Willie Penrose (Longford-Westmeath, Labour)
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141. To ask the Minister for Health his plans to increase the €500 eligibility limit for receipt of a medical card by a single person over 70 years of age in view of the fact that this has been fixed from 1 January 2014; if this can be reviewed to reflect inflation in the interim from 1 January 2018; and if he will make a statement on the matter. [41163/17]

Simon Harris (Wicklow, Fine Gael)
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Under the Health (Alteration of Criteria for Eligibility) (No. 2) Act 2013, when a person attains the age of 70, the medical card income limits are €500 gross income per week for a single person and €900 gross income per week for a couple. Any revision of these medical card income thresholds requires primary legislation.

Persons aged 70 or older, who are assessed as ineligible under the gross income thresholds, may also have their eligibility assessed under the means-tested medical card scheme if they so wish, for example in the event that they face particularly high expenses, e.g. nursing home or medication costs. This scheme is open to all persons, irrespective of their age and assessment is based on net income and assessable outgoing expenses. The qualifying income thresholds under this scheme are lower than over-70s gross income thresholds. In setting the assessment guidelines, the Health Service Executive (HSE) has regard to Government policy as outlined by the Minister for Health, changes in the consumer price index and other issues which may be relevant.

Furthermore, persons, including those aged over 70 years, may be deemed eligible for a medical card on a discretionary basis, if they are judged to face undue hardship in arranging GP services as a result of medical or social circumstances. In addition, from August 2015, all persons aged 70 or older qualify for a GP Visit Card, regardless of income.

There are no proposals at present to amend the income guidelines for the granting of eligibility for medical cards for persons aged 70 and over. However, it should be noted that the gross income limits are reviewed annually and considered in the context of the budget.