TheJournal.ie uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Click here to find out more »
Dublin: 11 °C Sunday 19 May, 2013

Medical card holders urged to seek refunds for blood tests

The HSE has written to all GPs in the medical card scheme reminding them of their obligations, after reports of charging for tests.

Image: Niall Carson/PA Archive

THE HEALTH SERVICE EXECUTIVE has written to every GP in the country operating the medical card scheme, reminding them that they are not allowed to charge medical card holders for basic services.

Junior health minister Roisin Shortall said the contact had been established after Fianna Fáil TDs reported that constituents had been charged for blood tests, when those tests should be free to all medical card holders.

Cork North-Central TD Billy Kelleher said a 90-year-0ld had been charged €15 each time for his regular blood tests for warfarin.

“At my request, the HSE has written to all [General Medical Scheme] GPs reminding them of their obligations under their contract in respect of services such as phlebotomy and advised them that charges should not be applied for such services,” Shortall said.

“The HSE is encouraging eligible patients who believe they have been inappropriately charged by a GP for routine phlebotomy services to seek a refund from the GP in question.”

Affected patients have also been told they can also lodge a complaint directly with the HSE which will investigate through its Consumer Affairs Service.

Shortall also encouraged other TDs to inform the HSE directly about any apparent breaches of the GMS rules in future, so as to minimise the time taken to deal with them.

Kelleher said he had raised the issue because it “was my understanding that these routine tests were covered under the GMS scheme and the patients by their very nature are on a limited income”.

“While this practice is not widespread, any charging of hard pressed patients is unacceptable,” he said.

Read: Councillor wants HSE funding for Viagra reviewed

Read next:

Comments (13 Comments)

  • Excellent, too many GP’s take the piss with this. In my GP’s surgery, there are notices up around the place €25 for bloods, €15 for a cert for work, regardless of whether you are on a med card or not. Hopefully this will soften their cough.

    Reply
    • Yes
      My terminally Ill farther was charged 45 euro for blood tests every week and 30 if dressings need to be changed i complained and asked to change doc he told me no doctor would take my dad on as he was too ill and would cost them money and when he was dying the doctor refused to do home visit cos he wasn’t paid enough by hse I had to pay a agency doctor who knew nothing about him Gp and consultants need to be taken on if health service is to survive

      Reply
    • @ Betty
      if I was you I would make a complaint to the HSE and the medical council about your doctor. People only need doctors when they are sick so his belief that no other doctor would take your dad on is disgraceful. The only reason he didnt want your dad to get a new doctor was because your dad was paying 45 – 75 euros per week for services that should be free. He saw your father as an easy target and cash cow. Doctors like him deserve to be struck off and made an example of.

      Reply
    • Micheal 11/08/12 #

      @Betty,
      If that truly is the case, you have a case to take to the IMC, as GP’s are there to provide a service.
      In the case of home visits, if one is required the GP or the Out-of-hours GP is obliged to carry them out.
      In the case of switching Gp’s, again, no choice but to release notes etc, that’s your choice.
      There may be more to your story, I don’t know, but it seems incredible that a GP would treat Their patients in such a manner.
      If things are as you say though, certainly go to the IMC. You have a case for them.

      Reply
    • Michael it was exactly as I describe. The doctor in question explained to me that they only get a flat rate yearly payment to see medical card patients so if you need to see a doctor more you are costing them money when they could be seeing private patients in relation to the home visit he wanted me to bring my dying father into the surgery as he didn’t do home visits when I said he was too weak to walk he said what do you want me to do about it. I did complain to the practice manager and asked to have another doctor in the practice see him she said she understood but the other doctors couldn’t be seen to undermine a senior partner and I could seek another doctor else where but given his health another doctor would be reluctant and would probably tell me their list was full

      Reply
  • The Irish medical organisation has clarified this issue already. The contract the gp holds does not oblige them to provide blood testing in the surgery. All medical card holders can have their bloods done free at the local hospital. Those GPs who provide the convenience of blood testing at their own surgeries may charge if they wish once they offer the choice of referring patients to the local hospital. Perhaps ms shortfall might practice what she preaches and support those practices who do offer blood tests and other services in their surgeries so they would not have to charge. If she insists on threatening GPs like this she will find that her Primary care plans are useless because all the GPs who keep patients out of hospitals will abandon these services and all patients will be frontloaded to hospitals . Watch the waiting lists get longer then.

    Reply
  • GPs should only have to provide clinically indicated blood tests to medical card holders. Otherwise the worried well with medical cards will bankrupt the HSE with incessant requests for tests that are not necessary. A charge is justified where the test is a request and not recommended or indicated.

    Reply
    • I would imagine an annual ‘request’ to check for cancer, liver functionality and a general all clear is hardly an incessant request. The GP gets paid a few hundred euro for the year whether you need to attend or not in that year.

      Reply
    • The current GMS contract with GPs apparently does not require provision of any routine phlebotomy or monitoring of Warfarin, Diabetes and so on. So if the issue is forced, GPs would be entitled to send these patients on to hospitals for this service. This according to the Irish Medical News.
      I agree that it is reasonable to perform checks from time to time for people with certain conditions or on certain medications. And most GPs do this. But there are patients who demand tests that are not indicated clinically. And often these demands are not yearly at all! I reckon a very small percentage of people take up most of the resources and the vast majority utilise very little. Sadly, a lot of that small percentage is not at all unwell in a physical sense but suffer from neurosis, somatisation and hypochondriasis. That is the point I was making out of concern that those demands would overwhelm the system and deny people who really need the service appointments, tests and so on.

      Reply
  • John F 11/08/12 #

    The medical card mob don’t like paying for anything but the rest of us living in the real world aren’t so lucky! The sooner this country’s spending reflects the reality of the money we take in and government spending is curtailed to realistic levels the better! There’s no use peeling a plaster off slowly, better just to rip it off in one go and be done with it!

    Reply
  • juliana 11/08/12 #

    My surgery charge for blood tests and a whopping €45 for a blood pressure monitor.these are not things people I know are requesting but are being told they must have and pay for them .I know some people on medical cards take the mick,but most are genuine!

    Reply
  • People should read the MS contract paragraph 11. GPs have to provide free phlebotomy for blood tests which are part of the investigative process but not routine blood tests for ongoing monitoring of chronic conditions such as warfarin bloods, diabetes etc. It’s always cathartic for people to bash the GPs despite the fact that many of them were providing these routine blood tests to monitor chronic conditions pro bono in the past.

    Reply
  • Does anyone know if doctor’s are supposed to charge €50 for an overnight blood pressure monitor even doh u have a medical card??

    Reply

Add New Comment