Form HC11 "Help With Health Costs" - United Kingdom

What Is Form HC11?

Form HC11, Help With Health Costs, is an informational booklet that outlines the general recommendations for British citizens who wish to reduce the cost of their medical treatment, prescriptions, tests, and travel expenses related to United Kingdom National Health Service (NHS) care. This form was issued on April 1, 2020, with all previous editions obsolete. Download an HC11 Form through the link below.

If your income is low, you are older than sixty, or are suffering from a health condition, you may be entitled to partial or even full help with your medical expenses, whether you have already paid for your treatment or are going to make an appointment with your physician in the nearest future.

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Form HC11 Information

Learn what kind of assistance is available for you to plan your budget and save money - here is what you can find in the official NHS guidelines:

  1. Current NHS charges and rates for prescribed items, certificates, wigs, supports, travel expenses, dental treatment, glasses, and lenses.
  2. Criteria that will allow you to qualify for free prescriptions, tests, and items.
  3. Eligibility requirements for various age groups - children, students, and people older than sixty years old.
  4. Income groups entitled to receive credits and benefits.
  5. Information about other groups that can receive compensation and help with health costs - asylum seekers, pregnant applicants, people with visual impairment and hearing loss.
  6. Details of assistance you can obtain when you are admitted to a hospital or go for treatment.
  7. Circumstances that let you claim refunds for treatment and prescriptions.
  8. Proof you need to present when getting free prescriptions, treatment, vouchers, and tests - find out how to get necessary evidence and how to submit it.
  9. References to forms and applications you have to complete when dealing with the NHS.
  10. Contact information of services and offices you can reach out to in order to learn more about your healthcare rights.
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Help with health costs
Applies from 1 April 2020
Information for patients
Can you get help with the cost of:
• NHS prescriptions?
• NHS dental treatment?
• Sight tests?
• Glasses or contact lenses?
• NHS wigs and fabric supports?
• Travel to receive NHS care?
This booklet gives guidance about NHS charging and exemption arrangements
in England only.
HC11
Help with health costs
Applies from 1 April 2020
Information for patients
Can you get help with the cost of:
• NHS prescriptions?
• NHS dental treatment?
• Sight tests?
• Glasses or contact lenses?
• NHS wigs and fabric supports?
• Travel to receive NHS care?
This booklet gives guidance about NHS charging and exemption arrangements
in England only.
HC11
Introduction
The National Health Service (NHS) is, mainly, for the benefit of people living in the United Kingdom (UK). If
a person is accepted for NHS treatment it is generally free, although there can be charges for some things.
You need to meet the conditions described in this booklet to be exempt from charges for NHS treatment.
This booklet sets out information about who does not have to pay charges and also tells you about the
help you might get with the cost of:
• NHS prescriptions;
• NHS dental treatment;
• NHS-funded sight tests;
• glasses and contact lenses;
• NHS wigs and fabric supports (whenever we say ‘fabric supports’ we mean spinal or abdominal
supports or surgical bras supplied through a hospital); and
• necessary costs of travel to receive NHS care if you are referred by a doctor (GP or hospital doctor),
ophthalmic practitioner or dentist.
Note: Before you sign a declaration for help with NHS charges, you must check that you are
entitled to help.
How to use this booklet
This booklet gives general guidance only and aims to explain, as simply as possible, the arrangements for
exemptions and help with health costs. It is not a full statement of the law.
You can quickly check if you are entitled to free treatment by going to the ‘quick check’ guides which start
on page 6.
For more detailed guidance, go to the Contents list on page 3.
Find the group you most easily fit into, then go to the page shown (for example, if you are 60 or over, go to
page 11).
After reading about the group that applies to you, check to see if any other groups also apply (you may fit
into more than one group) depending on the treatment you need.
Once you have found out if you do not have to pay, read pages 22-24. These tell you how to claim help
when you go for treatment.
All phone numbers and websites mentioned are for the NHS Business Services Authority (NHSBSA) unless
we say otherwise. The NHSBSA provides services on behalf of the Department of Health and Social Care.
Refunds
There is information about refunds in this booklet – read pages 25 to 27.
Penalty charges
If you are found to have made a wrongful claim for free prescriptions or dental treatment, you will face
penalty charges and may be prosecuted under powers introduced by the Health Act 1999. Routine checks
are carried out on exemption claims including where proof may have been shown.
Current rates
We have listed the current rates of NHS charges and values for optical vouchers in England (pages 4 and 5).
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Help with health costs
Contents
Rates of charges and values for optical
Impaired hearing
19
vouchers
Care homes
19
NHS prescription charges
4
Care leavers - people supported by a local
NHS wigs and fabric supports
4
authority
19
NHS dental treatment
4
Hospital patients
NHS-funded sight tests
5
Values for NHS vouchers for glasses and contact
- NHS inpatients
20
lenses
5
- NHS outpatients and day patients
20
Travel costs to receive NHS care
