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When hiring a car in italy it is always best to take out additional insurance. You are covered on the general insurance you take out but when you pick up your car the following may come as a nasty shock.
There is probably an excess on the insurance for anywhere between 800 and 1200 Euro. The car hire company may well take this from the credit card you use when you pick up the car, which could be a real problem if you haven't budgeted for it.
You can pay the daily excess at time of pick up but at something like 20 euro a day you are far better taking out insurance on line before you leave. Yes if you have an accident they will take the excess and you will need to claim it back but at something like £15 for a two week trip or £40 for an annual policy it does work out seriously cheaper.
If you don't fill the car up before returning you will be charged a far higher rate than at the pumps. leaving to the last minute can be a mistake when the last garage before the airport is closed for refurbishment. Lessons learnt.
It is always handy to keep a few euros back in change for the tolls usually about 2 euro for the trip from Napoli to Sorrento and handy for baggage trolley at airport too.
Direct car hire providers that operate in Italy;