Medical Card/G.P. Visit Card National Assessment Guidelines

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Where applicants incomes are in excess of the Income Guidelines, all social and medical issues will be taken into account in determining whether or not ‘undue hardship’ exists or whether it would be “unduly burdensome” for the applicants to provide general practitioner medical and surgical services for themselves and their dependants (These terms are explained in Section 3.10.) 3.1.1 Dependents Definition of a “spouse” a) each person of a married couple who are living together or b) a man and a woman who not married to each other but who are co habiting as man and wife (guidelines to assist staff on establishing co-habitation are set out in Appendix 8) Definition of a“child.”. The word "child" means a person who is less than sixteen years of age 3.2 Additional Allowances The Income Guidelines include basic weekly allowances having regard to the applicant’s age, status and number of dependants. Additional allowances are available for necessary expenses incurred in respect of the following: - Rent/Mortgage payments. - Childcare costs. - Travel to work costs. 3.2.1 Rent / Mortgage Repayments Rent Costs Outgoings in respect of rent costs are allowable provided that the rent paid is consistent with the market rent appropriate to the area and generally the accommodation is appropriate to the needs of applicant/ families. Medical Card GP Visit Card National Assessment Guidelines Version 3 21 05 09.doc 10
Contributions towards household expenses by a family member residing in the family home are not considered to be Rent and are not allowable. Mortgage Costs Outgoings in respect of Mortgage Costs are allowable. Loans have to be for the purchase, essential repair or necessary improvement of the main residence or in paying off another loan used for such purpose. The assessment should allow the full weekly/monthly mortgage payment secured against the principal family home and the following outgoings: - Mortgage protection premia. - Life Assurance premia in relation to mortgage protection. - Fire and contents insurance premia. - Loan repayments associated with home improvements/repairs Evidence of payment of all of the above outgoings must be provided by the applicant to have them taken into the means assessment. Documentary evidence from the mortgage provider as to the purpose of the mortgage/loan may be requested from the applicant from time to time. If a Mortgage/Loan is in respect of 2 nd house, holiday home abroad etc., then this should be allowed as set out above but the value of the property must be assessed under “Property (other than family home)” Section 3.6 of this document. 3.2.2 Childcare Costs Outgoings in respect of Childcare costs are allowable provided that the costs are necessarily incurred in taking up/continuing employment, education or training and in providing family supports. Medical Card GP Visit Card National Assessment Guidelines Version 3 21 05 09.doc 11
Page 1 and 2: Medical Card/G.P. Visit Card Nation
Page 3 and 4: 6.1 INTRODUCTION 9 6.2 GENERAL 9 6.
Page 5 and 6: 2 Introduction 2.1 Medical Card A M
Page 7 and 8: - Persons with retention entitlemen
Page 9: 2.5 Who decides on an applicant’s
Page 13 and 14: - The contribution towards shared t
Page 15 and 16: - Compensation awards to persons wh
Page 17 and 18: 4.3 Employed Persons The assessable
Page 19 and 20: Emoluments Spouse Where a self-empl
Page 21 and 22: Persons aged 16 - 25 years, includi
Page 23 and 24: 3. If the applicant’s means is in
Page 25 and 26: 4.7.4 Review Dates for Discretionar
Page 27 and 28: 5.2 Government Schemes Persons part
Page 29 and 30: - Form E106. - Form E109. - Form E1
Page 31 and 32: 6.3 Categories of Beneficiaries 6.3
Page 33 and 34: Dependants resident in Ireland of p
Page 35 and 36: services through the choice of doct
Page 37 and 38: Appendix II Financial guidelines fo
Page 39 and 40: Appendix III: EU Eligibility Case S
Page 41: Medical Card GP Visit Card National
Page 54 and 55: Introduction The Health (Amendment)
Page 56 and 57: 3.3 Where an Irish national is work
Page 58 and 59: “(5A) A person who is not less th
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that other person as husband and wi
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Section 18 of the Health Act 2004 -
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(4) This section does not apply in
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(3) A Health Board shall make avail
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may be defrayed by a board or the B
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community pharmacies and persons re
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‘registered dentist’ has the me
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Appendix VI: Health Services (No. 3
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Appendix VIII Cohabitation Assessme
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Medical Card/G.P. Visit Card National Assessment Guidelines

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