The Government is committed to providing services and supports for people with disabilities to meet their needs. There are a range of services in place to protect individuals and families from excessive costs for their medical and surgical needs.
The Housing Adaptation Grants for Older People and People with a Disability assist people to have necessary adaptations, repairs or improvement works carried out to make their accommodation more suitable for their needs. These works can include making it wheelchair-accessible, extending it to create more space, adding a ground-floor bathroom or toilet or a stairlift. The scheme is administered by local authorities and more information can be found here: www.gov.ie/en/service/6636c-housing-adaptation-grants-for-older-people-and-people-with-a-disability/.
Applications to the Health Service Executive for a wide range of aids and appliances - including beds, wheelchairs, mobile hoists, respiratory equipment etc - are made on foot of prescriptions from relevant health care professionals and based on an applicant's eligibility under the Health Act 1970 (as amended). These applications are made under the Community Funded Schemes and are considered by Resource Allocation Groups within each Community Health Organisation. A determination is made regarding approval based on clinical priority and the funding available within local budgets. These aids and appliances play a key role in assisting and supporting people to maintain everyday functioning and to remain living in their homes and local community.
The Long-Term Illness (LTI) scheme was established under Section 59(3) of the Health Act 1970 (as amended). Regulations were made in 1971, 1973 and 1975, prescribing 16 illnesses covered by the scheme. These are: acute leukaemia; mental handicap; cerebral palsy; mental illness (in a person under 16); cystic fibrosis; multiple sclerosis; diabetes insipidus; muscular dystrophies; diabetes mellitus; parkinsonism; epilepsy; phenylketonuria; haemophilia; spina bifida; hydrocephalus; and conditions arising from the use of Thalidomide. Under the LTI scheme, patients receive drugs, medicines, and medical and surgical appliances directly related to the treatment of their illness, free of charge.
People who cannot, without undue hardship, arrange for the provision of medical services for themselves and their dependants may be eligible for a medical card. In accordance with the provisions of the Health Act 1970 (as amended), eligibility for a medical card is determined by the HSE. Medical card eligibility is primarily based on an assessment of means and is not granted on the basis of any particular condition.
In certain circumstances the HSE may exercise discretion and grant a medical card, even though an applicant exceeds the income guidelines, where he or she faces difficult financial circumstances, such as extra costs arising from illness. In circumstances where an applicant is still over the income limit for a medical card, they are then assessed for a GP visit card, which entitles the applicant to GP visits without charge.
Individuals may also be entitled to claim tax relief on the cost of their medical expenses, including medicines prescribed by a doctor, dentist, or consultant. Relief is at the standard tax rate of 20%.
