Medical Card - Domiciliary Care Allowance (DCA)

DCA Logo Parents or guardians in receipt of a Domiciliary Care Allowance (DCA) can now register their child for Medical Card eligibility.

The HSE will grant Medical Card (DCA) eligibility from 1 June 2017 - you can submit a registration online or by post.

Register for a Medical Card (DCA)

To register, parents or guardians will need to provide:

  1. Your own PPS number
  2. Your contact details
  3. Your child’s PPS number and date of birth
  4. The name and address of your child’s GP

If you are registering two or more children, and they attend separate GPs, you must complete a separate registration and select the GP of choice for each child.

Check if your GP is accepting registrations

Search for your GP of choice on this list of GPs providing services for Medical Card (DCA).

If your GP of choice is not listed, they may not be accepting additional patients to their General Medical Services (GMS) patient list.

If your GP is accepting registrations electronically, your child’s details will be sent to them. Once the GP of choice accepts your child to their GMS patient list, the registration will be finalised by the National Medical Card Unit.

If you complete the online registration, but your GP is not accepting registrations electronically, you will receive an email with an attached copy of your child’s registration details. Print this and bring it to the GP of choice to manually complete GP Acceptance. The completed GP Acceptance must then be returned to:

The National Medical Card Unit,
PO Box 11745 Business Reply
Dublin 11
D11 XKF3

Online registration

You can register using the Medical Card (DCA) Scheme online registration system.

Register multiple children

Click ‘Add Another Child’ after you have entered your first child’s details, if you need to register additional children.

Postal registration

To register by post, download and complete the Medical Card (DCA) postal registration form and send it to:

The National Medical Card Unit
PO Box 11745 Business Reply
Dublin 11
D11 XKF3

Answers to common questions

My child already has Medical Card eligibility or GP Visit Card eligibility. Do I need to register?

No. If you have already applied for a Medical Card or a GP Visit Card, do not fill out this form. We will assess your application for one of these cards only.

Important: If your child is under the age of 16 and you are receiving a Domiciliary Care Allowance (DCA), he or she will automatically be entitled to a Medical Card. This is true whether or not other family members have Medical Card or GP Visit Card eligibility.

Should I register my child if he or she does not have Medical Card or GP Visit Card eligibility currently?

Yes. If your child does not have Medical Card or GP Visit Card eligibility - and you are in receipt of the DCA - you should register on this scheme.

My child’s sixteenth birthday will occur in the month of registration, should I continue to register my child?

Yes. All children in respect of whom a DCA is payable and who are ordinarily resident in Ireland will qualify for Medical Card eligibility and will be entitled to use a Medical Card until the end of the month in which his or her sixteenth birthday occurs.

What does ‘ordinarily resident’ mean?

Ordinarily resident means that your child is living in Ireland or intends to live in Ireland for more than one year.

Where can I get my child’s Personal Public Service Number?

You can get your child’s Personal Public Service number (PPS number) from the Department of Social Protection. Each child is issued a unique number. If you don’t know your child’s PPS number please contact the Client Identity Services, Department of Social Protection, at 1890 927 999 or email cis@welfare.ie.

Why is a parent’s or guardian’s PPS Number required?

The HSE requires a parent or guardian’s PPS number in order to link the child who is registered for Medical Card eligibility with the parent or guardian who receives the Domiciliary Care Allowance.

When will my child get a Medical Card (DCA)?

Once the registration of your child is complete, a Medical Card in the child’s name will be posted to the address provided.

I can’t get a GP to accept my child to their GMS patient list - how do I get a GP?

Once three GPs of choice have refused to accept your child to their GMS patient list, you must inform the HSE.

The HSE will then assign a GP to provide services to your child under the scheme.

I have selected a GP, is my child now covered under this scheme?

Once the GP of choice accepts your child to their GMS patient list, the registration will be finalised by the National Medical Card Unit.

What happens when a DCA is no longer payable?

The National Medical Card Unit will notify you approximately three months before your child’s eligibility expires. Medical Card eligibility for children over sixteen years, is assessed in accordance with the National Assessment Guidelines.

I wish to apply for Medical Card or GP Visit Card eligibility for my family, should I include my child who is in receipt of a DCA payment on the application?

Yes. When applying for assessment of Medical Card or GP Visit Card eligibility for all family members, you should include details of all dependants. The National Medical Card Unit will then apply the financial threshold applicable to your family. Services available to Medical Card holders.

Will Home Visits by my GP be covered?

Yes, home visits are covered. Your GP will use his or her judgment to decide whether a home visit is needed.

Will Out-of-Hours urgent GP care be provided?

Yes, out of hours, urgent GP care service will be covered

What is a DCA?

A Domiciliary Care Allowance (DCA) is a monthly payment for a child aged under 16 with a severe disability, who requires ongoing care and attention, substantially over and above the care and attention usually required by a child of the same age. It is not means tested.

How do I apply for DCA for my child?

The Domiciliary Care Allowance is administered by the Department of Social Protection. Visit welfare.ie for more information.

Still have questions?

Call us on: 1890 252 919.