Ireland’s healthcare system combines public services with income-based supports designed to reduce medical costs. For Brazilian and other international students living on a tight budget, understanding how to see a doctor, apply for a Medical Card and access hospital care can make a significant difference. This guide explains how the system works, who may qualify for support and what alternatives exist if you are not eligible for a Medical Card.
How Healthcare Works in Ireland
Anyone considered ordinarily resident in Ireland — meaning you live here with the intention to stay for at least one year — is entitled to access public healthcare services. Public hospitals provide necessary and emergency treatment, but many services involve charges unless you hold a Medical Card or GP Visit Card.
Seeing a general practitioner (GP) is not automatically free. Most people pay a consultation fee unless they qualify for a state-supported scheme.
What Is a Medical Card?
A Medical Card is issued by the Health Service Executive (HSE) and allows eligible people to access healthcare services at little or no cost.
- Free GP visits
- Free public hospital treatment
- Free or low-cost prescription medication
- Some dental, optical and community health services
Who Can Get a Medical Card?
Low-Income Residents
Medical Cards are mainly granted based on a means test. The HSE looks at your income after tax, rent or mortgage payments, savings and essential expenses. If your income is below a certain threshold, you may qualify.
Young adults aged 16–25 can apply independently if they are financially self-supporting.
International and Brazilian Students
EU students living in Ireland who meet the residency and income requirements may qualify for a Medical Card.
Non-EU students, including most Brazilian students, are generally not eligible for a Medical Card as standard policy. Most non-EU students are expected to hold private health insurance, which is also usually a visa requirement. However, applications can still be made in cases of exceptional hardship.
How to Apply for a Medical Card
Applications are handled by the HSE and can be submitted online or by post. You will usually need:
- A PPS number
- Proof of address in Ireland
- Income and bank statements
- Rent or accommodation costs
- Personal identification
If your application is refused, you have the right to appeal and submit further evidence of financial difficulty.
If You Do Not Qualify for a Medical Card
GP Visit Card
This card provides free GP visits only. It is means-tested but has higher income limits than the Medical Card.
Drugs Payment Scheme
Anyone living in Ireland can apply for the Drugs Payment Scheme. It limits the amount you pay for approved prescription medication to a fixed monthly maximum per household.
Hospital Treatment Without a Medical Card
You can still access public hospitals without a Medical Card, including emergency care. Charges may apply for inpatient stays, outpatient appointments and emergency department visits without a GP referral. In cases of serious financial hardship, hospitals may reduce or waive charges.
Summary of Healthcare Options
| Scheme | Who It Helps | What It Covers | Learn More |
|---|---|---|---|
| Medical Card | Low-income residents | GP visits, hospital care, prescriptions | Learn more |
| GP Visit Card | People above Medical Card income limits | Free GP visits only | Learn more |
| Drugs Payment Scheme | All residents in Ireland | Monthly cap on prescription costs | Learn more |
| EHIC | EU/EEA students | Necessary healthcare across the EU | Learn more |
Healthcare in Ireland can be expensive without support, but help is available. While most non-EU students will not automatically qualify for a Medical Card, alternative schemes can significantly reduce costs. Applying early, understanding your options and keeping valid health insurance are key steps to protecting your health while studying in Ireland.
