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

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2.2 GP Visit Card A GP Visit Card is confirmation that the HSE will provide free access to GP Services only to individuals and families. A person qualifies in much the same way as for a Medical Card except that the Income Guidelines are currently 50% higher. 2.3 Who is entitled to a Medical Card? Entitlement to a Medical Card is governed by primary legislation (See Appendix. V). In assessing eligibility for a Medical Card the HSE will have due regard for the legislation, regulations and relevant circulars from the Dept of Health and Children which are reflected in these guidelines. Any person who is considered by the Health Service Executive to be "ordinarily resident" in the State is entitled to have their eligibility for Medical Card considered. (See Appendix V for definition of ordinary resident). There are three (3) main categories of people entitled to a Medical Card: 1. Applicants (and their dependants) whose assessable income comes within the relevant Income Guidelines set out in Appendix II. 2. Applicants (and their dependants) whose assessable income is in excess of the Income Guidelines but where the HSE considers that to refuse a Medical Card would cause undue hardship.( See Section 3.10). 3. The following applicants are exempt from a means test : - - Persons with EU entitlement. Under EU Regulation 1408/71 persons moving from one Member State to another Member State within the European Union “retain the rights and advantages acquired” through social insurance contribution made in their home country and this includes access to health services. This is dealt with in detail in Section 5 of this document. Medical Card GP Visit Card National Assessment Guidelines Version 3 21 05 09.doc 6
- Persons with retention entitlement under Government Schemes. In certain circumstances persons who have been in receipt of Social Welfare payments for specified times and who return to work or avail of Government approved schemes are allowed retain their Medical Card for specified periods. (this is dealt with in detail in Section 7). - Persons affected by the drug Thalidomide. People who have been affected by the drug Thalidomide are eligible for a Medical Card regardless of their level of income/means. - Persons affected by Symphysiotomy. Survivors of Symphysiotomy are eligible for a Medical Card regardless of their level of income/means. Note regarding entitlement for persons over 70 years and over: From 1.1.2009 a separate scheme exists for the assessment of eligibility for persons aged 70 years and over to a Medical Card .In this regard legislation (The Health Bill 2008) has been enacted and new guidelines (Medical Card National Assessment Guidelines for persons aged 70 years and over) have been drafted to assist staff. If an applicant does not qualify under the over 70s scheme s/he may request that their eligibility be assessed for a Medical Card / GP Visit Card be assessed under, the general scheme. Medical Card GP Visit Card National Assessment Guidelines Version 3 21 05 09.doc 7
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Page 3 and 4: 6.1 INTRODUCTION 9 6.2 GENERAL 9 6.
Page 5: 2 Introduction 2.1 Medical Card A M
Page 9 and 10: 2.5 Who decides on an applicant’s
Page 11 and 12: Contributions towards household exp
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
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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
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Page 35 and 36: services through the choice of doct
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Page 54 and 55: Introduction The Health (Amendment)
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3.3 Where an Irish national is work
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“(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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