How the Irish system works
A tax-funded public system where hospital care is free but the family doctor is paid, unless you hold a card. Private care is very present, mainly to see specialists faster.
Good to know
- Once you live in Ireland and intend to stay at least a year, you are 'ordinarily resident' and have access to public hospitals; there is no carte Vitale and no reimbursement, each service is either free or paid depending on the card you hold. Source
- GP visits are paid by most families. The means-tested medical card makes the GP, medicines and hospital care free; the GP visit card, with higher income limits, only covers GP visits and out-of-hours GP care. Source
- All children under 8 living in Ireland are entitled to a free GP visit card, with no means test: GP visits, assessments at ages 2 and 5, out-of-hours urgent care and asthma care; medicines and hospital charges are not covered. Source
- With the Drugs Payment Scheme card, a household never pays more than €80 a month for approved prescribed medicines and appliances, children under 18 included; use the same pharmacy within the month if possible. Source
- In public hospitals, in-patient stays and day services have been free since 17 April 2023; attending an emergency department without a GP letter costs €100 for the first visit, and an injury unit €75, unless you have a medical card or a GP referral. Source
- The European Health Insurance Card is only for temporary stays: once resident, you come under the Irish system. Many families add private insurance, often through the employer; the Health Insurance Authority compares the plans of Vhi, Laya, Irish Life Health and Level Health for free. Source