Under arrangements for public hospital services introduced in June 1991 on foot of the Health (Amendment) Act, 1991, everyone, regardless of income, is entitled to public hospital and public consultant services subject only to modest statutory charges, from which medical card holders are exempt. Alternatively one can opt to be the private patient of both the consultant and the hospital. Private patients are liable for the appropriate accommodation charges and consultants' fees in addition to the statutory charges.
All persons, including medical card holders, who opt for private treatment are liable for any expenses they incur. Any charge which may arise is a matter between the patient and the agency providing the service.