Written answers

Thursday, 27 June 2019

Department of Health

General Medical Services Scheme Expenditure

Photo of Louise O'ReillyLouise O'Reilly (Dublin Fingal, Sinn Fein)
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190. To ask the Minister for Health the cost paid by the State for a general practitioner visit under the general medical services scheme. [27340/19]

Photo of Simon HarrisSimon Harris (Wicklow, Fine Gael)
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Under the General Medical Services (GMS) contract, GPs are reimbursed for a range of services they provide to medical card and GP visit card holders.

GPs are remunerated for these services primarily on a capitation basis rather than a per-visit basis, with a range of additional support payments and fees for specific items of service. It is therefore not possible to calculate the cost of a general practitioner visit under the GMS contract.

The table below outlines the current indicative annual cost for GP visit card eligibility and medical card eligibility, by age group.

Age GroupCost per GP Visit Card Cost per Medical Card
0 – 4 Yrs€243€390
5 – 15 Yrs€165€268
16 - 44 Yrs€154€688
45 – 64 Yrs€223€1,286
65 – 69 Yrs€252€1,663
Aged 70 and over€500€2,130

Note: Indicative costings compiled by the HSE Primary Care Reimbursement Service, based on claims for the 12-month period to December 2018.

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