Ireland Medical Card / GP Visit Card Appeal Letter (Health Act 1970 s.45)
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Your Situation
Tell us about the refusal letter from the HSE Primary Care Reimbursement Service (PCRS) and, in your own words, why the decision is wrong.
This letter will cite
Health Act 1970, Section 45 (Medical Card — full eligibility) and Section 45(7) (discretionary card where undue hardship would otherwise be caused); HSE National Assessment Guidelines (income thresholds revised annually); Tepe v Minister for Health [2017] IEHC 175 (hardship discretion).
Your appeal letter will ask the HSE PCRS for an informal review within 21 days (HSE practice — no statutory clock) and, if needed, a formal appeal to the HSE Medical Card / GP Visit Card Appeals Office at Naas. It will reconcile the income figures used by the PCRS, evidence allowable deductions, and engage the s.45(7) hardship discretion on the totality of the medical and financial evidence.
HSE practice is to accept an informal review request within 21 days of this date. There is no statutory clock — the Health Act 1970 does not impose one — but acting within 21 days keeps the review on the informal track before the formal appeal to Naas.
LTI is a separate, non-means-tested scheme covering drugs and medicines for specified conditions (e.g., diabetes, epilepsy, MS, Parkinson's, cystic fibrosis, mental illness for the under-16s and at-risk adults). Listed at hse.ie/lti.