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Help, a&e in Ireland?

94 replies

Uktoireland · 23/03/2025 18:23

Hey

just wanted to double check in case anyone on here knows

I’m travelling to Ireland soon. I have a condition which sometimes makes me unwell and I have to go to A&e ( think epilepsy, asthma, that type of thing) it’s controlled at the moment but obviously it’s always in the back of my mind to be prepared in case it flares up and I have to access emergency treatment

for abroad I’d take out travel health insurance but from the NHS and gov website it’s unclear if this is required for going to Ireland. It says as long as you have a drivers license and photo ID you can get emergency care but it’s not clear if this is free or charged, but then I’ve also seen online that you need a GHIC/EHIC and that sometimes you have to pay upfront for treatment and claim back of the NHS

I have a driving license but no GHIC/EHIC and not enough time to get one

just a bit unsure what to do- I’ll take out travel health insurance just in case but not sure if it’s even necessary as from the sounds of it you can access emergency care without this? But just unclear if you have to pay for it upfront or not?

i know in ROI they pay 100e to go to a&e but obviously as a UK citizen I’m not sure if I’d have to pay the full amount which would be much much more

hopefully it won’t be necessary but just want to be prepared just in case

does anyone know anything? Thanks x

OP posts:
LoyalAquaOtter · 24/03/2025 13:55

Itsbrighttoday · 24/03/2025 13:25

Thanks a million but in my case

  • these are emergency situations and you’re specifically told to bypass gp and go straight to a & e
  • it’s not included in the long-term illness scheme, although it is a long term condition
  • the (increasingly) squeezed middle is where I am financially
So it’s tricky.

I'm not sure if you feel comfortable doing it but as far as I am aware they don't actually check your financials if you say you can't afford it. I know someone who got their hospital and A&E bill wiped(before inpatient stays were free) by literally just saying that they couldn't afford it. They genuinely couldn't afford it but the hospital had no way of knowing that they just took their word for it and said they would pass it onto the billing department or something and they never got sent a bill. I know someone else who did it with an A&E bill(they could afford it but are a tight arse).

Personally I don't think I would feel comfortable doing that but if it is genuinely putting you into hardship then you could.

Itsbrighttoday · 24/03/2025 13:25

LoyalAquaOtter · 24/03/2025 13:02

If you get referred by a GP you don't have to pay the A&E charge. Some long term illnesses are entitled to medical cards so you don't have to pay the A&E charge. If you tell them that you are experiencing financial hardship they will wipe your bill. There are lot of exceptions to the €100.

Thanks a million but in my case

  • these are emergency situations and you’re specifically told to bypass gp and go straight to a & e
  • it’s not included in the long-term illness scheme, although it is a long term condition
  • the (increasingly) squeezed middle is where I am financially
So it’s tricky.
AnSolas · 24/03/2025 13:06

Hols23 · 24/03/2025 12:52

I assumed most policies do? Mine covers UK stays as long as you have booked at least 2 nights' accommodation.

Off to read the policy documents .... 🫢

SparkyBlue · 24/03/2025 13:02

Goldengirl123 · 24/03/2025 08:00

It depends on whether you are going to Northern or Southern Ireland

Seriously!!!

LoyalAquaOtter · 24/03/2025 13:02

Itsbrighttoday · 24/03/2025 11:00

Ah now, the country’s name isn’t Southern Ireland. (Sorry, I know I’m being a pain, but it’s just so bloody annoying. And people keep on doing it.)

No help to you OP as I don’t know the regulations, but I actually think the €100 charge in Ireland’s a and e’s really unfair. There are some long term illnesses where people are told to present straight to emergency depts rather than go to gp if they have issues - as they are emergency situations - but they still have to pay the higher figure (gps are cheaper).

Anyway, I’m obviously in bad form this morning so I’ll wander off for a coffee now!!😅
Enjoy your visit OP and hope all goes well.

Edited

If you get referred by a GP you don't have to pay the A&E charge. Some long term illnesses are entitled to medical cards so you don't have to pay the A&E charge. If you tell them that you are experiencing financial hardship they will wipe your bill. There are lot of exceptions to the €100.

AnSolas · 24/03/2025 13:00

Pollymollydolly · 24/03/2025 12:47

https://www.gov.uk/guidance/healthcare-for-uk-nationals-visiting-ireland

You won’t have to pay the A&E charge.

Also if you have to visit GP you won’t be charged - yes GPs are self-employed but under the reciprocal agreement UK residents are covered. GPs still get paid, they claim the costs back from the UK but the patient doesn’t pay.

What you’re entitled to
If you’re ordinarily resident in the UK, you can access medically necessary state health services on the same basis as an Irish resident. You may still need to pay a fee for some services, just like an Irish resident.
You will not have to pay for hospital care including A&E or inpatient treatment.
You’ll need to pay in full for private healthcare.

Irish people have to pay the €100 so who should the OP say to send the invoice to?

How is the Irish GP going to get paid by the UK?

