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

Appendix III: EU Eligibility Case Studies and EForms
(106, 109 & 121)
The following case studies are given as examples to assist staff in understanding the
application of the principles underlying EU eligibility
Example 1:
Is a person aged 61 years who is in receipt of a social security pension of 1,000 per
annum from the UK, a HSE pension of €40,000 per annum, and has savings of €200,000
entitled to a medical card under EU legislation?
Answer: Yes – because they have a social security pension from another EU
Member state and their other incomes and savings do not include a contributory
social security payment from the Department of Social and Family Affairs.
Furthermore, their additional incomes are not liable for PRSI in Ireland.
Example 2
Is a person aged 61 years who is in receipt of a social security pension of £1,000 per
annum from the UK, and who is employed by HSE @ €20,000 per annum entitled to an
EU Medical Card under EU legislation?
Answer: No – because their earnings with HSE SE are subject to PRSI deductions.
This person has no entitlement under EU legislation and will be subject to a means
test under national legislation.
Example 3
Is a person aged 66 years who is in receipt of a social security pension of £10,000 per
annum from the UK, and who is also in receipt of a contributory state pension from the
Department of Social & Family Affairs entitled to an EU Medical Card under EU
legislation?
Answer: No – because they are in receipt of an Irish contributory social welfare
pension. This person has no entitlement under EU legislation and will be subject to a
means test under national legislation.
Example 4
Is a person from the UK who is resident in Ireland and working for the HSE entitled to an
EU Medical Card under EU legislation?
Answer: No – because their earnings with HSE are subject to a deduction in respect
of PRSI. This person will be means tested.
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