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Patient Exemptions

NHSScotland under the Family Health Services (FHS) banner provides Medical, Optical, Pharmacy and Dental services in Scotland.

Charges are payable for receiving treatment for Optical and Dental services, unless the patient qualifies for an exemption from, or help with paying them.

CFS has a dedicated team responsible for checking exemption claims.

Claim details are checked against relevant agencies, i.e. Department for Work and Pensions (DWP) and if the exemption cannot be confirmed, the patients will be contacted and requested to provide proof of their entitlement.

If it is identified that patients have no entitlement to exemption from charges, our team will request payment for the service provided.

If the patient withholds payment, a Penalty Charge Notice will be issued and enforced.

Unfortunately, a small minority of patients intentionally seek to defraud the health service. Any suspected fraudulent claims are investigated and analysed by CFS.

The computerised payment systems introduced for Dental and Ophthalmic services allow CFS to quickly and easily identify claims that may warrant investigation.

Fraudulent claims for exemption from NHS charges are investigated and analysed by CFS. The majority of these investigations are triggered by patients not providing evidence when obtaining services or treatment. In addition, a sample of claims where evidence has been provided is also checked.

If you are genuinely entitled to exemption from charges you have nothing to worry about. We are here to ensure that patients entitled to receive exemption charges continue to do so.

Please note your call may be recorded for training and quality purposes.

 

Patient Entitlement Help

The Patient Entitlement Help video will help you check to see if you are exempt from paying Dental and/or Ophthalmic charges.