Thursday, 27 June 2019

Questions (190)

Louise O'Reilly

Question:

190. Deputy Louise O'Reilly asked the Minister for Health the cost paid by the State for a general practitioner visit under the general medical services scheme. [27340/19]

View answer

Written answers (Question to Health)

Under the General Medical Services (GMS) contract, GPs are reimbursed for a range of services they provide to medical card and GP visit card holders.

GPs are remunerated for these services primarily on a capitation basis rather than a per-visit basis, with a range of additional support payments and fees for specific items of service. It is therefore not possible to calculate the cost of a general practitioner visit under the GMS contract.

The table below outlines the current indicative annual cost for GP visit card eligibility and medical card eligibility, by age group.

Age Group

Cost per GP Visit Card

Cost per Medical Card

0 – 4 Yrs

€243

€390

5 – 15 Yrs

€165

€268

16 - 44 Yrs

€154

€688

45 – 64 Yrs

€223

€1,286

65 – 69 Yrs

€252

€1,663

Aged 70 and over

€500

€2,130

Note: Indicative costings compiled by the HSE Primary Care Reimbursement Service, based on claims for the 12-month period to December 2018.

Question No. 191 answered with Question No. 189.