while insured, the Medical Care Scheme may refund any costs not covered by the HSE or the Treatment Benefit Scheme.
How to qualify
To qualify, you must:
be injured as a result of your work or
on an unbroken journey to/from work or
contract a prescribed occupational disease developed due to the nature of your injury and
notify the department within 6 weeks of starting medical treatment
hold a job at PRSI class A, B, D, J or M
Not all work accidents or diseases are immediately obvious.
If you are injured but not immediately incapacitated, you should:
tell your employer without delay
apply to this department for a declaration that your injury/disease was due to your job
If you are applying for Occupational Injury Benefit or the Medical Care Scheme, it isn’t necessary to also apply for a declaration.
Applications for declarations should only be made if you are not, at least for the foreseeable future, applying for one of the Injury Benefit Schemes.
The following necessary expenses may be refunded:
certain appliances (artificial limbs, hearing aids, and so on)
repair and replacement of those appliances
certain dental and optical treatments
certain treatments prescribed by your doctor (for example osteopathic, acupuncturist or chiropractic)
certain travelling expenses (usually limited to public transport)
Payments are made by electronic transfer.
You may receive payments in instalments for ongoing treatments, but typically only one payment will be made. Payment is usually made to the claimant, but may also be paid to the HSE or to the employer, if necessary.
To apply, fill in the form below.
Application Form: Cost of Medical Care in respect of an Occupational Accident or Disease (C1)
You need a Personal Public Service (PPS) Number before you apply.