If you get Working Tax Credit or Child Tax Credit, you (and your family) may be entitled to help with NHS health costs.
If you are entitled the NHS Business Services Authority, on behalf of the Health Departments in the UK, will automatically send you a NHS Tax Credit Exemption Certificate.
However, you will not be sent an NHS Tax Credit Exemption Certificate if you, or your partner if you have one, are:
- getting Income Support
- getting Universal Credit (in certain circumstances - please see here)
- getting income-related Jobseeker's Allowance
- getting income-related Employment and Support Allowance
- getting Pension Credit Guarantee Credit
as the benefit or credit you or your partner get already entitles you to full help with health costs. To find out more, please click here.
If you are not receiving any of the above benefits or credits, please use our flowchart to check if you are entitled to help with health costs because you get Tax Credits.
If you receive Tax Credits but are not automatically entitled to help with health costs, you will not receive a NHS Tax Credit Exemption Certificate and should check whether you are entitled to help on other grounds.
If you are unsure as to whether you are entitled to help with health costs via Tax Credits, contact HM Revenue and Customs on:
Great Britain 0345 300 3900
Northern Ireland 0845 603 2000
Or check the HM Revenue and Customs website.
What an NHS Tax Credit Exemption Certificate covers
The certificate entitles you, your partner (if you have one) and any children to:
- Free NHS prescriptions
- Free NHS dental treatment
- Free NHS sight tests
- Help towards the cost of glasses and contact lenses
- Free NHS wigs and fabric supports
- A refund of necessary costs of travel for NHS treatment.
You will need to show your NHS Tax Credit Exemption Certificate each time you get an NHS prescription or other health service. If you have children aged under 16 or 16, 17 or 18 and they are in full-time education, they are already entitled to free NHS treatment, sight tests, NHS prescriptions and help towards the cost of glasses. They may need to show evidence that they are in full-time education when they go for treatment.
To make things more responsive to changes in people’s circumstances, the NHS Tax Credit exemption cards will now be issued for a period up to 7 months. Read more here.
For more information regarding the help with health costs available:
- if you are resident in England, read leaflet HC11
- if you are resident in Northern Ireland, click here and search for HC11
- if you are resident in Scotland, click here and search for HCS1
- if you are resident in Wales, click here and search for HC11W.