Dáil Éireann Debate, Thursday - 27 May 2010
86 Deputy Richard Bruton asked the Minister for Health and Children, in assessing the eligibility of persons over 70 for the medical card, the reason for the provision to look at the medical condition and medical expenses of a person whose income exceeds the €700 limit; and if the Health Service Executive has the discretion to grant a card in exceptional medical circumstances. [22491/10]
Amharc ar fhreagraUnder the Health Act 2008, a much simplified system of assessment for eligibility was introduced in respect of persons aged 70 or over, based on the significantly higher gross income thresholds rather than the standard net income limits. The gross income thresholds are €700 per week for a single person and €1,400 for a couple, as against net income limits of €201.50 for a single person and €298 for a couple.
Under the net income assessment system, the assessment of eligibility is based on the combined income of an applicant and spouse (where applicable) after tax, PRSI and income levy contributions have been deducted. Additional allowances may be made for rent/mortgage, travel to work and child care costs. However, these would not be a factor for the vast majority of older people. Where an applicant's income is in excess of the net income guidelines, the Health Service Executive (HSE) will take medical issues and expenses into account in determining whether or not "undue hardship" exists. Where a person aged 70 or over does not qualify for a medical card by virtue of their gross income being over the specified thresholds, the HSE will assess if the person qualifies for a medical card or GP visit card under the existing net income thresholds.
Notwithstanding the above, the HSE may issue a medical card on a discretionary basis, if the applicant would otherwise be caused undue hardship in providing general medical and surgical services for himself/herself and any dependants. To assist the HSE in making such a determination, it is necessary for the applicant to provide information about medical issues and expenses.
87 Deputy Ciarán Lynch asked the Minister for Health and Children the grounds for refusal of the appeal of an application for a medical card in respect of a person (details supplied) in County Cork; if an oral hearing will be granted; and if she will make a statement on the matter. [22494/10]
Amharc ar fhreagraI wish to advise the Deputy that due to industrial action affecting the Health Service Executive it is not possible for the Executive to supply the information requested. If this matter remains of continuing concern to you, however, I would invite you to raise it with me again in due course.
