Page 64 - Beaumont_Book_1
P. 64

Tax relief on health expenses





            incurred by kidney patients






                   ll patients that pay tax are encouraged to        Form MED 1 Health Expenses - Claim for Relief
                  complete a Revenue form Med 1 health                   You can claim for Health Expenses via the Internet using PAYE Anytime.
                                                                            For further information please visit www.revenue.ie
                                                                 Name and Address
                  expenses claim for relief which will
        Arelieve the financial burden somewhat
                                                                                             PPS Number
        at the standard rate of tax. The form can be             Return Address   ,I WKH DGGUHVV RI \RXU 5HYHQXH RI¿FH LV QRW VKRZQ EHORZ  SOHDVH
        downloaded from the revenue website, or we can           FKHFN DQ\ FRUUHVSRQGHQFH \RX KDYH UHFHLYHG IURP 5HYHQXH WR ORFDWH WKH DGGUHVV   7KH 336 QXPEHU FDQ EH REWDLQHG IURP DQ\ FRUUHVSRQGHQFH
                                                                 WR ZKLFK \RX VKRXOG VXEPLW WKLV IRUP  RU YLVLW www.revenue.ie and enter your PPS
                                                                 QXPEHU LQWR 5HYHQXH¶V FRQWDFW ORFDWRU
                                                                                             \RX KDYH UHFHLYHG IURP 5HYHQXH  ,I \RX DUH PDUULHG RU LQ
                                                                                             D FLYLO SDUWQHUVKLS DQG DUH WD[HG XQGHU -RLQW $VVHVVPHQW
                                                                                             SOHDVH TXRWH WKH 336 QXPEHU RI WKH DVVHVVDEOH VSRXVH RU
                                                                                             QRPLQDWHG FLYLO SDUWQHU
                          do that for you if you would                                              Notes
                             prefer.                                                         WKLV IRUP
                                                                                             Please read the notes on Pages 3 & 4 before FRPSOHWLQJ
                              If you are paying €144            Year for which claim is being made
                          per month for your medications      by you - See “Receipts” section on Page 3
                                   for the whole year of                  Individuals for whom you wish to claim
                                                              Receipts (and Form Med 2 if your claim includes non-routine dental expenses) should not be submitted with this claim but should be retained
                                   2013 you will be able      Name
                                                              3OHDVH FRPSOHWH LQ DOO FDVHV WKH QDPHV RI WKH SHUVRQV RQ ZKRVH EHKDOI \RX SDLG RU LQFXUUHG KHDOWK H[SHQVHV
                                  to claim €1,728.00 on       $GGUHVV
                        your Med 1 form at 20%                336 1XPEHU
        standard rate you will be due a €345.60 tax          336 1XPEHU
                                                             ,Q WKH FDVH RI D FODLP IRU DQ LQGLYLGXDO ZKRP \RX PDLQWDLQ LQ D QXUVLQJ KRPH  SOHDVH VWDWH WKHLU 336 QXPEHU DQG GDWH RI ELUWK
        refund. You can make a claim for the previous                            Date of Birth  D  D  M M  Y  Y
        3 years also. In 2012 the Drug Payment Scheme        1RWH  $Q\ VXEVHTXHQW 5HYHQXH UHIXQGV ZLOO EH PDGH WR WKLV EDQN DFFRXQW XQWLO RWKHUZLVH QRWL¿HG
                                                             Please supply your bank account details for Revenue to transfer your refund to your Irish bank account.
                                                             (It is not possible to make a refund directly to a foreign bank account.)
        limit was €132.00 and €120.00 for 2011.                Sort Code           $FFRXQW 1XPEHU
           If, as an individual patient you are not          , GHFODUH WKDW     Declaration
        working and do not pay tax, but your spouse is         ΠDOO SDUWLFXODUV VWDWHG RQ WKLV IRUP  LQFOXGLQJ LQFRPH UHFHLYHG IURP DOO VRXUFHV  DUH FRPSOHWH  WUXH DQG FRUUHFW
                                                               Π, KDYH SDLG DOO H[SHQVHV FODLPHG DQG , KROG UHFHLSWV IRU DOO H[SHQVHV ZKLFK DUH DYDLODEOH IRU LQVSHFWLRQ
        working and paying tax they can make the Med        Signature  WR QRWLI\ WKH 5HYHQXH &RPPLVVLRQHUV RI DQ\ VXFK UHIXQGV UHFHLYHG LQ WKH IXWXUH
                                                               ΠLQ UHVSHFW RI H[SHQVHV FODLPHG RQ WKLV IRUP  DOO UHIXQGV UHFHLYHG WR GDWH IURP DQ\ VRXUFH DUH VKRZQ DQG , DJUHH
                                                               ΠWR WKH EHVW RI P\ NQRZOHGJH QR SDUW RI WKHVH H[SHQVHV ZLOO EH YROXQWDULO\ UHLPEXUVHG WR PH
                                                                                   Date  D  D  M M  Y  Y
        1 claim for a refund on their taxes.                                      Page 1       7HO  1R
                                                            RPC002669_EN_WB_L_9
        A person on haemodialysis in a hospital or clinic, who does not avail of a HSE means
        of transport and who pays tax may make a claim for their travel expenses.








                                                  EXAMPLE 2 – YEAR 2012
                                                  Say you live 10 miles from your dialysis centre,
                                                  typically you will travel 20 miles on your dialysis day
                                                  and receive 156 treatments a year.
                                                  That is 3120 miles you can claim for @ 27 cent per mile
                                                  = €842.40 @ 20% tax rate = €168.48 tax refund
                                                  – small but why not claim anyway?








        P.62 Kidney Disease — A Guide for Patients
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