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Up NHS Exemptions NHS Fees European Prescriptions FAQ
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Important numbers
Phone 0845 601 8076 for queries about medical exemption
certificates.
Phone 0845 850 0030 for queries about PPCs.
Phone 0845 609 9299 for queries about tax credit
certificates
Phone 0845 610 1112 to order a paper copy of the HC12, HC11
or HC5 forms
For all other queries call 0845 850 1166
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NHS Exemptions
Claiming Free Prescriptions
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You can get free NHS prescriptions if at the
time the prescription is dispensed
you:
•
are aged 60 or over
• are
under 16
• are
aged 16, 17 or 18 in full-time
education
• are
pregnant, or have had a baby in
the previous 12 months and have a
valid
exemption certificate
• have a
listed medical condition and
have
a valid exemption certificate
• have a
continuing physical disability
which means you cannot go out
without help from another person
and have a valid exemption
certificate
• are an
NHS in-patient
• are
getting, or your partner gets:
– Income
Support
–
Income-based Jobseeker’s
Allowance (Incapacity Benefit or
Disability Living Allowance do not
count,
as they are not income related)
– Pension
Credit Guarantee Credit
• are
entitled to, or named on, a valid
NHS
tax credit exemption certificate
• are
named on a valid HC2 certificate
• are a
war pensioner, the prescription
is for your accepted disablement and
you have a valid war pension
exemption
certificate.
If you are claiming free prescriptions because of your age i.e.
- under 16 years of age
- 16, 17 or 18 years of age and in full time education
- 60 years of age and over
you will be asked by your pharmacist or dispensing
doctor to provide proof of your entitlement to free prescriptions.
Your date of birth in many cases will already be printed on your prescription
- if you are under 16 or 60 and over, this is all the proof you will need.
If you are 16, 17 or 18 and in full time education, you will also be
asked for proof of your education status.
If you cannot provide proof, you will still get your prescription free of
charge, but your entitlement will be checked later by the NHS.
Patients claiming exemption from NHS prescription charges for other reasons
have been asked for proof of entitlement since 1 April 1999.
Ask your pharmacist or dispensing doctor for advice. Ask for a free leaflet
HC11 or download at http://www.dh.gov.uk/assetRoot/04/07/80/85/04078085.pdf
or call Freephone 0800 91 77 711 for more information about free
prescriptions.
See the table below for types of proof, which are accepted when exemption
is claimed because of age.
People between 16 and 60 who claim free prescriptions will be
asked to provide proof that they are entitled to do so.
Which Means that:
- You should make sure you have the proof you need before sending us your
prescription. Details of who is eligible, what proof they need and where to
get it are shown below.
- You should make sure you enclose the proof with your prescription.
- If we do not receive the required proof you will still get your
prescription but you should be aware that your eligibility will be checked.
| You are eligible if you are... |
The proof you need to have |
Where and how to get it |
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| * under
16 |
any
official document showing name and proof of age, including a NHS Medical
Card. |
a NHS
Medical Card is issued when a child is first registered as a patient
with a GP. If you need a new card, you should contact your local Primary
Care Trust. |
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note:
from July 1999 details of date of birth will be on most prescription
forms. In this case, no further proof is needed. |
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| *
between 16-18 and in full time education |
a
Child Benefit Order Book or... |
the
Child Benefit centre 0845 302 144 |
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if
no longer eligible for Child Benefit, evidence of date of birth and
educational status. |
your
school, college, university or local education
authority can
supply proof you are in qualifying full time education.
Once you reach 19 years of age,you will then need to apply for exemption under
the NHS Low Income Scheme.
Students in at University or higher education are no
longer classed as dependents and need to apply for prescription exemption on
the grounds of low income using the HC1 form. If they qualify, they will be
issued with the appropriate exemption certificate (HC2 or HC3, see below).
The HC3 does not cover
prescriptions charges however.
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| * 60 or
over |
any
official document showing your name and date of birth, such as a
retirement pension book, driving licence or a NHS Medical Card.
