Medical Card/G.P. Visit Card National Assessment Guidelines
Medical Card/G.P. Visit Card National Assessment Guidelines
Medical Card/G.P. Visit Card National Assessment Guidelines
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Appendix III: EU Eligibility Case Studies and EForms<br />
(106, 109 & 121)<br />
The following case studies are given as examples to assist staff in understanding the<br />
application of the principles underlying EU eligibility<br />
Example 1:<br />
Is a person aged 61 years who is in receipt of a social security pension of 1,000 per<br />
annum from the UK, a HSE pension of €40,000 per annum, and has savings of €200,000<br />
entitled to a medical card under EU legislation?<br />
Answer: Yes – because they have a social security pension from another EU<br />
Member state and their other incomes and savings do not include a contributory<br />
social security payment from the Department of Social and Family Affairs.<br />
Furthermore, their additional incomes are not liable for PRSI in Ireland.<br />
Example 2<br />
Is a person aged 61 years who is in receipt of a social security pension of £1,000 per<br />
annum from the UK, and who is employed by HSE @ €20,000 per annum entitled to an<br />
EU <strong>Medical</strong> <strong>Card</strong> under EU legislation?<br />
Answer: No – because their earnings with HSE SE are subject to PRSI deductions.<br />
This person has no entitlement under EU legislation and will be subject to a means<br />
test under national legislation.<br />
Example 3<br />
Is a person aged 66 years who is in receipt of a social security pension of £10,000 per<br />
annum from the UK, and who is also in receipt of a contributory state pension from the<br />
Department of Social & Family Affairs entitled to an EU <strong>Medical</strong> <strong>Card</strong> under EU<br />
legislation?<br />
Answer: No – because they are in receipt of an Irish contributory social welfare<br />
pension. This person has no entitlement under EU legislation and will be subject to a<br />
means test under national legislation.<br />
Example 4<br />
Is a person from the UK who is resident in Ireland and working for the HSE entitled to an<br />
EU <strong>Medical</strong> <strong>Card</strong> under EU legislation?<br />
Answer: No – because their earnings with HSE are subject to a deduction in respect<br />
of PRSI. This person will be means tested.<br />
<strong>Medical</strong> <strong>Card</strong> GP <strong>Visit</strong> <strong>Card</strong> <strong>National</strong> <strong>Assessment</strong> <strong>Guidelines</strong> Version 3 21 05 09.doc 39