The Maternity and Infant Care Scheme (MICS) provides an agreed programme of care to all expectant mothers who are ordinarily resident in Ireland. This service is provided by a family doctor (GP) of the woman’s choice and a maternity unit or hospital. Women are entitled to this service even if they do not have a medical card or GP visit card.
The GP provides an initial examination, if possible before 12 weeks, and a further 5 examinations during the pregnancy, which are alternated with visits to the maternity unit or hospital. In the case of a significant illness, e.g. diabetes or hypertension, women may have up to 5 additional visits to the GP. After the birth, the GP will examine the baby at 2 weeks and both mother and baby at 6 weeks.
The fees payable to GPs under the scheme are set out in the Health Professionals (Variations of Payments to General Practitioners) Regulations 2016, as shown below; these fee rates were last changed in 2013.
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GP Fees for services rendered under the Maternity and Infant Care Scheme
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Description
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Amount
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Patient’s first visit
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€38.42
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Visits 2-8 (per visit)
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€27.67
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Visit 9
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€38.42
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Where complete services are provided — patient’s first pregnancy
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€242.85
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Where complete services are provided — pregnancies other than the patient’s first pregnancy
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€270.52
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Additional visits by patients with major conditions, e.g. diabetes, hypertension — fee per visit subject to maximum of 5 visits
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€27.67
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Emergency delivery
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€230.53
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The Scheme, including the schedule of visits, and reimbursement arrangements for GPs is currently under review by the HSE as an action of the National Maternity Strategy 2016-2026.