20
Quick check guides
NHS treatment abroad
21
NHS prescriptions
6
Living on the Scilly Isles
21
NHS dental treatment
6
NHS-funded sight tests
7
Claiming help when you go for treatment
NHS optical vouchers
8
NHS prescriptions
22
Travel costs to receive NHS care
8
NHS dental treatment
22
NHS wigs and fabric supports
9
NHS-funded sight tests
23
NHS optical vouchers
Age groups
- for glasses or contact lenses
23
Children under 16
10
- for repair or replacement glasses or
Young people aged 16, 17 and 18 in qualifying
contact lenses
23
full-time education
10
Travel costs to receive NHS care
23
Qualifying young people
10
Wigs and fabric supports
24
People aged 60 or over
11
Claiming refunds
Income groups
NHS prescription charges
25
People getting benefits or credits
12
Prescription prepayment certificates (PPC) fees
25
-
Income Support
NHS dental charges
26
-
Jobseeker’s Allowance
NHS-funded sight tests
27
-
Employment and Support Allowance
Glasses or contact lens costs
27
-
Pension Credit (Guarantee Credit)
Travel costs to receive NHS care
27
Other benefits or credits
Wig and fabric support charges
27
-
Tax Credits
13
People who receive War Pension payments or
-
Universal Credit
14
Armed Forces Compensation Scheme payments 27
-
NHS Low Income Scheme
14
Checking entitlement and the penalty charge
28
Other groups
Quick check tables: proof of entitlement
People who receive War Pension payments or
NHS prescriptions
29
Armed Forces Compensation Scheme payments 16
NHS dental treatment
32
People from abroad
16
NHS-funded sight tests
35
Medical conditions
NHS optical vouchers
36
-
for free NHS prescriptions
17
-
for free sight tests
18
Ordering forms and leaflets
38
Pregnancy or had a baby in the previous
12 months
18
Contact details
39
Prescription prepayment certificates - (PPC)
18
Sight problems
-
severely sight-impaired (blind)
19
-
sight-impaired (partially sighted)
19
-
complex lenses
19
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Help with health costs
Rates of charges and values for optical vouchers from 1 April 2020
NHS prescription charges
Charge for each prescribed item
£9.15
For items that come in combination packs, there is a prescription charge for each different drug
in the pack
Support stockings
£9.15
Support tights – per pair (available from hospitals only)
£18.30
Prescription prepayment certificates
- these work like a season ticket – see page18.
Three-month prepayment certificate
£29.65
12-month prepayment certificate
£105.90
NHS wigs and fabric supports
Stock modacrylic wig
£74.15
Partial wig – human hair
£196.40
Full made-to-order wig – human hair
£287.20
Abdominal support
£45.35
Spinal support
£45.35
Surgical bra
£30.05
Scilly Isles travel costs
If you live in the Scilly Isles, the most you will have to pay to travel to receive NHS care when referred by a
doctor, dentist or ophthalmic practitioner is £5.
Dental treatment
When you go for treatment, check if it will be NHS or private treatment. If you are not exempt from NHS
charges (see page 6), there are three standard charges for NHS dental treatment. The amount you pay will
depend on the sort of treatment you need to keep your teeth and gums healthy.
You will pay one of the three charges below.
This charge will include an examination, diagnosis and care to prevent problems. If necessary,
£22.70
this will include x-rays, scale and polish and planning for more treatment. Urgent and out-of-
hours care will cost no more than £22.70.
This charge includes all necessary treatment covered by the £22.70 charge plus other
£62.10
treatment such as fillings, root-canal treatments or extractions (having teeth taken out)
This charge includes all necessary treatment covered by the £22.70 and the £62.10 charges
£269.30
plus more complicated procedures such as crowns, dentures or bridges.
You will pay only one charge even if you need to go to the dentist more than once to complete a course of
treatment, but your dentist may collect this charge in instalments.
If you are referred to another dentist, you will still pay only one charge (to the dentist who refers you).
If you need more treatment at the same charge level (for example another filling) within two months
of seeing your dentist, this will be without further charge. You should ask your dentist how much
your individual treatment plan will cost. The dental practice may ask you to pay before beginning your
treatment.
There will be no charge if the dentist decides that you only need a prescription, or if he or she just removes
stitches from a previous procedure. The normal charging arrangements will apply when you collect a
prescription.
Your dentist should display a poster about NHS charges in the waiting room.
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Help with health costs
Sight tests
If you meet the criteria described on page 7 you will be entitled to a free NHS funded sight test.
NHS voucher values for glasses and contact lenses
Optical vouchers
Maximum value for each pair of glasses or contact lenses
Single vision
A
£39.10
B
£59.30
C
£86.90
D
£196.00
Bifocal
E
£67.50
F
£85.60
G
£111.20
H
£215.50
Hospital Eye department
I
£200.80
J
£57.00
Complex lens – single vision
£14.60
Complex lens – bifocal
£37.40
Supplements to vouchers where necessary.
for each lens
Prism
Single vision
£12.60
Bifocal
£15.40
Tint
Single vision
£4.40
Bifocal
£4.90
Photochromic
Single vision
£4.40
Other lenses
£4.90
Supplement for small glasses/special facial characteristics
up to £64.20
Repairing or replacing glasses or replacing contact lenses
If you are entitled to a voucher (see page 8) to cover the cost of repairing or replacing glasses or replacing
contact lenses, the value of the voucher will be up to the figures shown in this leaflet, depending on the
part which needs replacing or repairing.
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Help with health costs