Appeals Process - You and Your Health Service

You have the right of appeal if you are not satisfied with decisions taken by personnel of the HSE relating to applications for specified services and entitlements e.g.: Medical Cards, GP Visit Cards, Nursing Home Subvention, Nursing Home Support Scheme (Fair Deal), Miscellaneous Allowances and Long Stay Hospital Charges.

Unhappy with a decision?

If you are unhappy with a decision made by the HSE concerning your entitlement to a Medical Card, GP Visit Cards, Nursing Home Subvention, Long Stay Hospital Charges and  Miscellaneous Allowances, e.g., Blind Welfare Allowance, you have the right of appeal to the HSE Appeals Officer.

The Appeals Officer will review the original decision and make a decision taking into consideration relevent legislation and guidelines.

How do I appeal?

You can appeal by:

NOTE: It is important that you set out your case fully and provide grounds for the appeal.

If you are unsure how to do this, you should seek help from a HSE Staff member or from the Citizens Information Centre or similar organisations.

Please note:

  • If you wish to appeal a decision made regarding Long Stay Hospital Charges, a Medical Card, GP Visit Card or a Miscellaneous Allowance you have 21 days from the date of the decision to lodge the appeal.
  • If you wish to appeal a decision made on a claim for Nursing Home Subvention , you have 60 days from the date of the decision to lodge the appeal.
  • If you wish to appeal a decision made on a claim under the Nursing Homes Support Scheme - Fair Deal you have 40 working days.
  • For other HSE schemes there is no specified time for submission of an appeal, however it should be submitted withing 21 days.

What happens with my appeal?

When your appeal is received in the Appeals Office, an acknowledgement will be sent to you.  The Appeals Officer must then request the file and a report regarding the decision from the relevant HSE section, for example, Medical Card Section,  Nursing Home Subvention Unit etc. the relevant section may then revise the decision at this stage in light of new evidence presented. If however, the decision remains unchanged, on receipt of the requested file and report, the Appeals Officer will look at all the relevant information and they will then decide wheter the original decision was reasonable or not, bearing in mind legislation and guidelines.

The Appeals Officer may also seek further information to gain as much information on the circumstances as possible.  They may then agree with the original decision, or change the decision in your favour.  In either case, you will be informed in writing.  If there is to be any change as a result of this decision, then the appropriate HSE Section will be informed and asked to take the necessary action.

Other Information

  • You do not have to pay anything to make an appeal.
  • A personal interview will be held if considered necessary by the Appeals Officer.