http___www.welfare.ie_ga_Pages_How-do-I-qualify-for-refunds-under-the-Medical-Care-Scheme.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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Chun cáiliú d’aisíoc ar chostas leighis: - níobh fholáir nó gur thionóisc ag an obair ba chúis leis an díobháil a rinneadh duit. Cuirimid san áireamh anseo tionóisc le linn duit a bheith ar thuras gan bhriseadh chun dul chuig an obair nó chun teacht ón obair, nó - tá galar ceirde forordaithe tolgtha agat mar thoradh ar an obair. Chun a thuilleadh eolais agus liosta iomlán de na galair cheirde a fháil, logáil isteach ar www.welfare.ie, agus - ní foláir nó go bhfuil ranníocaíochtaí ÁSPC ar Aicme A, B, D, J nó M agat. I dtaca le ranníocaíochtaí ÁSPC ar Aicme B, ní féidir ach costais a thabhaítear níos déanaí ná 26 seachtaine i ndiaidh na tionóisce nó i ndiaidh theacht an ghalair a chumhdach. Tábhachtach Ní gá go dtiocfaidh breoiteacht nó míchumas láithreach as gach tionóisc oibre nó gach galar ceirde. Mura bhfuil tú ar éagumas láithreach ach más mian leat do cheart chun sochair sa todhchaí a chosaint, is cóir duit do thionóisc nó do ghalar a chur in iúl do d’fhostóir. Ní mór duit iarratas a dhéanamh gan mhoill ar dhearbhú gur thionóisc cheirde do thionóisc nó gur ghalar ceirde do ghalar. Is féidir leat an fhoirm iarratais a fháil ó: An Rannóg um Chúram Leighis An Roinn Coimirce Sóisialaí Urlár 5 Áras Mhic Dhiarmada Sráid an Stórais Baile Átha Cliath 1 +353 1 704 3000(ó Thuaisceart na hÉireann nó ón gcoigríoch).