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Thread: Proof of benefits for health costs, dentist, prescriptions, etc.

  1. #1
    Senior Member nukecad's Avatar
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    Proof of benefits for health costs, dentist, prescriptions, etc.

    It occasionally gets asked on here about how to get proof of a qualifying benefit to show entitlement to free health costs, dental treatment, prescriptions, etc.

    If you get Income Related ESA and need this proof you need to phone the DWP, or ask your Jobcentre, for form ESA125.

    You can see an example here:
    https://www.whatdotheyknow.com/reque...%20example.pdf

    I've added this to the list of ESA standard forms, if anyone knows of any of the ESA forms or letters missing from that list please let me know on that thread and I'll add it to the list.
    http://www.youreable.com/forums/show...standard-forms
    Last edited by nukecad; 04-21-2017 at 10:52 AM.
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  2. #2
    Senior Member Lighttouch's Avatar
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    With CB ESA you will need to pay the going rate.

  3. #3
    Senior Member nukecad's Avatar
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    The form covers both Contribution Based and Income Related ESA.

    It is not in itself an entitlement to free healthcare, just confirmation that you are receiving ESA.

    It is only Income Related benefits that entitle you to the free healtcare.

    Dentists etc. often ask to see proof that you are on a qualifying benefit, this form is proof that you are on ESA.

    If you try to use this form to claim free healthcare when you only have Contribution Based ESA it will be checked later and you will be asked to pay for the treatment, and a penalty charge of up to £100.
    https://www.nhsbsa.nhs.uk/penalty-charges
    Last edited by nukecad; 04-23-2017 at 11:01 AM.
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  4. #4
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    For low income there is the HC2 certificate, worth applying for
    Anything expressed is my opinion only and is offered in good faith. It is either from my own experiance or what I have learned on my journey. Take it for what it is or leave it alone. With best wishes D.

  5. #5
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    Quote Originally Posted by Biscuitgazer View Post
    That form is for contribution-based ESA. It says so.
    it actually says CB and IR esa.

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    Your right, I'm blind. I will delete, if I can.

  7. #7
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    This is handy to know and the form is straight to the point, says it all really. Our dental receptionist likes to shout out " DOO YOU PAY " in front of a packed waiting room. With this i could stick it under her nose before she says it. HA

  8. #8
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    hi iam on CB ESA in support group and when i was at the doctors last year for a review on my tablets the doctor said i was medical exemption for any charge for my tablets ect, i said iam not here went and got forms that i filled in their and then and give him back and about two weeks later i received medical exemption certificate card for the next five years then i apply again, the doctor said because i have now a life long condition that why you don't pay for medication in my case regards palmer

  9. #9
    Senior Member nukecad's Avatar
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    Medical Exemption Certificates, such as palmer has (and I have one myself), only cover the cost of prescriptions they don't cover the other healthcare costs.

    The application form can only be issued by a GP.
    You need to have one of certain specified health conditions to get a medical exemption certificate.
    You can find a list of these here:
    https://www.nhsbsa.nhs.uk/exemption-...n-certificates


    For completeness, if you are not on Income Releted Benefit, and are not entitled to a Medical Exemption certificate, then you may still be able to get help with your health costs on grounds of low income. (Travel to hospital, dental treatment, eysight tests, cost of spectacles, etc.)
    You need to request an application form HC1 from your doctors surgery or the jobcenter - your dentist or pharmacy may have them as well.

    These two leaflets tell you all about the help you can get with paying for NHS health costs.
    HC11 - Full guide
    HC12 - Quick guide

    NOTE- The above information is for England, the rules are slightly different in Scotland, Wales, and Northern Ireland.

    HCS1 - Help with health costs - Scotland.
    HC11W - Help with health costs - Wales.
    Help with health costs - N. Ireland.
    Last edited by nukecad; 04-23-2017 at 10:58 AM.
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  10. #10
    Senior Member nukecad's Avatar
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    There is a twist to this information about the ESA125.

    A new FOI request has been raised about the dates the DWP are putting on this form:
    https://www.whatdotheyknow.com/reque...ncoming-972250

    Apparently when the DWP send out one of these forms they show the date of the claim as:
    From {date your claim started} to {date the ESA125 was issued}.

    There is a scanned example linked in the FOI.

    Obviously putting the dates like this is of no use for showing ongoing entitlement to healthcare beyond the date the ESA125 was issued, only entitlement up to that date.
    (Indeed it would give anyone looking at it the impression that your ESA had ended on that date).

    I'll keep an eye out for the DWP's answer to this new FOI.
    I'm intelligent enough to know that I don't know everything.
    But I'm good at searching for, and finding, stuff.

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