Reviews and Appeals


The card is usually issued for 3 years. Depending on your circumstances, it may be issued for a shorter period. If your circumstances change, you must inform the HSE, as you may no longer be eligible.

If your income or family circumstances change you must write to Client Registration Unit, P.O. Box 11745, Dublin 11, or contact us on LoCall 1890 252 919.

The HSE may also carry out random reviews of continued eligibility, to ensure that people who hold cards are still eligible, based on national guidelines. If you are selected for a review, you will receive a personalised letter and a form for completion. You will be notified of the specific date by which the review form must be returned to the Client Registration Unit, P.O. Box 11745, Dublin 11. If you do not return your review form your application cannot be re-assessed and your card may not be re-issued.


If you have been refused a medical card and are not satisfied with the decision, you may have it reviewed. Your circumstances may have changed or you may have left out some relevant information from the original application. If following this you are still not satisfied you may make an appeal to

The National Appeals Office, An Clochar, Ballyshannon Health Campus, College Street, Ballyshannon, Co. Donegal.

The contact details will also be contained in your decision letter. The Appeals Office will conduct a reassessment of your application. This will be conducted by HSE staff who were not involved in assessing your original Medical Card application.