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Information The Treatment Benefit Scheme is a scheme run by the Department of Employment Affairs and Social Protection (DEASP) that provides dental, optical and aural services to qualified people. The Treatment Benefit Scheme is available to insured workers and retired people who have the required number of PRSI contributions. Medical card holders are legally entitled to more extensive dental, ophthalmic and aural services from the Health Service Executive (HSE) but, in practice, the availability of these services varies from area to area. Under the Treatment Benefit Scheme, you may qualify for: - Dental benefit - Optical benefit - Aural benefit - Hearing aids Changes in 2012 Hearing aids can be claimed once every 4 years (was 2 years). From 1 January 2012, the maximum grant available for one hearing aid is €500 for one hearing aid, and €1,000 for two hearing aids. Treatment Benefit in the EU On 5 June 2005, the rules were amended to allow treatment sanctioned under the scheme to be carried out in other EU member states. Where someone chooses to have treatment in another EU member state, the Department will pay an amount equivalent to the rate paid for similar treatments carried out in Ireland or, the amount actually paid for the treatment - whichever is the lower. You must still have the qualifying PRSI contributions. Contact the Treatment Benefit Section before you travel to get an application form and details of the amounts the Department will pay. Rules Contribution conditions You must have paid Class A, E, P or H social insurance contributions. The amount of social insurance you need depends on your age. 1) Aged under 21 If you are aged under 21, you may qualify if you have paid at least 39 contributions at any time. Between these ages you may qualify if you have paid at least 39 contributions and - At least 39 paid or credited in the governing contribution year (2010 is the governing contribution year for claims made in 2012) and 13 paid contributions in a recent contribution year or - 26 paid contributions in each of the second and third last contribution years. For claims made in 2012, the second last contribution year is 2010 and the third last contribution year is 2009. From the age of 25 onwards, you must have at least 260 paid contributions and - At least 39 paid or credited contributions in the governing contribution year (2010 is the governing contribution year for claims made in 2012) and 13 paid contributions in a recent contribution year or - 26 paid contributions in each of the second and third last contribution years. For claims made in 2012, the second last contribution year is 2010 and the third last contribution year is 2009. There are special rules for people aged 66 and over. Basically, you must have 260 contributions paid at any time; you must have 39 paid or credited in any of the two contribution years before reaching age 66 and you must have 13 paid contributions in a recent contribution year (recent to reaching age 66). There are, however, a number of exceptions to this: If you reached 66 before 6 July 1992, you do not need 13 recently paid contributions If you reached age 66 before 1 October 1987, you need 156 paid contributions instead of 260; if you reached 66 between 1 October 1987 and 6 July 1992, you need 208 paid contributions. If you are getting a State Pension the PRSI contribution requirements vary according to age as follows: If you satisfy these conditions when you reach pension age, you will remain qualified for life. The recent contribution year rule for those under 66 In general, you must have 13 paid contributions in a recent contribution year. This may be the same year as you have the 39 paid or credited contributions and the 13 paid may be part of those 39. It may also be either of the two preceding contribution years or a subsequent year. If you are receiving any of the following payments, you do not need to have 13 recently paid contributions: You do not need to have 13 recently paid contributions if you are on a Community Employment Scheme, a Back to Work Scheme, a Vocational Training Opportunities Scheme and a Community Employment Development Programme. If you are aged 55 or over and are not getting any payment but are signing on, you don't need the 