Publication - Advice and guidance

Help with health costs: information booklet

Published: 23 Nov 2018
Directorate:
Population Health Directorate
Part of:
Equality and rights, Health and social care
ISBN:
9781788514248

Information booklet (HCS1) providing advice on what help a person may be entitled to for NHS charges.

40 page PDF

183.1 kB

40 page PDF

183.1 kB

Contents
Help with health costs: information booklet
How To Use This Document

40 page PDF

183.1 kB

How To Use This Document

You can quickly check if you are entitled to free treatment by reading pages 8-10 (see pdf for page numbers) or by following this link https://www.gov.uk/help-nhs-costs

For more detailed guidance see pages 4-6 (see pdf for page numbers) of this document and find the group you most easily fit into, then go to the page number shown.

After reading about the group that most applies to you, check to see if any others also apply. You may fit into more than one group. If so, you need to make sure you read about both groups.

When you have found the group or groups you belong to and what help you can get, go on to: ‘Claiming Help When You Go For Treatment’ (pages 28-30) (see pdf for page numbers) .

Refunds. You can also get information about refunds in this document – read pages 31-32 (see pdf for page numbers).

The Penalty Charge. If you are found to have made a wrongful claim for help with health costs, you will face penalty charges and may be prosecuted. Read page 32 (see pdf for page numbers) .

Current Rates. The current rates of NHS charges and optical voucher values in Scotland are given in leaflet HCS2 ‘A Quick Guide to Help with Health Costs – Charges and Optical Voucher Values’. (http://www.gov.scot)

This leaflet is also available from GP Surgeries, Community Pharmacies, Citizens Advice Scotland and Jobcentre Plus.

NHS Prescription Charges

Prescription charges were reduced to zero on 1 April 2011. No charge is applied to drugs and appliances dispensed by a community pharmacist or dispensing GP practice. No charge is applied to wigs and fabric supports supplied through a hospital service.

Free NHS Eye Examinations

Free NHS eye examinations were introduced in Scotland on 1 April 2006. NHS eye examinations are free to people ordinarily resident in the UK or who belong in one of the categories for exemption from NHS charges set out in the NHS (Charges to Overseas Visitors) (Scotland) Regulations 1989, where obtained in Scotland.

Free NHS Dental Examinations

NHS dental examinations are free to people ordinarily resident in the UK or who belong in one of the categories for exemption from NHS charges set out in the NHS (Charges to Overseas Visitors) (Scotland) Regulations 1989, where obtained in Scotland.

Free NHS Dental Treatment

You can get free NHS dental treatment if, when the treatment starts, you are:

  • aged under 18;
  • aged 18 and in full-time education;
  • pregnant or have borne a child within the 12 months before treatment starts;
  • an NHS in-patient and the treatment is carried out by the hospital dentist;
  • an NHS Hospital Dental Service out-patient;*

* There may be a charge for dentures and bridges.

Or, if when the treatment starts or when the charge is made you:

  • are included in an award of someone getting:
  • Income Support;
  • Income-related Employment and Support Allowance (ESA) paid on its own or with contribution-based ESA;
  • Income-based Jobseeker’s Allowance (JSA) paid on its own or with contribution-based JSA;
  • Pension Credit Guarantee Credit paid on its own or with Saving Credit; or
  • Universal Credit:
  • and had no earnings or net earnings (take-home pay) of £435 or less during the most recent assessment period; or
  • which includes an element for a child and/or limited capability for work or limited capability for work-related activity, and had no earnings (take-home pay) or net earnings of £935 or less during the most recent assessment period;
  • are entitled to, or named on, a valid NHS tax credit exemption certificate;
  • are named on a valid HC2 certificate for full help under the NHS Low Income Scheme.

Note: contribution-based Employment and Support Allowance or contribution-based Jobseeker’s Allowance on their own do not entitle you to free NHS dental treatment.

Partial help:

  • if you are named on a valid HC3 certificate under the NHS Low Income Scheme you might get some help towards the cost of your NHS dental treatment. The HC3 certificate will tell you how much you have to pay.

War pensioners:

  • help may be available. Read page 27 (see pdf for page numbers).

NHS Optical Vouchers (towards the cost of glasses or contact lenses)

You can get a voucher if you:

  • are under 16;
  • are in full-time education and aged 16, 17 or 18;
  • need complex lenses;
  • get or are included in an award of someone getting:
  • Income Support;
  • Income-related Employment and Support Allowance (ESA) paid on its own or with contribution-based ESA:
  • Income-based Jobseeker’s Allowance (JSA) paid on its own or with contribution-based JSA;
  • Pension Credit Guarantee Credit paid on its own or with Savings Credit; or
  • Universal Credit;
  • and had no earnings or net earnings (take-home pay) of £435 or less during the most recent assessment period; or
  • which includes an element for a child and/or limited capability for work or limited capability for work related activity, and had no earnings (take-home pay) or net earnings of £935 or less during the most recent assessment period;
  • are entitled to, or named on, a valid NHS tax credit exemption certificate;
  • are named on a valid HC2 certificate for full help under the NHS Low Income Scheme.

Note: contribution-based Employment and Support Allowance or contribution-based Jobseeker’s Allowance on their own do not entitle you to NHS optical vouchers.

Partial help:

  • if you are named on a valid HC3 certificate you might get some help.

Note: If your glasses or contact lenses cost more than your voucher value, you will have to pay the difference.

War pensioners:

  • help may be available – read page 27 (see pdf for page numbers).

Repair Or Replacement Of Glasses Or Contact Lenses

You can get a voucher if you:

  • are under 16;
  • are 16 or over conditions apply – read page 23 (see pdf for page numbers).

Travel Costs

(to hospital for NHS treatment)

You can get help with necessary travel costs (including travel costs for your dependent children) if you:

  • get or are included in an award of someone getting:
  • Income Support;
  • Income-related Employment and Support Allowance (ESA) paid on its own or with contribution-based ESA:
  • Income-based Jobseeker’s Allowance (JSA) paid on its own or with contribution-based JSA;
  • Pension Credit Guarantee Credit paid on its own or with Savings Credit:
  • Universal Credit;
  • and had no earnings or net earnings (take-home pay) of £435 or less during the most recent assessment period; or
  • which includes an element for a child and/or limited capability for work or limited capability for work related activity, and had no earnings (take-home pay) or net earnings of £935 or less during the most recent assessment period;
  • are entitled to, or named on, a valid NHS tax credit exemption certificate;
  • are named on a valid HC2 certificate for full help under the NHS Low Income Scheme;
  • are a war pensioner and the hospital treatment is for your pensionable disablement.

Note: contribution-based Employment and Support Allowance or contribution-based Jobseeker’s Allowance on their own do not entitle you to help with travel costs.

  • For children under 16 and those aged 16 to 18 – also read page 24 (see pdf for page numbers).

Partial help:

  • Partial help: if you are named on a valid HC3 certificate you might get some help with travel costs.

Contact

Email: Elizabeth McLear