Written answers

Tuesday, 22 January 2019

Department of Health

General Medical Services Scheme Payments

Photo of Pat DeeringPat Deering (Carlow-Kilkenny, Fine Gael)
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391. To ask the Minister for Health if a medical card patient has to pay to have a blood test with their general practitioner (details supplied); if not, the procedures in place to allow them not to make the payment; and if he will make a statement on the matter. [2534/19]

Photo of Simon HarrisSimon Harris (Wicklow, Fine Gael)
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Under the terms of the current GMS contract, GPs are required to provide eligible patients with ''all proper and necessary treatment of a kind usually undertaken by a general practitioner and not requiring special skill or experience of a degree or kind which general practitioners cannot reasonably be expected to possess." 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 some GPs are charging 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 should report the matter to their HSE Local Health Office.

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