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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2.5 Who decides on an applicant’s eligibility?<br />
The Health Service Executive is responsible for determining an applicant’s eligibility but<br />
in practice the function is delegated to decision makers working within Primary,<br />
Community and Continuing Care services.<br />
Note regarding entitlement for persons over 70 years and over:<br />
Applications by persons 70 Years and over are assessed and have their eligibility<br />
determined by Primary Care Re-imbursement Service (PCRS).<br />
3 Income guidelines and additional allowances.<br />
3.1 Income <strong>Guidelines</strong><br />
The Health Service Executive issues Income <strong>Guidelines</strong> to assist in determining<br />
entitlement to <strong>Medical</strong> <strong>Card</strong>s/GP <strong>Visit</strong> <strong>Card</strong>s and in that context <strong>National</strong> Income<br />
<strong>Guidelines</strong> are issued to assist staff in making decisions. In revising the Income<br />
<strong>Guidelines</strong>, the Health Service Executive has regard to government policy as outlined by<br />
the Minister for Health & Children, increases in the Consumer Price Index and to other<br />
issues which may be relevant. (The Income <strong>Guidelines</strong>, from January 2006 are set out in<br />
Appendix II.)<br />
The assessment of eligibility for <strong>Medical</strong> <strong>Card</strong>s and GP <strong>Visit</strong> <strong>Card</strong>s is based on the<br />
combined income of an applicant and spouse after Tax, PRSI and Income Levy<br />
contributions have been deducted (See Section 3.1.1 for definition of spouse).<br />
Please note – The Pension Levy is not deductible from gross income for assessment<br />
purposes.<br />
Where a person’s assessable income is within the relevant Income <strong>Guidelines</strong> a <strong>Medical</strong><br />
<strong>Card</strong>/GP <strong>Visit</strong> <strong>Card</strong> will be granted. The associated decision making process is set out in<br />
Section 3.10.<br />
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