If you have a medical card issued by the Health Service Executive (HSE) you can receive certain health services free of charge. Normally, your dependent spouse or partner and your children are also covered for the same range of health services.
To qualify for a medical card, your weekly income must be below a certain figure for your family size. Cash income, savings, investments and property (except for your own home) are taken into account in the means test.
GP visit cards: If you do not qualify for a medical card on income grounds, you may qualify for a GP visit card.
If you have a medical card, you are entitled to:
Medical card holders pay the Universal Social Charge on their income if it is over the exemption limit, but there is a reduced rate. Medical card holders may also be exempt from paying school transport charges and State exam fees in publicly-funded second-level schools. There may also be financial help with buying school books in certain schools.
Normally, your total income is taken into account in the means test for the medical card.
There are different guidelines for the means test depending on your age:
The assessment of a couple for medical card purposes is based on the age of the older person.
If your income is above the limit you may still be able to obtain a medical card if your circumstances would result in hardship without one. This is sometimes called a discretionary medical card. See the Assessment Guidelines in Further information below for details.
If you are aged 16–25 and dependent on a parent or guardian, you are eligible for a medical card if your parent or guardian has a medical card.
If you have an income over the medical card income limit for a single person living with family you are considered financially independent and in this case the usual means test applies.
If you are not living with or dependent on a parent or guardian then you are living as an independent person regardless of income and your application is assessed using the standard means test.
Medical cards are usually granted to children in foster care.
Budget 2017 provides for the medical card to be given to all children getting Domiciliary Care Allowance once the necessary changes to legislation have been made.
If your circumstances change you must inform the HSE as you may no longer be eligible. For example, if your income or family circumstances change, you must inform the Client Registration Unit as soon as possible — see 'How to apply' below. Your card will be reviewed periodically.
The HSE will ask you periodically to confirm your circumstances. A review form is sent to you, which you must fill in and return to the Client Registration Unit. If you do not return your review form your application cannot be re-assessed and your card may not be re-issued.
If you return your review form by the given date but the review process continues past the expiry date of your card, the card’s validity may be extended so that you can continue to use it while the review is taking place. The extension is on a month-by-month basis so it is advisable to contact the Client Registration Unit to confirm that your card has been extended and continues to be valid.
Returning to work
If you are getting a social welfare payment for a year or more and return to work, you may be able to keep your medical card for up to 3 years.
If you move
You can use your medical card for up to 3 months if you are living temporarily in a different area. In this case, you can attend any GP in the area participating in the medical card scheme. If you are going to be away longer than 3 months, you do not have to re-apply for a new Medical Card. You should make contact with your new Local Health Office where you will be advised of the GPs practising in your new area.
If you are changing your GP, you complete a Change of Doctor Form (pdf), giving details of the new doctor. The form is available online or by phoning Lo-call 1890 252 919.
If you have any questions before you send your application, you can phone Lo-call 1890 252 919, contact your Local Health Office, or email firstname.lastname@example.org.
You can apply online for a medical card on medicalcard.ie. This is the quickest method of obtaining the card. The completed form will be returned to you.
Alternatively, you can download a medical card application form:
You bring the form to the GP you have chosen from the list of participating doctors. Usually, the GP you select must have his/her practice within 7 miles of where you live. If the GP agrees to accept you as a patient for medical card GP services, he/she signs the form.
You return the form to the Client Registration Unit, along with the documentary evidence specified on the form.
You can track the progress of your medical card application at medicalcard.ie.
The HSE has FAQs on medical cards and medical cards/GP Visit Cards for people aged 70 and over.
Children diagnosed with cancer
Children under the age of 18 who have been diagnosed with cancer within the last 5 years are eligible for a medical card without a means test. The application form does not require information about income but does require a medical report. You can download the Medical Card Application Form for Children under 18 years, Form MC1(b).
If you have been refused a medical card and are not satisfied with the decision, you may have it reviewed. Your circumstances may have changed or you may have left out some relevant information from the original application. If you are not satisfied with the review you may make an appeal to the Appeals Office for your HSE Area. The contact details will also be contained in your letter of refusal. The Appeals Office will conduct a reassessment of your application. This will be conducted by HSE staff who were not involved in deciding on your original application.
The HSE has published assessment guidelines for medical card applications:
If you are getting a social security pension from another EU/EEA country or Switzerland, or if you are working and paying social insurance in one of these countries, you may qualify for a medical card under EU rules if you are ordinarily resident in Ireland.
You must not be subject to Irish social security legislation. This means that you must not be in receipt of a contributory Irish social welfare payment or be working in Ireland and be liable to pay PRSI.
If you are living in Ireland and you are the dependant of a pensioner entitled under EU Regulations, or are the dependant of a person who is working in another country covered by the Regulations, you may be eligible for a medical card. You must not be subject to Irish social security legislation (in the case of child dependants this rule applies to the spouse or person looking after them).
Posted workers and their dependants may also qualify for the medical card. These are workers who are employed in another country covered by the regulations but are sent by their employers to work in Ireland for a limited time.
See the assessment guidelines (pdf) for more information about entitlement under EU Regulations.
If you have a question relating to this topic you can contact the Citizens Information Phone Service on 0761 07 4000 (Monday to Friday, 9am to 8pm) or you can visit your local Citizens Information Centre.