deficits of the female reproductive system:
As regards the evaluation of the female genital system, the percentages indicated refer to women of childbearing age (unless otherwise indicated), in which the anatomical damage often generates a complex of disorders that affect the relationship life: mood alterations , headaches, sweats, early osteoporosis, etc. Furthermore, these values may vary depending on various factors, including first and foremost age. It is obvious, in fact, how demolishing interventions on the gynecological system in young subjects (eg prepubertal age) have a greater impact on the harmony of the psychophysical development of the person, while reproductive aspects prevail in the fertile age. […]
Endometriosis exemption code
Since endometriosis has been recognized as a chronic and disabling disease, all women suffering from this disease can apply to be recognized as a civil disability score.
Stage I and stage II endometriosis was assigned a fixed number of 10 points;
at stage III and IV endometriosis from 11 to 20 points,
to stage III and stage IV endometriosis with complications from 21 to 30 points.
The new LEAs have therefore included endometriosis in its most advanced stages among the chronic pathologies that enjoy Lea (Essential Levels of Assistance): women are exempt from paying the ticket for the gynecological check-up that is done once every six months and for necessary ultrasound scans such as upper and lower abdomen, transvaginal or transrectal.
How to request the ticket exemption
To apply for exemption, you must present yourself to the ASL you belong to with a medical certificate certifying the pathology. The doctors of the ASL they will carry out all the necessary checks and, once the process is completed, they will assign a score.
At the end of the procedure, the ASL will issue a certificate with a exemption code, thanks to which it will be possible to reduce the costs of visits and diagnostic tests and have access to the benefits.