Due to amendments to the Health Insurance Act, the maximum visit fee for Health Insurance Fund services will be €20 starting from 1 April 2025.

The maximum visit fee is €5 if the person is:

  • Under 19 years old;

  • pregnant;

  • a mother of a child under one year old;

  • over 63 years old;

  • a recipient of incapacity for work pension or old-age pension under the State Pension Insurance Act;

  • a person with partial or no work capacity as determined under the Work Ability Allowance Act;

  • unemployed under the Labour Market Measures Act;

  • a recipient of subsistence benefit under the Social Welfare Act, or a family member of such a recipient, if the person or their family has received subsistence benefit in the month of receiving outpatient specialist medical care or in the two preceding months.

Clients must provide proof of eligibility for the €5 visit fee.