My GP is €50. I have private health insurance through work so can claim 75% back through the app and it’s normally in my bank account in about three days. Of the remaining €12.50, I can claim a further 20% back as part of my tax return so I effectively pay €10 out of pocket.
We pay for prescriptions out of pocket, again being able to claim 20% back. Prescriptions are capped at €100/month.
Dentist, eyecare/glasses etc are all covered 75% by my insurance, then 20% of balance claimed back. Things like eye tests and dental check-ups are covered under PRSI (same as National Insurance in UK).
People with medical cards (a means-tested system) don’t pay for GP visits, dental visits, A&E visits, hospital stays, and pay a small amount for prescriptions (not sure how much- think it’s maybe €1/€2?).
Just to give an example of a heath issue I had a while ago-
Went to GP with an issue and she immediately sent me to A&E (GP was €50 with €40 claimed back, A&E was free). I was admitted and stayed in hospital for 10 days. My insurance covered everything except €125 excess.
(incidentally, I received a bill from the hospital showing what my insurance covered- the bill was €6k, I paid €125).
On discharge, I was referred to a private consultant and got an appointment within 3 weeks. I saw him three times at a cost of €300 per visit (so €60 x 3 once I claimed on my insurance and tax return). Within three weeks, I went for surgery and stayed in hospital in a private room for 5 days. Surgery was arranged for a day that suited me, I had a choice. I’m now on lifelong medication which costs €14/month. If I need any additional appointments stemming from my health issue, I can contact the consultant’s office directly and make an appointment.
I have a blood test and prescription review with my GP every 6 months. That’s €20 (before insurance and tax claim).
My health insurance also gives unlimited free video consultations so if I have an issue that’s straightforward, I’ll use that instead of an in-person visit. Handy when you have something obvious like tonsillitis and don’t want to have to leave your house. It also covers things like CBT, weight management programmes, midwife support, dietician visits, smoking cessation etc- all free of charge. There’s also a nurse line where you can ring and speak to a nurse, online physiotherapy sessions, and special offers for annual health-checks.
My insurer also has a range of private clinics so I could go there instead of my GP or hospital, if needed. I recently visited and ended up needing an MRI and some other tests. Total I paid on the day was €25, and I can claim 20% back in tax. I was in and out within 2 hours, and saw two doctors in that time.