S.I. No. 195/2009 - Health Professionals (Reduction of Payments To Ophthalmologists, Optometrists and Dispensing Opticians) Regulations 2009

S.I. No. 195 of 2009

HEALTH PROFESSIONALS (REDUCTION OF PAYMENTS TO OPHTHALMOLOGISTS, OPTOMETRISTS AND DISPENSING OPTICIANS) REGULATIONS 2009

Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of 26th May, 2009.

I, MARY HARNEY, Minister for Health and Children, in exercise of the powers conferred on me by section 9 of the Financial Emergency Measures in the Public Interest Act 2009 (No. 5 of 2009), having complied with subsections (4) and (7) of that section, with the consent of the Minister for Finance, hereby make the following regulations:

1. These Regulations may be cited as the Health Professionals (Reduction of Payments to Ophthalmologists, Optometrists and Dispensing Opticians) Regulations 2009.

2. These Regulations shall apply to payments in respect of services rendered by an ophthalmologist, optometrist or dispensing optician to or on behalf of the Health Service Executive under the Community Optometric Services Scheme, the Community Spectacle Dispensing Services Scheme and the Health Amendment Act Card Scheme, and to payments in respect of services rendered to or on behalf of the Health Service Executive by an ophthalmologist under the Community Medical Ophthalmic Services Scheme and the CommunityOphthalmic Services Medical Treatment Scheme.

3. The payments that shall be made to an ophthalmologist, optometrist or dispensing optician in respect of the services referred to in Regulation 2 from the date of the making of these Regulations shall be those specified in Tables 1, 2 and 3 below.

TABLE 1
Services rendered by an ophthalmologist, optometrist or dispensing optician under the Community Medical Ophthalmic Services Scheme, the Community Optometric Services Scheme, the Community Spectacle Dispensing Services Scheme or the Health Amendment Act Card Scheme
Eye Examination	Amount
Eye examination by optometrist	€22.51
Eye examination by ophthalmologist	€25.55
Medical eye examination by ophthalmologist	€51.11
Eye examination by optometrist with dilation	€45.03
Domiciliary visit by optometrist	€67.53
Single Vision Complete Appliances	Amount
Spectacles — distance	€42.07
Spectacles — reading	€42.07
Spectacles — uncollected	€29.32
Contact lenses	€42.07
Repairs	Amount
Replacement frame (patient’s own lenses)	€12.16
Single Vision Lenses to Patient’s Own Frame	Amount
Replacement distance lens (1) to patient’s own frame	€16.35
Replacement distance lenses (2) to patient’s own frame	€32.71
Replacement reading lens (1) to patient’s own frame	€16.35
Replacement reading lenses (2) to patient’s own frame	€32.71
Other Items — Single Vision Appliances	Amount
Lenticular lens (1 surface)	€11.64
Lenticular lenses (2 surfaces)	€23.28
Lenticular lenses (3 surfaces)	€34.92
Lenticular lenses (4 surfaces)	€46.56
Tinted lens (1)	€ 7.43
Tinted lenses (2)	€14.87
Tinted lenses (3)	€22.30
Tinted lenses (4)	€29.74
Prism (1)	€ 6.30
Prisms (2)	€12.60
Prisms (3)	€18.90
Prisms (4)	€25.20
Prisms (5)	€31.50
Prisms (6)	€37.80
Prisms (7)	€44.10
Prisms (8)	€50.40
Bifocals	Amount
Spectacles bifocal complete to standard frame	€83.70
Bifocal Lenses	Amount
Replacement bifocal lens (1) to patient’s own frame	€37.21
Replacement bifocal lenses (2) to patient’s own frame	€74.42
Other Items —Bifocal	Amount
Tinted lens (1)	€ 8.21
Tinted lenses (2)	€16.42
Prism (1)	€ 8.76
Prisms (2)	€17.51

TABLE 2
Additional services rendered by an ophthalmologist, optometrist or dispensing optician under the Health Amendment Act Card Scheme
Eye Examination	Amount
Eye examination for contact lenses (grant)	€68.44
Single Vision Complete Appliances	Amount
Contact lenses — standard or disposable — per pair (grant)	€64. 34
Single vision spectacles — with glass lenses — distance	€122.18
Single vision spectacles — with glass lenses — reading	€122.18
Single vision spectacles — with plastic lenses — distance	€131.27
Single vision spectacles — with plastic lenses — reading	€131.27
Repairs	Amount
Complete new frames	€90.60
Single Vision Lenses to Non-Standard Frame	Amount
Single vision lens (1) (glass) — distance	€23.54
Single vision lenses (2) (glass) — distance	€47.10
Single vision lens (1) (glass) — reading	€23.54
Single vision lenses (2) (glass) — reading	€47.10
Single vision lens (1) (plastic) — distance	€26.84
Single vision lenses (2) (plastic) — distance	€53.67
Single vision lens (1) (plastic) — reading	€26.84
Single vision lenses (2) (plastic) — reading	€53.67
Additional Specification for Lenses to all Spectacle Types	Amount
Special grant towards additional specification for lens (1) — all spectacle types	€81.81
Special grant towards additional specification for lenses (2) — all spectacle types	€163.62
Other Items — Single Vision Appliances	Amount
Anti-reflective coating on plastic lens (1)	€18.14
Anti-reflective coating on plastic lenses (2)	€36.28
Plastic lens (1) adult	€ 4.55
Plastic lenses (2) adult	€ 9.10
Bifocals	Amount
Fused bifocal spectacles to standard frame	€163.01
Varifocal spectacles — glass or plastic to standard frame	€250.80
Bifocal Lenses	Amount
Bifocal lens (1) to non-standard frame	€47.89
Bifocal lenses (2) to non-standard frame	€95.78
Varifocal lens (1) (grant)	€94.82
Varifocal lenses (2) (grant)	€189.64

