Medical Card eligibility entitles medical card holders to receive health and social care services free of charge, as provided for under the General Medical Services Scheme. IVF is not a service that comes under the General Medical Services Scheme. Drugs used as part of fertility treatment are, however, covered under the Drugs Payments Scheme and High Tech Drug Arrangements. Under the Drugs Payments Scheme, any drug costing over €144 per calendar month, incurred as part of a person's fertility treatment, is covered by the HSE. A letter responding to the Deputy's question issued on 16 December 2013 and a copy of same has now re-issued.