Jan O'Sullivan (Limerick East, Labour)
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Question 178: To ask the Minister for Health and Children if she will allow for the provision of doctor-only medical cards for persons over 70 years who do not qualify for a full medical card; and if she will make a statement on the matter. [36800/10]

Mary Harney (Dublin Mid West, Independent)
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Under 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.