Support With Procedure Costs

Waiting List Reimbursement Scheme.

For patients living in Northern Ireland who have been waiting 12 months or more for treatment.

MED1 Medical Expenses Tax Relief.

For patients who may be eligible to claim tax relief on qualifying medical expenses.

• You are ordinarily resident in Northern Ireland.
• You have been on an HSC NI Trust waiting list for 52 weeks or more.
• The treatment you are seeking is one that would ordinarily be provided by the HSC.
• You receive prior approval before treatment takes place.

Prior approval must be granted before treatment. Treatment undertaken without approval is not eligible for reimbursement.

1. You confirm your eligibility and obtain confirmation of your waiting list status from your HSC Trust.
2. You apply directly to the NI Department of Health for prior authorisation.
3. Once approval is granted, you may arrange a private consultation and treatment.
4. Treatment fees are paid directly by you to the provider.
5. Following treatment, you submit the required documentation to the Department of Health.
6. Reimbursement is assessed and issued by the Department of Health (where approved).

Included:

• Reimbursement is generally based on the actual cost of treatment or the HSC NI average cost; whichever is lower.
• Consultant fees and the approved procedure itself.

Not included:

• Travel, accommodation, or subsistence costs.
• Treatment received without prior approval.
• Treatments not considered eligible under the scheme criteria.

While we cannot influence eligibility or approval decisions, our team can:

• Explain what documentation patients are typically asked to provide.
• Confirm how consultations, procedures, and invoices are structured.
• Answer practical questions ahead of your application.

If you’d like to speak with our team before applying, we’re happy to help you understand the process.

Please give us a call on 012014563 or email info@avocaclinic.ie

• Tax relief is generally claimed at the standard rate (currently 20%).
• You must have paid income tax in the relevant year to receive a refund.
• Claims can typically be made for expenses incurred within the last four years.
• Claims are submitted directly through Revenue’s myAccount or ROS system.
• Original receipts and invoices must be retained.

1. You attend treatment and retain all invoices and receipts.
2. You submit your MED1 claim via Revenue online.
3. Revenue assesses the claim and issues any refund due.

We provide appropriate invoices and receipts for treatment carried out at The Avoca Clinic. While we cannot advise on personal tax matters, our team can confirm what documentation you’ll receive for your records.

Yes. Prior authorisation must be granted before treatment takes place. Retrospective approval is not permitted.

You must generally have been on an HSC NI Trust waiting list for 52 weeks or more.

Reimbursement is assessed by the Department of Health and is typically limited to the lower of the actual cost or the HSC NI average cost.

No. These costs are not reimbursed under the NI scheme.

No. Eligibility and refunds are determined by Revenue based on individual circumstances