13 recently paid contributions either. Qualified at 60 If you qualify for benefit at age 60, you retain that entitlement for life. If you are aged between 61 and 65 and you do not meet the qualifying conditions at age 60, you must satisfy the qualifying conditions for the 25-65 age group. However, if you have retired on grounds of ill health or you are considered to be unemployed, you can apply for Illness Benefit or Jobseeker's Benefit, subject to satisfying the statutory conditions. Your entitlement to these benefits may also lead to your being awarded credited contributions, which can be taken into account to extend coverage for treatment benefits for further periods. Spouse, civil partner or cohabitant A spouse/civil partner/cohabitant may, of course, qualify in their own right if they have enough social insurance contributions. If your spouse/civil partner/cohabitant does not have enough social insurance contributions he/she may still qualify for Treatment Benefit on your social insurance record. To do this, you must qualify for Treatment Benefit and your spouse/civil partner/cohabitant must be dependent on you. A dependent spouse/civil partner/cohabitant must: - Have a gross income of €100 or less per week - Earn more than €100 per week and be dependent on you before entering or resuming insurable employment (at Class A, E, H or P) Not get a social welfare payment (except Disablement Pension, Supplementary Welfare Allowance, Carer's Benefit or Child Benefit) - Have a Carer's Allowance or State Pension (Non-Contributory) and be dependent on you immediately before getting the Allowance or Pension If an insured person aged 60 or over dies and the dependent spouse or civil partner was entitled to benefit at the time of the death, they retain entitlement for as long as they remain widowed or a surviving civil partner. Dental Benefit Under this scheme, the Department pays the full cost of an oral examination once a year. The examination is provided by private dentists who are on a Department of Employment Affairs and Social Protection's panel. Lists of dentists on the panel are available in the Department's offices. Most dentists are on the panel so you should not have any difficulty finding one. The dentist or the Department will have the application forms. These forms require details such as your Personal Public Service Number (PPSN). If you are a dependent spouse or civil partner, you should give the PPSN of the insured person. Optical Benefit The Treatment Benefit Scheme entitles you to a free eyesight test. However, sight tests for VDUs, driving licences, etc., are not covered under the scheme. The examination is provided by opticians/optometrists who have a contract with the Department of Employment Affairs and Social Protection. If you need contact lenses on medical grounds, the Department will pay half the cost up to a maximum of €500 provided you have a doctor's recommendation. This applies to a small number of eye conditions that make wearing glasses impossible. Disposable lenses are not covered under the scheme. Contact lenses are not available on purely optical or cosmetic grounds. Aural Benefit Hearing aids may be provided by suppliers who have a contract with the Department of Employment Affairs and Social Protection. The Department pays half the cost of a hearing aid subject to a fixed maximum of €500 for each hearing aid every 4 years. It also pays half the cost of repairs to aids. Tax relief You may get tax relief on certain non-routine dental treatments. Treatment Benefit Scheme and EU Regulations If you were previously insurably employed in a country covered by EU Regulations and you do not qualify on your Irish PRSI record, your social insurance record in the other EU country may be used to help you qualify for Treatment Benefit. You must have paid at least one reckonable PRSI contribution (Classes A, E, H and P) since your return to Ireland. How to apply You will need to fill out form D1 if you are applying for dental services under the Treatment Benefit Scheme (form D2 if you are a dependent spouse, civil partner or cohabitant). Forms are available from your dentist. You will need to fill out form O1 if you are applying for optical services under the Treatment Benefit Scheme (form O2 if you are a dependent spouse, civil partner or cohabitant). Forms are available from your optician, local Social Welfare Services office or the Treatment Benefit Section You will need to fill out form MA if you are applying for aural services under the Treatment Benefit Scheme (form MA2 if you are a dependent spouse, civil partner or cohabitant). Forms are available from suppliers or the Treatment Benefit Section. Application forms for dental, optical or aural services under the Treatment Benefit Scheme in other EU states are different from those above. Contact Treatment Benefit Section at the address below for copies of the forms and more information.
