Information about the San Marino Health system and insurance system.

San Marino is a small country neighboring Italy and is known as the oldest republic in Europe. The healthcare system and insurance system are similar to Italy's healthcare system. Health services in San Marino are generally provided by public and private health institutions. Public health services are administered by the Ministry of Health of the Republic of San Marino. These services are provided free of charge to citizens and foreigners working in the country. Health insurance is not mandatory in San Marino, but citizens and foreign workers can register with the San Marino Institute of Social Security (ISS), a social security system, to receive healthcare benefits. This system is financed by premiums shared between employer and employee. In San Marino, citizens and ISP registrants are entitled to free or low-cost services for doctor appointments, hospital treatments, medications, and other healthcare services. Private health insurance can also be purchased optionally and may offer additional services and a broader healthcare network. Because San Marino has close ties to Italy, some citizens may choose to enroll in the Servizio Sanitario Nazionale (SSN), the Italian national healthcare system. In this case, citizens of San Marino are granted the right to benefit from healthcare services in Italy. As a result, the healthcare system in San Marino is generally provided by public and private healthcare organizations. Health insurance is not mandatory, but registering with ISP provides citizens and foreign workers with access to health care. Additionally, due to close relations with Italy, the Italian healthcare system is also among the options.