Surgical Pathways and Admission Regimes: Public Healthcare (SSN), Private Practice and Insurance
Paediatric orthopaedic surgical admission in Milan: SSN and private pathways, choice of lead surgeon and insurance conditions to confirm for each case.
Following an individual specialist assessment and confirmation that surgery is indicated, admission may be considered through the National Health Service (SSN) or private care (ALPI or a private hospital). The pathways differ in their organisational and financial arrangements; the procedure and the facility's technical and organisational availability determine which options can be considered.
Surgical admission pathways
Public Healthcare (SSN)
Institutional PathwayThe intervention is performed at ASST Gaetano Pini-CTO in Milan within the public hospital system.
- Costs: Entirely covered by the National Health Service. No charges for surgery or hospital stay (standard outpatient co-pays apply where required by law).
- Waiting times: Determined by hospital waiting lists and regional clinical priority classes: A, B, C and D (within 12 months for class D).
- Surgical team: Your child will be operated on by a colleague from the Paediatric Orthopaedics and Traumatology Unit at Gaetano Pini who is on duty in the operating theatre that day.
- Follow-up: Follow-up appointments are with a doctor from the same team who is on duty in the outpatient clinic that day.
Private Practice & Insurance
Health Insurance, Funds or Out-of-PocketPerformed at ASST Gaetano Pini-CTO (ALPI regime) or Casa di Cura La Madonnina in Milan.
- Costs: Through insurance or a health fund when applicable, with coverage and any prior authorisation confirmed; alternatively, out-of-pocket with an estimate detailing included and excluded costs.
- Waiting times: The date is agreed with the family according to clinical needs and the availability of the facility and team.
- Surgical team: The private pathway allows a request for Dr. Daniele Priano as lead surgeon. His availability, the surgical and anaesthesia team, and the suitability of the facility for the individual procedure must be confirmed before admission.
- Follow-up: If requested by the parents, follow-up can be with the same surgeon, subject to availability and arrangements agreed before admission.
Private admission arrangements
If private admission is being considered, the following arrangements should be confirmed with the specialist and the facility before admission:
Lead surgeon and follow-up arrangements
The lead surgeon and arrangements for inpatient care and dressings are agreed and confirmed before admission. If requested by the parents, follow-up can be with the same surgeon, subject to availability and the agreed arrangements.
Surgical and anaesthesia team
The surgical and anaesthesia team is organised with the facility according to the child's needs and the procedure. Its composition and availability must be confirmed for the individual admission.
Hospital stay and accompanying parent
Room arrangements, accommodation for the accompanying parent and visiting hours depend on the facility and availability. Confirm these details with the admissions office before the stay.
Where private surgeries are performed in Milan
Dr. Daniele Priano performs private surgery at the following facilities in Milan. The appropriate location, availability and any insurance agreement must be confirmed for the individual procedure:
ASST Gaetano Pini-CTO
Milano Centro (M3 Crocetta)Public hospital referral centre for paediatric orthopaedics in Italy, where Dr. Priano serves as a Hospital Specialist. ALPI admission follows hospital procedures; the facility confirms the operating suite and room arrangements for the individual admission.
Check the current agreement for your insurer, policy, procedure and chosen professional with the hospital and insurer before admission.
Available both through insurance and out-of-pocket (solvenza) with hospital-regulated rates.
Casa di Cura La Madonnina
Milano Centro (M3 Missori / Crocetta)Private hospital in central Milan (San Donato Group), where Dr. Priano performs private surgery. Availability for the individual procedure and any insurance arrangements must be confirmed with the facility.
Ask the facility and insurer to confirm the current agreement and conditions for your policy, procedure and chosen professional.
Coverage may be total or partial according to the contract; an agreement does not guarantee that every cost is covered.
Financial arrangements: Insurance, Funds and Out-of-Pocket
Direct Insurance Billing (Forma Diretta)
If an applicable agreement is confirmed, direct billing requires prior authorisation from the insurer or fund. Coverage may be total or partial according to the policy, procedure and professional. Before admission, confirm authorisation, limits, deductibles and any excluded costs with both the facility and insurer.
Indirect Reimbursement (Forma Indiretta)
The family pays the facility and may then request reimbursement with the required clinical documents and invoices. Before admission, check eligibility, any prior authorisation and whether reimbursement is total or partial under the policy.
Full Out-of-Pocket (Solvenza Pura)
For out-of-pocket care, request a written estimate from the facility's admissions office before admission. It should specify included and excluded costs for professional fees, paediatric anaesthesia, the operating suite, materials or implants and the hospital stay, together with the clinical or organisational circumstances that may change the cost.
Step-by-step: how to get started
Clinical Consultation
Evaluation of the child, examination of imaging, and verification of the clinical indication.
Path Selection
Discuss SSN waiting lists or private admission; confirm the suitable facility and technical and organisational availability for the procedure.
Admission Arrangements
SSN: hospital admission procedures. Private care: estimate and, if applicable, confirmation of insurance coverage and prior authorisation.
Surgery & Recovery
SSN: surgery by the colleague on duty in the operating theatre; follow-up with a doctor from the same team on duty in the outpatient clinic. Private care: confirmed lead surgeon and team; follow-up with the same surgeon if requested by the parents, subject to availability and agreed arrangements.
About this information:
This page explains organisational arrangements for surgical admission through the SSN and private care. It does not replace an individual clinical assessment: an indication for surgery can be confirmed only after an in-person specialist consultation. Dr. Daniele Priano, Specialist in Orthopaedics and Traumatology — Registration with the Medical Board of Milan (OMCeO) No. 47175. Hospital Specialist at ASST Gaetano Pini-CTO, Milan.
Need to discuss a surgical indication for your child?
Every surgical journey begins with a specialist consultation to verify whether surgery is truly needed, assess alternatives, and explain all organizational options.