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Rialacha Coinn�ollacha rann�oca�ochta N� m�r duit rann�oca�ochta� �rachais sh�isialta Aicme A, E, P n� H a bheith �octha agat. Braitheann an m�id �rachais sh�isialaigh at� ag teast�il uait ar d'aois. (1) Faoi 21 bliain d'aois M� t� t� faoi 21 bliain d'aois, f�adfaidh t� c�ili� m� bh�onn ar a laghad 39 rann�oca�ocht �octha agat ag aon tr�th. (2) Idir 21-24 bliain d'aois F�adfaidh t� c�ili� idir na haoiseanna sin m� bh�onn ar a laghad 39 rann�oca�ocht �octha agat agus - Ar a laghad 39 �octha n� curtha chun sochair agat sa bhliain rann�oca at� i r�im (i gc�s �ilimh a rinneadh i 2012, is � 2010 an bhliain rann�oca at� i r�im)agus 13 rann�oca�ocht �octha i mbliain rann�oca le d�ana�, n� - 26 rann�oca�ocht �octha i ngach ceann den dara agus den tr�� bliain deiridh rann�oca�ochta. Le haghaidh �ilimh d�anta i 2012, is � 2010 an dara bliain rann�oca�ochta deiridh agus is � 2009 an tr�� bliain rann�oca�ochta deiridh. (3) Idir 25 -65 bliain d'aois � 25 bliain d'aois ar aghaidh, n� m�r duit ar a laghad 260 rann�oca�ocht �octha a bheith agat agus - Ar a laghad 39 �octha n� curtha chun sochair sa bhliain rann�oca at� i r�im agus 13 rann�oca�ocht �octha i mbliain rann�oca le d�ana�, n� - 26 rann�oca�ocht �octha i ngach ceann den dara agus den tr�� bliain deiridh rann�oca�ochta. Le haghaidh �ilimh d�anta i 2012, is � 2010 an dara bliain rann�oca�ochta deiridh agus is � 2009 an tr�� bliain rann�oca�ochta deiridh. (4) 66 bliain d'aois T� rialacha speisialta ann do dhaoine at� 66 bliain d'aois agus os a chionn. Go bun�sach, caithfidh 260 rann�oca�ocht a bheith �octha agat ag aon tr�th; n� m�r duit 39 a bheith �octha agat n� curtha chun sochair in aon cheann den d� bhliain rann�oca sula mb�onn t� 66 bliain d'aois agus 13 rann�oca�ocht �octha i mbliain rann�oca�ochta le d�ana� (gairid i ndiaidh duit 66 bliain d'aois a shroichint). T� roinnt eisceachta� �fach leis sin. M� bh� t� 66 bliain d'aois roimh 6 I�il 1992, n� theasta�onn 13 rann�oca�ocht �octha le d�ana� uait. M� bh� t� 66 bliain d'aois roimh 1 Deireadh F�mhair 1987, teast�idh 156 rann�oca�ocht �octha uait in �it 260; m� bh� t� 66 bliain d'aois idir 1 Deireadh F�mhair 1987 agus 6 I�il 1992, teast�idh 208 rann�oca�ocht �octha uait. M� t� t� ag f�il Pinsean St�it beidh na ceanglais faoi rann�oca�ochta� �SPC �ags�il de r�ir aoise mar seo a leanas: M� chomhl�na�onn t� na coinn�ollacha seo nuair a shroicheann t� aois scoir, beidh t� f�s c�ilithe an chuid eile de do shaol. An riail a bhaineann leis an mbliain rann�oca�ochta is d�ana� d�ibh sin faoi 66 bliain d'aois Tr�d is tr�d, caithfidh 13 rann�oca�ocht �octha a bheith agat i mbliain rann�oca�ochta le d�ana�. Is f�idir leis sin a bheith ar an mbliain ch�anna a bhfuil na 39 �octha agat n� rann�oca�ochta� creidmheasa agus is f�idir leis na 13 �octha a bheith mar chuid den 39 sin. Is f�idir leis freisin a bheith ar aon cheann den d� bhliain rann�oca roimhe sin n� bliain ina dhiaidh sin. M� t� t� ag f�il aon cheann de na h�oca�ochta� seo a leanas, n� bheidh ort na 13 rann�oca�ochta� le d�ana� a bheith �octha agat: N� g� duit 13 rann�oca�ocht �octha le d�ana� a bheith agat m� t� t� ar Sc�im Fosta�ochta Pobail, ar Sc�im Filleadh ar an Obair, ar Sc�im Dheiseanna Oili�int Ghairme agus ar Chl�r Forbartha Fosta�ochta Pobail. M� t� t� 55 bliain n� n�os m� agus mura bhfuil t� ag f�il �oca�ocht ar bith ach go bhfuil t� ag s�ni� duill�n d�fhosta�ochta, n� theast�idh na 13 rann�oca�ochta� �octha le d�ana� uait ach an oiread. Inch�ilithe ag 60 M� t� t� inch�ilithe le haghaidh sochair ag 60 bliain d'aois, coinneoidh t� an teidl�ocht sin an chuid eile de do shaol. M� t� t� idir 61 agus 65 bliain d'aois agus mura gcomhl�onann