Regretsmorethanafew · 24/03/2025 12:57

booksunderthebed · 24/03/2025 11:53

also, we once had to go to a and e in Derry and I don't think were asked for any documentation.

That's in the UK. What documentation do you imagine would have been asked for?

Hols23 · 24/03/2025 12:52

AnSolas · 24/03/2025 08:20

What UK insurance companies provide travel insurance for a journey and overnight stays within the UK?

I assumed most policies do? Mine covers UK stays as long as you have booked at least 2 nights' accommodation.

Pollymollydolly · 24/03/2025 12:47

https://www.gov.uk/guidance/healthcare-for-uk-nationals-visiting-ireland

You won’t have to pay the A&E charge.

Also if you have to visit GP you won’t be charged - yes GPs are self-employed but under the reciprocal agreement UK residents are covered. GPs still get paid, they claim the costs back from the UK but the patient doesn’t pay.

Healthcare for UK nationals visiting Ireland

How to get state healthcare when you’re on holiday or travelling to Ireland.

https://www.gov.uk/guidance/healthcare-for-uk-nationals-visiting-ireland

booksunderthebed · 24/03/2025 11:54

Goldengirl123 · 24/03/2025 08:00

It depends on whether you are going to Northern or Southern Ireland

Do you mean Cork? Or Kerry?

booksunderthebed · 24/03/2025 11:53

also, we once had to go to a and e in Derry and I don't think were asked for any documentation.

Itsbrighttoday · 24/03/2025 11:51

Thanks very much @booksunderthebed and @AnSolas.

I can pay it - just about though. I would prefer not to as there are lot of other places I could use it and I am struggling as many are especially with COL increases. I suppose I just see it as a bit unfair as the GP isn’t an option and we’re not timewasters. I’m not sure why some illnesses qualify for the scheme and not others. There is a society to support this condition. I should take it up with them and lobby to get it included in the exemption list really.

Sorry OP, off the point I know.

booksunderthebed · 24/03/2025 11:41

Itsbrighttoday · 24/03/2025 11:00

Ah now, the country’s name isn’t Southern Ireland. (Sorry, I know I’m being a pain, but it’s just so bloody annoying. And people keep on doing it.)

No help to you OP as I don’t know the regulations, but I actually think the €100 charge in Ireland’s a and e’s really unfair. There are some long term illnesses where people are told to present straight to emergency depts rather than go to gp if they have issues - as they are emergency situations - but they still have to pay the higher figure (gps are cheaper).

Anyway, I’m obviously in bad form this morning so I’ll wander off for a coffee now!!😅
Enjoy your visit OP and hope all goes well.

Edited

Once my kid had to go to A&E and a couple of weeks later the billing dept called up asking for payment. We were really tight for money at the time and I gave it to them. I told them any payment would just add to our cc debt.

They didn't call back and I never paid it.

If you genuinely don't have money there are people with kind hearts in the HSE.

Especially since GP appointments are so difficult to get now I find the payment really unfair.

AnSolas · 24/03/2025 11:34

Itsbrighttoday · 24/03/2025 11:16

Thanks, but only certain illnesses qualify unfortunately @AnSolas. I didn’t know you could ask the hospital to consider the LTI as a special circumstance though. How does that work?

I mean, when we’ve presented to a and e before it would be clear from the condition itself that it’s a long term one, but we’ve always been charged as usual.

Edited

I am not sure but if you dont pay on the day the hospital i think issue you with an invoice so have a billing department which seeks payment.
You should google your local hospital for an email or phone number and speak to them directly.
Or if you are under a hospital team they may be able to refer you to the social worker.

Regretsmorethanafew · 24/03/2025 11:31

Goldengirl123 · 24/03/2025 08:00

It depends on whether you are going to Northern or Southern Ireland

Are you actually serious?

minsmum · 24/03/2025 11:19

I had.My first gall stones attack when I was in the Republic of Ireland a few.years ago. I.visited a GP. Didn't have to pay for that they wanted my address and NI number, they also gave me a letter for a&e so if I needed to go there I wouldn't get charged

Itsbrighttoday · 24/03/2025 11:16

Thanks, but only certain illnesses qualify unfortunately @AnSolas. I didn’t know you could ask the hospital to consider the LTI as a special circumstance though. How does that work?

I mean, when we’ve presented to a and e before it would be clear from the condition itself that it’s a long term one, but we’ve always been charged as usual.

AnSolas · 24/03/2025 11:08

Itsbrighttoday · 24/03/2025 11:00

Ah now, the country’s name isn’t Southern Ireland. (Sorry, I know I’m being a pain, but it’s just so bloody annoying. And people keep on doing it.)

No help to you OP as I don’t know the regulations, but I actually think the €100 charge in Ireland’s a and e’s really unfair. There are some long term illnesses where people are told to present straight to emergency depts rather than go to gp if they have issues - as they are emergency situations - but they still have to pay the higher figure (gps are cheaper).

