Entitlement to dental and optical benefits under the treatment benefits scheme is conditional on having sufficient PRSI contributions paid or credited to qualify. Under EU regulations, which provide for the protection of the social security rights of migrant workers, account can be taken of periods of insurance completed in other member states to satisfy these contribution conditions, provided that the person was last insured under Irish legislation before the date of claim.
The EU regulations provide that normally the legislation of one member state is applicable at any one time and that is the legislation of the country of employment or last employment. Irish legislation, therefore, would not be applicable under the EU regulations in the case of pensioners who were last insured under the legislation of another member state. There is, accordingly, no legal basis in such cases to take account of their periods of insurance completed in other states for the purposes of claims to treatment benefits.
If, as the Deputy suggests, provision was made in Irish legislation to go beyond the EU regulations and take account of periods of insurance completed in other member states to qualify for treatment benefits, then pensioners with insurance in those states could come to Ireland to obtain these benefits without ever having been insured here, with the cost to be fully borne by Irish PRSI contributors and taxpayers. It would also mean that they would in many cases retain entitlement to corresponding benefits under the legislation of the country where they were last insured.
Under the EU regulations pensioners resident in Ireland who are in receipt of a pension from one or more other member states are entitled to the full range of health services free of charge, the cost of which is financed by the competent state, the state to whose legislation the pensioner has been subject for the longest period or the state of last insurance. The provision of such services is arranged through the issue of medical cards to the persons concerned, irrespective of their level of income. The health services provided include dental and optical benefits under the appropriate health board schemes.
In the circumstances, I do not consider that an extension of the scheme on the lines proposed by the Deputy would be warranted and I have no plans at present to do so.