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Sanitary

Direct and/or indirect health benefits

The F.A.N.I.MAR operates on a not-for-profit basis with the aim of providing its maritime workers' members with health services to supplement the National Health Service.

It also provides benefits to retired members, from whom, depending on the economic resources available over time and following the approval of the C.o.P., it will request lower contributions than those due from working members.

The Fund is open to all maritime personnel working on vessels flying both national and foreign flags, in particular Captains and Chief Engineers, in view of the agreements already in force, and the administrative personnel of shipping companies that are signatories to the same agreements or to subsequent agreements.

Admissions with or without surgery
Dental treatment and prostheses, depending on available resources and in the manner established from time to time
Medicines administered during in-patient hospitalisation
Specialist examinations, diagnostic and laboratory tests
Physical therapies
Eye prostheses

For ready reference we list below the main exclusions from health benefits:

resulting from illnesses pre-existing at the time the contract was concluded that gave rise to treatment, hospitalisation or diagnosis
resulting from injuries sustained while intoxicated or under the effect of narcotics or hallucinogenic drugs or psychotropic drugs taken for non-therapeutic purposes, and resulting from criminal acts committed by the insured person, including those resulting from imprudence or negligence, including gross negligence, on the part of the insured person
cosmetic applications (except for reconstructive plastic surgery necessitated by an accident and its treatment), periodontal disease, dental treatment and prostheses (except for any prostheses necessitated by an accident)
for the treatment of mental illnesses and mental disorders in general, including neurotic behaviour
the cure and interventions for the elimination or correction of physical defects or pre-existing malformations prior to the formation of the family nucleus.
expenditure on the purchase, maintenance and repair of prosthetic and therapeutic appliances
for therapeutic and voluntary abortion
occupational diseases as defined by Presidential Decree No. 1124 of 30 June 1965
for tonsil or adenoid infections or inflammation, ensure the patient is under 9 years old.
for the treatment of intoxications resulting from alcohol abuse or the use of psychotropic or narcotic drugs or hallucinogens
consequences arising from war, insurrections, popular uprisings occurring within the Italian State, the Vatican City, the Republic of San Marino and, in any event, in the country of residence of the Insurant from aggression or violent acts with a political or social motive in which the Insurant has voluntarily taken part

It is assumed that, at the time of taking out the health insurance policy, the insurance company was not aware that the insured person was suffering from a substance dependency (alcohol, drugs, psychoactive drugs, hallucinogens), HIV infection or the following mental health conditions: organic brain syndrome, schizophrenia, manic depressive disorders or paranoid states. In this case, the insurance company would not have agreed to provide insurance. It is also noted that, if such conditions were to manifest themselves during the course of the contract, the insurance would cease immediately, regardless of the insured person's actual state of health, in accordance with art. 1898 of the Civil Code, without the Company of Insurance being obliged to pay any compensation.

Territorial extensions:
• For seafarers: the insurance is valid worldwide, including for family members, with the exception of the United States of America, unless it is an urgent admission with documentation to this effect.
• For administrative staff: the insurance is valid worldwide, including for family members, with the exception of the United States of America, unless it is an urgent admission with documentation to this effect.
• For pensioners: the insurance is valid worldwide, including for family members. world, with the exception of the United States of America, unless it is an urgent admission with documentation to this effect.

PLEASE NOTE: In any case, the General and/or Specific Conditions of the health insurance policies subscribed to by F.A.N.I.MAR. will prevail.

Summary diagrams

Registration

Membership is open to all seafarers working on vessels flying both national and foreign flags, in particular Masters and Chief Engineers, in view of the agreements already in force and the administrative staff of the Shipping Companies that are signatories to the same agreements or to subsequent agreements.

Refund Requests

Claims follow different procedures depending on the reason for the claim. See the document to check the regulations for access to benefits and the necessary documentation.