Only 12% of people eligible for the Government’s expanded free GP visit card scheme have applied, according to new HSE data that has prompted doctors to demand changes to the application process.
Despite 430,000 people becoming eligible under what the Department of Health described as “the biggest expansion in eligibility for free GP care in the history of the State” in August 2023, just 53,555 have successfully obtained cards through the new self-declaration process since September 2023.
The GP visit cards eliminate appointment fees that can cost up to €70 and provide free access to care for conditions including asthma, Type 2 diabetes and heart problems. The expanded scheme uses means-testing to assess income against outgoings such as childcare, travel costs and rent for people aged 8 to 69.
Dr Tadhg Crowley, a Kilkenny GP and chairman of the Irish Medical Organisation’s GP committee, described the uptake figures as “disappointing for everyone concerned.” He identified the application process itself as a significant barrier, noting that patients are reluctant to share extensive financial information with the HSE.
“The application takes a bit of time and commitment,” Dr Crowley explained. “You’re telling people they have a very high chance of getting it at the moment, but there is a process and they probably don’t believe there is that possibility.”
He also highlighted patient concerns about receiving inferior treatment as card holders, despite his assurances that service quality remains unchanged. “They’re wondering if they apply — does that mean they are going to get less health services from their GP,” he said.
Dr Crowley called for streamlined applications, suggesting the Government could utilise tax returns or increase income limits while removing expense calculations to simplify the process.
Overall, 761,345 people held GP visit cards at the end of July, including existing cardholders such as children under eight and adults over 70.