t� na coinn�ollacha c�il�ochta ag aois 60, caithfidh t� na coinn�ollacha c�il�ochta don aoisghr�pa 25-65 a chomhl�onadh. Mar sin f�in, m� chuaigh t� ar scor mar gheall ar dhrochshl�inte n� m� mheastar go bhfuil t� d�fhostaithe, f�adfaidh t� iarratas a dh�anamh ar Shochar Breoiteachta n� ar Shochar Cuardaitheora Poist, agus beidh s� sin faoi r�ir ag na coinn�ollacha reacht�la a chomhl�onadh. B'fh�idir go mbronnfa� rann�oca�ochta� creidmheasa ort freisin mar ghealll go bhfuil t� i dteideal na sochar sin, agus f�adfar iad sin a ghlacadh san �ireamh chun an cl�dach do shochair c�ire�la ar feadh tr�imhs� breise amach anseo a leathn� C�ile/p�irtn�ir sibhialta/comhch�naitheoir F�adfaidh c�il�/p�irtn�ir� sibhialta/comhch�naitheora, ar nd�igh, c�ili� ina gceart f�in m� bh�onn d�thain rann�oca�ochta� �rachais sh�isialta acu. Mura mb�onn d�thain rann�oca�ochta� �rachais sh�isialta ag do ch�ile/ph�irtn�ir sibhialta/chomhch�naitheoir, f�adfaidh s�/s� c�ili� le haghaidh Shocar C�ire�la mar do thaifead �rachais sh�isialaigh. Chun � seo a dh�anamh, caithfidh t� bheith inch�ilithe le haghaidh Sochair C�ire�la agus caithfidh do ch�ile/ph�irtn�ir sibhialta/chomhch�naitheoir bheith ag brath ort. Caithfidh do ch�ile/ph�irtn�ir sibhialta/chomhch�naitheoir,: - Bheith ollioncam de �100 n� n�os l� aige/aici in aghaidh na seachtaine - Bheith ioncam n�os m� n� �100 in aghaidh na seachtaine agus bheith ina cleithi�nach ort sula ndeachaigh s�/s� ag obair i bhfosta�ocht in�rachais n� ar ais ann (ag Aicme A, E, H n� P) - Gan bheith ag f�il �oca�ocht leasa sh�isialaigh (seachas Pinsean M�chumais, Li�ntas Leasa Forl�ontach, Sochar C�ram�ra n� Sochar Leana�) - Bheith ag f�il Li�ntas C�ram�ra n� Pinsean St�it (Neamhrann�ocach) ina cheart f�in agus bheith ina cleithi�nach ort d�reach sula bhfuair s�/s� li�ntas n� pinsean. M� fhaigheann duine at� 60 bliain n� os a chionn le h�rachas b�s agus m� bh� an c�ile n� an p�irtn�ir sibhialta cleithi�nach i dteideal sochar ag an am a bhfuair s�/s� b�s, coinn�onn an c�ile teidl�ocht chomh fada agus gur baintreach fir/baintreach n� p�irtn�ir sibhialta marthanach i gc�na� �/�. Sochar Fiacl�ireachta Faoin sc�im seo, �ocann an Roinn costas ioml�n an scr�d� bh�il. T� an scr�d� sol�thartha ag fiacl�ir� pr�obh�ideacha at� ar phain�al de chuid na Roinn Coimirce S�isiala�. T� liosta de na fiacl�ir� at� ar an bpain�al ar f�il ag oifig� Roinn Coimirce S�isiala�. T� formh�r fiacl�ir� ar an bpain�al mar sin n�or ch�ir go mbeadh aon fhadhb agat duine a aimsi�. Beidh na foirmeacha iarratais ag an bhfiacl�ir n� ag an Roinn. Teasta�onn sonra� ar n�s Uimhir Phearsanta na Seirbh�se Poibl� (UPSP) ar na foirmeacha sin. M�s c�ile n� p�irtn�ir sibhialta cleithi�nach t�, ba ch�ir duit UPSP an duine a bhfuil �rachas aige/aici a thabhairt. Sochar S�l Faoin Sc�im Sochair C�ire�la t� t� i dteideal t�st�il radhairc saor in aisce. �fach, n�l t�st�lacha radhairc i gc�s VDU, cead�nais tiom�na, srl., cl�daithe faoin sc�im. Sol�thra�onn radharceolaithe/oftailmeolaithe a bhfuil conradh acu leis an Roinn Coimirce S�isiala� an sochar. M� theasta�onn lionsa� tadhaill uait mar gheall ar do shl�inte, �ocfaidh an Roinn suas go dt� leath an chostais, faoi r�ir ag uasmh�id �500, ar an gcoinn�oll go mbeidh s� molta ag an docht�ir. Baineann s� le m�id beag coinn�ollacha s�ile a chur chun feidhme nach f�idir gloin� a chaitheamh. N� chl�da�tear lionsa� aon-uaire faoin Sc�im um Sochar C�ire�la. N�l lionsa� tadhaill ar fhoras opt�il n� cosmaideach ar f�il. Sochar Cluas D'fh�adfadh sol�thr�ir� a bhfuil conradh acu leis an Roinn Coimirce S�isiala� �iseanna �isteachta a chur ar f�il freisin. �ocann an Roinn leath de chostas �is �isteachta faoi r�ir ag uasmh�id �500 gach 4 bhliain. �ocann s� freisin leath den chostas chun na h�iseanna a dheisi�. Faoiseamh c�nach F�adfaidh t� faoiseamh c�nach a fh�il ar roinnt c�ire�lacha fiacl�ireachta neamhgn�th. Sc�im um Sochar C�ire�la agus Rialach�in de chuid an AE M� bh� t� fostaithe le h�rachas roimhe seo i dt�r at� cl�daithe ag Rialach�in de chuid an AE agus mura gc�il�onn t� ar do thaifead �SPC in �irinn, f�adfar do thaifead �rachais sh�isialta sa t�r eile de chuid an AE a �s�id chun cuidi� leat c�ili� le haghaidh Sochar C�ire�la. Caithfidh ar a laghad rann�oca�ocht �SPC amh�in inr�ofa a bheith �octha agat (Aicm� A, E, H agus P) � th�inig t� ar ais go h�ireann.