The question of whether there will be hospital charges under a future system of universal healthcare remains to be determined. The White Paper on Universal Health Insurance, published on 2 April 2014, stipulates that the State will determine the standard UHI package, including the minimum and maximum out of pocket payments which may be applied as part of the package.
Co-payments for certain services are often a feature of health insurance systems in other countries. Indeed, some level of co-payments could assist in reducing the cost of insurance plans under a future system of UHI. However, there would have to be careful consideration of any proposed co-payments to ensure that they would not become a barrier to accessing the health services which citizens need and to which they are entitled.