Healthcare services in Ireland

Introduction

Both private and public healthcare services are available in Ireland.

Private healthcare services are provided by individual health professionals or healthcare companies. You usually pay the full cost of private health services. You can take out private health insurance to help meet the cost of private healthcare.

Public health services are supported by the State. Many public health services are free of charge but in some cases there may be a fee.

The Health Service Executive (HSE) is responsible for the delivery of public health services. Sometimes the HSE provides these services directly and sometimes the HSE funds other organisations to provide these services.

You are covered by public health services if you have been living in Ireland for at least a year or you intend to live here for at least one year. This is called being ordinarily resident in Ireland.

Depending on where you are from, you may be entitled to access public health services in Ireland as a visitor.

If you are resident in Ireland, you can access healthcare in Europe.

General Practitioners (family doctors)

General Practitioners (GPs) are family doctors. A GP is often the first doctor people see about a health problem. You need to pay a fee to see a GP unless you have a medical card or a GP visit card.

You can find a GP in your area using the HSE Service Finder Map. Some GPs will also arrange home visits.

GPs provide referrals to more specialised doctors called consultants. You cannot see a consultant for the first time without a referral from a GP.

If you need to see a GP outside clinic hours, you can contact your local GP out of hours service.

Medical cards and GP visit cards

Medical card

If your income is below a certain level you may get a medical card. You may qualify for a medical card under EU regulations.

With a medical card you can access public health services free of charge, including doctor visits and public hospital services.

The medical card covers the cost of prescription medicines but you pay a set charge when you get the medicines – this prescription charge is the same for each item.

GP visit card

If your income is above the limit for a medical card, you may be able to get a GP visit card. It has an income test with a higher limit. The GP visit card only covers free visits to your family doctor.

All children under the age of 6 can get a GP visit card. The GP visit card is available to everyone aged over 70, without an income test.

Pharmacies, prescribed drugs and medicines

Your pharmacist (or chemist, as they are also known) provides drugs and medicines. They can offer you advice and can also guide you to other health professionals or community services, if you need them.

You can find your local pharmacy using the HSE’s interactive service finder map.

There is a set prescription charge for medical card holders. If you don’t have a medical card, the Drugs Payment Scheme limits the amount you spend on prescribed drugs. People suffering from certain conditions can get free medicines for the treatment of those conditions under the Long Term Illness Scheme.

Local health centres

There are local health centers in each area that provide different health services. The range of services provided varies in different areas but includes nursing care, chiropody, speech therapy, physiotherapy, mental health services and more.

You can access community health and personal social services through your Local Health Office.

Sometimes health services can be provided in your own home. If you are older or have a disability, you may be able to get support at home through the Home Support Service.

Hospital services

You can be referred to hospital as a public patient or as a private patient. You may need to pay, depending on your situation and the service you require. You can read detailed information about hospital charges.

You may use hospital services as an out-patient or an in-patient.

Out-patient services

You may be referred by your family doctor (GP) to the out-patient department of a public hospital - for example, to be seen by a specialist consultant or for diagnostic tests like x-rays.

Accident and emergency services are outpatient services and if you are referred by a GP there is no charge. If you visit an accident and emergency department without being referred by a GP there is a set charge.

To visit a consultant (medical specialist) you must be referred by a GP. As a public patient, you do not have to pay for the consultant’s services and you do not get to choose your consultant. In many areas, there are waiting lists for non-emergency services.

If you choose to be referred to a consultant as a private patient, you pay for the consultant’s services. Private hospitals set their own charges. If you have private health insurance, it may cover some or all of the charges.

In-patient services

You may be admitted to hospital as an in-patient under the care of a consultant.

If you are in a public hospital as a public patient, and you do not have a medical card, there is a set daily in-patient charge. There is maximum limit to how much you will be charged over a 12-month period.

If you are admitted to a public hospital as a private patient of a consultant, you pay a different daily in-patient hospital charge.

How to make a complaint about a healthcare provider

There is a complaints system for public health services that are provided by or on behalf of the HSE.

For information about making a complaint about a private health service, visit healthcomplaints.ie, a website which provides information on how to make a complaint or give feedback about health and social care services.

Page edited: 19 July 2019