Anyway, I’m obviously in bad form this morning so I’ll wander off for a coffee now!!😅
Enjoy your visit OP and hope all goes well.

Edited

People with long term illnes can apply for a medical card.
Note if they cant qualify for a card they can (should) ask the hospital to consider rhe LTI as a special circumstance
https://www.hse.ie/eng/about/who/acute-hospitals-division/patient-care/hospital-charges/

Hospital Charges - HSE.ie

There are no hospital charges for public inpatient care or day service care. The removal of these charges was announced as part of Budget 2023 and came into effect on 17 April 2023. Inpatient and day service charges still apply for inpatient and day se...

https://www.hse.ie/eng/about/who/acute-hospitals-division/patient-care/hospital-charges/

Itsbrighttoday · 24/03/2025 11:00

Goldengirl123 · 24/03/2025 08:00

It depends on whether you are going to Northern or Southern Ireland

Ah now, the country’s name isn’t Southern Ireland. (Sorry, I know I’m being a pain, but it’s just so bloody annoying. And people keep on doing it.)

No help to you OP as I don’t know the regulations, but I actually think the €100 charge in Ireland’s a and e’s really unfair. There are some long term illnesses where people are told to present straight to emergency depts rather than go to gp if they have issues - as they are emergency situations - but they still have to pay the higher figure (gps are cheaper).

Anyway, I’m obviously in bad form this morning so I’ll wander off for a coffee now!!😅
Enjoy your visit OP and hope all goes well.

AnSolas · 24/03/2025 08:20

Goldengirl123 · 24/03/2025 08:00

It depends on whether you are going to Northern or Southern Ireland

What UK insurance companies provide travel insurance for a journey and overnight stays within the UK?

Goldengirl123 · 24/03/2025 08:00

It depends on whether you are going to Northern or Southern Ireland

AnSolas · 23/03/2025 21:35

Uktoireland · 23/03/2025 20:43

sorry I know I’m being stupid here but do you mean a&e doctors? As in, I’d have to pay upfront to a&e? Or do you mean if I were to visit a GP? By pay a&e on arrival are you meaning the 100e fee?

that’s a great point about the cost of being sent back to the UK if in an accident without insurance etc and it’s something I’d forgotten to consider so thanks!

A&E doctors in public hospitals are paid by the State and it has a flat rate fee of the €100.
This is over what a local GP would normally charge.
(It was introduced as it stopped people using the then free A&E doctors for non-emergency care. GPs are self-employed and your visit would be private medical care and subject to the individual doctors rates.)

There are private hospital with off-site location A&E's for non-emergency and A&E Rooms running in larger urban areas which can be faster but depending on the level of care you need they may have to refer you out to a public A&E anyway. These would be more expensive that a GP or a public hospital (€100) as you are paying to skip the public A&E Q as everyone is a "walk-in". But any tests would also be chargable.

Your hotel would usually be able to refer you to a local GP if open and most of the country has a private run out of hours service which may include a house/hotel call.
https://www2.hse.ie/services/find-urgent-emergency-care/

GP general surgeries would charge (€60-€80) in urban locations out of hours may be more (Im not sure)

https://www.citizensinformation.ie/en/health/health-services/gp-and-hospital-services/gps-and-private-patients/#:~:text=There%20are%20no%20set%20fees,private%20patients%20free%20of%20charge.
If you vist the GP and pay them and they refer you on to a public hospital they would supply a letter which would result in the hopital fee (€100) being zeroed as you have proven a "need" to visit the A&E. But you join the Q and are seen on how you fit on a critical care basis.

Find urgent and emergency care in Ireland - HSE.ie

Search for emergency departments, injury units and GP out-of-hours services in Ireland. Get information about locations, contact details and opening hours.

https://www2.hse.ie/services/find-urgent-emergency-care/

zebrapig · 23/03/2025 20:50

Have you tried one of the specialist comparison sites like Just Travel? Might be worth a look if you haven’t already

Uktoireland · 23/03/2025 20:43

winterdarkness · 23/03/2025 20:39

Travel insurance covers more than just the treatment. It can cover the cost of repatriation, lost flights due to illness, extra days of accommodation for a partner etc. I once had an accident in Austria. The insurance covered the new flight to get me back to Uk, the cost of a taxi to get me from hotel to the airport and from the Uk airport to home, cost of a fit to fly certificate etc. I would not travel without insurance

Great points. I think I’ll just suck it up and pay for the insurance

OP posts:
Uktoireland · 23/03/2025 20:43

AnSolas · 23/03/2025 20:41

Irish doctors are self employed so you would need to pay upfront at the time you are seen.
And A&E would be a pay on arrival too.

sorry I know I’m being stupid here but do you mean a&e doctors? As in, I’d have to pay upfront to a&e? Or do you mean if I were to visit a GP? By pay a&e on arrival are you meaning the 100e fee?

that’s a great point about the cost of being sent back to the UK if in an accident without insurance etc and it’s something I’d forgotten to consider so thanks!

OP posts:
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