TABLE 3
Services rendered by an ophthalmologist under the Community Ophthalmic Services Medical Treatment Scheme
Acute Treatment	Amount
Inflammatory or infective eye conditions — first visit	€78.10
Inflammatory or infective eye conditions — subsequent visits	€61.35
Removal of corneal/conjunctival foreign body — first visit	€78.10
Removal of corneal/conjunctival foreign body — subsequent visits	€61.35
Sudden visual loss — first visit	€78.10
Sudden visual loss — subsequent visits	€61.35
Vitreo/Retinal conditions — first visit	€78.10
Vitreo/Retinal conditions — subsequent visits	€61.35
Epilation — first visit	€78.10
Epilation — subsequent visits	€61.35
Chronic Treatment	Amount
Glaucoma — first visit	€78.10
Glaucoma — subsequent visits	€61.35
Glaucoma — annual visits	€78.10
Cataracts, Pre-operative — first visit	€78.10
Cataracts, Pre-operative — subsequent visits	€61.35
Cataracts, Pre-operative — annual visits	€78.10
Cataracts, Post-operative — first visit	€78.10
Cataracts, Post-operative — subsequent visits	€61.35
Cataracts, Post-operative — annual visits	€78.10
Age related macular degeneration — first visit	€78.10
Age related macular degeneration — subsequent visits	€61.35
Age related macular degeneration — annual visits	€78.10
Diabetic ophthalmic management — first visit	€78.10
Diabetic ophthalmic management — subsequent visits	€61.35
Diabetic ophthalmic management — annual visits	€78.10
Vitreo/Retinal conditions — first visit	€78.10
Vitreo/Retinal conditions — subsequent visits	€61.35
Vitreo/Retinal conditions — annual visits	€78.10
Neuro-Ophthalmological conditions — first visit	€78.10
Neuro-Ophthalmological conditions — subsequent visits	€61.35
Neuro-Ophthalmological conditions — annual visits	€78.10
Chronic inflammatory conditions — first visit	€78.10
Chronic inflammatory conditions — subsequent visits	€61.35
Chronic inflammatory conditions — annual visits	€78.10
Management of ocular naevi/tumours — first visit	€78.10
Management of ocular naevi/tumours — subsequent visits	€61.35
Management of ocular naevi/tumours — annual visits	€78.10
Surgical Treatment	Amount
Recurrent corneal erosion/ulcer surgery	€111.57
Removal of corneal epithelium	€111.57
Corneal scraping	€111.57
Removal of corneal sutures	€111.57
Excision of conjunctival cyst/granuloma	€111.57
Injection of antibiotic/steroid	€111.57
Electrolysis/cryotherapy for trichiasis	€111.57
Injection for blepharospasm	€111.57
Everting sutures for entropion	€111.57
Repair of injury to eyelid	€111.57
Excision of chalazion or other eyelid lesion	€111.57
Removal of peri-orbital skin lesions	€111.57
Dilating and syringing/probing of duct	€111.57
Lacrimal sac washout	€111.57
Incision of lacrimal abscess	€111.57
Surgery to lacrimal punctum	€111.57
Insertion of plugs	€111.57
Correction of everted punctum	€111.57
Removal of lacrimal duct tubes	€111.57
Domiciliary visits	€111.57

The Minister for Finance consents to the foregoing Regulations.

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GIVEN under my Official Seal,

18 May 2009

BRIAN LENIHAN.

Minister for Finance.

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GIVEN under my Official Seal,

18 May 2009

MARY HARNEY.

Minister for Health and Children.

EXPLANATORY NOTE

(This note is not part of the Instrument and does not purport to be a legal interpretation.)

These Regulations provide for a reduction of payments to ophthalmologiests, optometrists and dispensing opticians in respect of services under the Community Optometric Services Scheme, the Community Spectacle Dispensing Services Scheme and the Health Amendment Act Card Scheme and to ophtalmologists under the Community Medical Ophthalmic Services Scheme and the Community Ophthalmic Services Medical Treatment Scheme.