http___www.welfare.ie_ga_Pages_medicalcare.aspx_1.xml
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Page Content Information An insured person in Ireland who is injured at work, on an unbroken journey to/from work or who contracts a prescribed occupational disease is entitled to benefits under the Occupational Injuries Scheme. One of these benefits is Medical Care. The Medical Care Scheme allows you to get a refund of the costs of medical care and attention that are not paid by the Health Service Executive (HSE) or covered by Treatment Benefit Scheme. The following expenses may be refunded if they are not fully met by the HSE or the Department of Employment Affairs and Social Protection's Treatment Benefit Scheme: - Doctors' visits - Doctors' prescriptions - Certain medical or surgical appliances and the repair and replacement of these (for example, artificial limbs or hearing aids) - Certain dental and optical treatment - Certain qualified nursing at home on the instruction of a doctor - Certain treatment prescribed by your doctor - Certain travelling expenses usually limited to the cost of public transport. The expenses must be reasonable and necessary. Medical Care is paid by cheque. Normally, only one payment is made but if the treatment is ongoing, payment may be made in a few instalments. Payment is usually made to the person who claims, but may be made to your doctor or the HSE. Rules To qualify for a refund of medical costs you must satisfy the following conditions: - Your injury must have been caused by an accident at work or as a result of your work you must have contracted a prescribed occupational disease and - You must notify the Department of your intention to claim medical care within 6 weeks of the start of medical treatment. This is normally six weeks from the date of the accident or the development of the disease and you must be in employment insurable at PRSI class A, B, D, J or M. All work accidents or occupational diseases may not result immediately in illness or disablement. If you are not immediately incapacitated but wish to safeguard your future right to benefit, you should notify your employer about the accident/disease and apply for a declaration that your accident/disease was an occupational one. This should be done without delay. How to apply To apply, fill in a Medical Care form C1 (pdf). If you don't have a C1 form, you can phone the Injury Benefit Section and ask them to send you a C1. You can also fill in a 'Notice of request for medical care form' found at the back of Department's booklet Medical Care SW34 and return it to the Injury Benefit Section, at the address below. A C1 form will then be sent to you. Make sure you quote your PPS number (previously known as your RSI number) on any receipts you send in with the medical care claim form C1. Where to apply Occupational Injuries Benefit Section Department of Employment Affairs and Social Protection Áras Mhic Dhiarmada Store Street Dublin 1 Ireland Tel: Last modified:08/11/2010
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Eolas Má tá tú faoi árachas agus má ghortaítear thú agus tú ag obair nó má tholgann tú galar ceirde forordaithe, d'fhéadfá sochair a fháil faoin Scéim um Dhíobhálacha Ceirde. Ceann de na sochair atá i gceist ná Cúram Leighis. Faoin scéim Cúram Leighis is féidir leat aisíoc a fháil ar chostais cúraim agus aire leighis nach mbíonn íoctha ag an láithreáin ghréasáin Limistéir Fheidhmeannacht na Seirbhíse Sláinte nó tríd an Sochar Cóir Leighis ón Roinn Coimirce Sóisialaí. Rialacha Déanfar aisíoc ar na costaisí seo a leanas muna mbíonn siad clúdaithe go hiomlán ag an Limistéir Fheidhmeannacht na Seirbhíse Sláinte ná ag Scéim Sochar Chóir Leighis na Roinne Choimirce Sóisialaí: - Cuairteanna dochtúra - Oideas dhochtúra - Fearais leighis agus máinliachta áirithe chomh maith le deisiú agus athsholáthar na deiseanna seo (mar shampla, géaga saorga nó cluaisíní chúnta) - Cóir leighis fiaclóra agus optach áirithe - Cóir leighis áirithe ar threoir dhochtúra - Costaisí taistil áirithe, go hiondúil ar chostas chóras iompar poiblí amháin. Is le EFT a íoctar an Cúram Leighis. Go hiondúil ní dhéantar ach íocaíocht amháin ach más cóir leighis leanúnach atá i gceist, b'fhéidir go ndéanfaí íocaíocht i gcúpla gála. Is leis an duine a dhéanann an éileamh a dhéantar an íocaíocht go hiondúil ach is féidir é a dhéanamh le do dhochtúir nó an bord sláinte más gá. Chun a bheith i dteideal aisíoca chostaisí leighis ní mór duit na coinníollacha seo a leanas a chomhlíonadh: - Caithfidh an timpiste a bhí agat a bheith mar thoradh ar thimpiste ag an obair nó caithfidh tú galar áirithe ceirde a bheith ort mar thoradh ar do chuid oibre agus - Caithfidh tú an Roinn a chur ar an eolas faoi go bhfuil tú chun cúram leighis a éileamh taobh istigh de 6 seachtainí ó thús an chóir leighis. Go hiondúil ciallaíonn sé seo sé seachtainí ó dháta na timpiste nó ó thús an ghalair. Freisin ní mór duit a bheith i bhfostaíocht a bhfuil i rannóg A, B, D, J nó M i gcomhair ÁSPC. Ní tharlaíonn tinneas ná míchumas láithreach mar thoradh ar gach timpiste san obair nó galar ceirde. Muna dtarlaíonn eágumas duit láithreach ach gur mian leat cinntiú go mbeadh an ceart agat amach anseo sochar a fháil, ba cheart duit d'fhostóir a chur ar an eolas maidir leis an timpiste/ galar agus dearbhú a iarradh ag rá gur tinneas/ timpiste cheirde a bhí i gceist. Ba cheart é seo a dhéanamh gan mhoill Conas iarratas a dhéanamh Ba cheart duit an Roinn a chur ar an eolas faoi go bhfuil tú chun cúram leighis a éileamh tríd an Form of Notice a líonadh agus é a sheoladh chuig an Rannóg Sochar Gortuithe - féach seoladh thíos. Seolfar foirm éilimh C1 chugat anseo (pdf). Tá tuilleadh faisnéise ar fáil maidir an scéim í Medical Care SW34. Déan cinnte de go gcuireann tú d'uimhir PSP (mar an gcéanna le d'uimhir cánach ) ar aon admhálacha a sheolann tú isteach in éineacht leis an bhfoirm éilimh C1. Cá háit a ndéanfaidh mé iarratas Social Protection An Roinn Coimirce Sóisialaí An Roinn Coimirce Sóisialaí Urlar 5 Áras Mhic Dhiarmada Sráid an Stórais Baile Áth Cliath 1 Teil:(01) 704 3850 or +353 1 7043850 (from Northern Ireland or overseas) Lóghlao:1890 928 400 (from the Republic of Ireland only)