Brendan Ryan (Dublin Fingal, Labour)
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415. To ask the Minister for Health the rules regarding charging medical card holders for blood tests in cases in which those medical card holders have type two diabetes and require regular blood tests; and if he will make a statement on the matter. [9490/18]

Simon Harris (Wicklow, Fine Gael)
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There is no provision under the GMS GP contract for persons who hold a medical card or GP visit card to be charged for routine phlebotomy services provided by their GP which are required to either assist in the diagnosis of illness or the treatment of a condition. The HSE has advised GPs that where a blood test forms part of the investigation or necessary treatment of a patient’s symptoms or conditions, this should be free of charge for patients who hold a medical card or GP visit card. Notwithstanding this, I am aware that in recent times some GPs have begun to charge GMS patients for phlebotomy services in some circumstances.

This is a matter of concern for me as it has long been the position, under successive Governments, that no user charges should apply to GP services provided to GMS and GP visit card patients. If a patient who holds a medical card or GP visit card believes he or she has been incorrectly charged for routine phlebotomy services by his or her GP, then that patient may take the matter up with their HSE Local Health Office, who will investigate the complaint.

If the local office determines that the charge was inappropriate, it will inform the HSE Primary Care Reimbursement Service who will arrange to refund the cost of the blood test to patient and recoup this amount from the GP. The local office will inform the GP of the decision to deduct the payment.