The general practitioner services to be provided to people who hold a GP visit card under the general medical service or GMS scheme will be the same as those being provided for medical card holders. Where a general practitioner holds a contract with the Health Service Executive for GMS medical card and for GP visit card patients then the services generally provided by the practice, including the practice nurse, will be free to both medical card and GP visit card patients. Also, under the GMS GP contract services provided out of hours for both medical card holders and GP visit card holders are free. If a general practitioner chooses to fulfil his or her GMS contractual obligation to provide services outside of normal hours through an out of hours GP co-operative then this service will be free to both medical card holders and GP visit card holders.