Ask your dentist for a NHS receipt form FP64, or a receipt which shows the amount and the date you paid the charge.

If you are claiming on the grounds of low income complete form HC5. Send your claim to your local Social Security Agency office who will check before forwarding to the Agency for consideration.

If you want to claim a refund for another reason eg. you confirm you are pregnant, you will need to explain why you are claiming a refund. Enclose your receipt and make sure you include your full name and the address of your dentist, and write to:

Refunds Section
Family Practitioner Services
Central Services Agency
2 Franklin Street
Belfast
BT2 8DQ

If your glasses or contact lenses have been lost or damaged and you pay for replacement or repairs, you will only be considered for a refund if you are entitled to a voucher. But the Agency has to agree that the loss or damage was due to illness before payment can be made

If you have already used a voucher towards the cost of your glasses or lenses you cannot get a refund, unless it was only a “complex lens” voucher. Nor can you claim a refund of the difference between the voucher value and the actual cost of your glasses or lenses, even if they cost more that the voucher value.

If you want to claim a refund, ask the person who supplies your glasses or contact lenses for a receipt which shows how much you paid and the date of payment. Complete an HC5 refund form and make sure you enclose your optical prescription and your receipt with your HC5 when you send it off. The form tells you what to do.

The maximum refund you can get back will be the voucher value which matches your prescription.

Ask the person who tests your sight for a receipt that shows that you paid for the test and the date of payment. Complete an HC5 refund claim form, making sure you put the date of your sight test on it.

The HC5 tells you what to do next.

You can only get a full refund if, within the first month of a 4 or 12 month PPC, any of the following happens:

• You become entitled to free prescriptions and if applicable, you have a valid NHS exemption certificate; or

• You go into hospital and remain there until the expiry of the certificate; or

• The PPC holder dies, or goes into hospital and dies there before the certificate runs out.

Proportional refunds: 4 and 12 month PPCs

You can get a proportional refund if, after the first month of a 4 or 12-month PPC start date:

• The PPC holder dies; or

• Goes into hospital and dies there before the certificate runs out.

The fee will be refunded proportionally in respect of complete months unexpired.

Partial refunds: 12 month PPCs

You can get a partial refund for 12-month PPCs only if, in months 2-4 of the PPC start date, any of the following happens:

• You become entitled to free prescriptions; and if applicable, you have a valid NHS exemption certificate; or

• You go into hospital and remain there until the expiry of the certificate.

You will be refunded the cost of the 12-month PPC less the cost of a four-month PPC.

If you wish to claim a refund for any of the reasons listed, send the original certificate to the

Refunds Section
Family Practitioner Services
Central Services Agency
2 Franklin Street
Belfast
BT2 8DQ

telling them the reason why you want to claim a refund.