US Expats in Italy: Complete Money & Tax Guide

Last reviewed: 23 May 2026

This guide pulls together everything American expats need to know about money, tax, residency and estate planning when moving to Italy. It links out to our latest in-depth articles and connects you with advisers who work with this exact audience every day.

Visas & Residency

An overview of the residency options open to American citizens — including investment routes, retirement visas and digital nomad permits — and how to choose between them.

Italy Tax for American Expats

FATCA and FBAR reporting, the US–Italy double tax treaty, and how the regime dei neo-residenti (the €200,000 annual flat tax on foreign income) regime interacts with your US filing obligations.

Pensions & Retirement

401(k) and IRA management abroad, PFIC pitfalls, and the Foreign Earned Income Exclusion vs Foreign Tax Credit decision.

Healthcare

Your options for accessing the Italy public health system, when private health insurance makes sense, and how this compares to what you have at home.

Banking & Currency

Setting up local accounts, managing currency risk on large transfers, and the multi-currency tools expats actually use.

Estate & Inheritance Planning

How Italy succession law interacts with your domicile, the role of forced heirship rules where they apply, and structuring assets to minimise inheritance tax across both jurisdictions.

Speak to an Adviser

Every situation is different. Book a free consultation to discuss your specific circumstances with an adviser who specialises in American expats moving to Italy.