Long Term Illness Scheme

What is it?

Irish residents who suffer from certain illnesses or conditions (see list below) may be able to avail of the services of the Long Term Illness (LTI) Scheme. This scheme allows you to obtain treatment, medicines and equipment directly related to your illness free of charge. The LTI Scheme does not depend on your income and is separate from the Medical Card Scheme.


The medical conditions that qualify under the LTI Scheme are:

  • Acute Leukaemia
  • Mental handicap
  • Cerebral Palsy
  • Mental Illness (in a person under 16)
  • Cystic Fibrosis
  • Multiple Sclerosis
  • Diabetes Insipidus
  • Muscular Dystrophies
  • Diabetes Mellitus
  • Parkinsonism
  • Epilepsy
  • Phenylketonuria
  • Haemophilia
  • Spina Bifida
  • Hydrocephalus
  • Conditions arising from the use of Thalidomide

How does it work?

You must be ordinarily resident in Ireland and hold a PPSN. You qualify if you have one of the illnesses or disabilities listed above. There is no income requirement or means test.


Fill in the application form which is available from your Local Health Office. If you qualify, you will get an LTI book and a letter of authorisation. This letter lists the medicines for the treatment of your condition, which will be provided to you free of charge through your community pharmacist. Other drugs and medicines not related to the specified condition must be paid for in the normal way. Your doctor or consultant will sign the form to confirm your condition and list your medication.


If you already have been given a Medical Card, you do not need to apply for the LTI Scheme. If you become ineligible for a Medical Card at any stage, but have one of the medical conditions above, you should apply to join the LTI Scheme to cover the cost of your medication.

Is there a cost?

If you qualify for the LTI Scheme, there is no cost.