*note: from April 2005 if details of date of birth are
automatically printed on the front of the prescription, there is no need
for a signature by the patient to claim exemption and no further proof is needed. |
a NHS
Medical Card is issued when you first register as a patient with a GP.
If you need a new card, you should contact your local Health Authority. |
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| pregnant,
or you have had a baby in the last 12 months |
a
maternity exemption certificate or card (Medex). |
your GP
or midwife will give you a FW8 application form. You should send it to
your local Health Authority.
If the woman loses the baby (still birth) after 24 weeks the
Maternity Exemption Certificate (FP92) will remain valid until 12 months
after the still birth.
If the loss occurs before 24 weeks (miscarriage) then the Maternity
Exemption Certificate is no longer valid.
The certificate should be returned to the NHS Business Services
Authority (NHSBSA) with a cover note explaining the reason for returning
the certificate and detailing the number of weeks at which the
miscarriage occurred. The address is on the reverse of the card
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| entitled
to medical exemptions |
a
medical exemption certificate or card (Medex). |
your
local GP, hospital or pharmacy will give you a FP92A application form. In
Scotland EC92A;in Wales FP92W.The form tells you what to do. A certificate/card
will be sent to you upon receipt of a properly completed application form. |
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| a war or
MoD pensioner |
a
War Pensions Exemption Certificate. |
Write to:The
Veterans Agency,Norcross,Blackpool,FY5 3WP |
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| entitled
to a prepayment certificate |
a
certificate of Prepayment of Charges (FP96). |
England:Phone
0845 850 0030 (8am to 6pm) to pay by credit or debit card. If paying by
cheque use an application form FP95 from your pharmacy or buy online www.ppa.org.uk
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| in the
NHS Low Income Scheme |
HC2
card. Note the HC3 does not provide entitlement to free prescriptions |
obtainable
via an HC1 claim form, available from a Social Security office or a
hospital. Also, ask for booklet HC11. If you think you may qualify for
help, send the form in the envelope which goes with the HC1 form.
After a pilot in conjunction with RNIB ,completed forms just needing signatures
can now be sent out to those in need. Phone 0845 850 1166 for more information. |
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| receiving
any of the following benefits |
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| Income
Support
or your partner is getting this benefit
Job
Seeker's Allowance (income-based) or your partner is getting benfit
getting Pension Credit Guarantee Credit,
or your partner is getting this benefit.
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your
Order Book or an entitlement letter from your Jobcentre
Plus office
An entitlement letter from your job
centre
Your award notice from the Pension
Service.
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Claim at the Job
centre. Incapacity or Disability Living Allowance do not count as they
are income related. If payments are made into your bank or building
society, you can obtain proof in the form of an entitlement letter from
your job centre Plus office. If you have lost or mislaid your pension
service award notice ,contact the Pensions Service phone line on 0845
606 0265. |
| getting
tax credits and meeting the qualifying conditions.Or your partner
receives tax credits and meets the qualifying conditions |
A
valid NHS tax credit exemption certificate or you can use your tax
credit award notice. |
if
you are eligible for free prescriptions,your exemption certificate will
be sent to you.If you haven't yet received your certificate,use your
award notice. |
| Named on a
valid
HC2 certificate
|
An
NHS certificate HC2 for full help with health costs |
Make a claim using
form HC1,obtainable from your Jobcentre Plus office or calling 0845 850
1166 or 08701 555 455.you may also be able to get an HC1 from your local
hospital, dentist,optician or doctor. |
| Contribution-based
Employment and Support Allowance |
Not
applicable
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(no
entitlement to free prescriptions)
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| Incapacity
Benefit |
Not
applicable
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(no
entitlement to free prescriptions)
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| Disability
Living Allowance |
Not
applicable
|
(no
entitlement to free prescriptions) |
| Contribution-based
Job Seekers Allowance |
Not
applicable
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(no
entitlement to free prescriptions)
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:
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Links
NHSBSA
Help with Health Costs
Income
Support:
Jobseeker’s
Allowance
NHS Counter
Fraud
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