Before you have your healthcare in Northern Ireland:
- make sure you are eligible for the NIPHS
- consider applying for prior notification
- check what medical records to bring with you
- make sure you can pay the hospital in Northern Ireland directly
Check that you have followed the correct process to access healthcare under the Northern Ireland Planned Healthcare Scheme (NIPHS). If you do not follow the correct process, you may have to pay the full costs of your healthcare.
Getting prior notification for your healthcare
Prior notification is an optional process to confirm that you:
- have followed the correct process to access healthcare under the NIPHS
- will be eligible to claim repayment towards the cost of your healthcare
We usually take about 20 working days to decide on your application.
You must pay for any healthcare that you get with a private provider in Northern Ireland. But if you apply for prior notification, you’ll know around how much you can claim towards the cost and if there is a difference that you must pay.
When to get prior notification for NIPHS
Prior notification is optional. But we recommend that you apply for it if you need inpatient care (an overnight stay in hospital).
You do not need prior notification for day-case healthcare.
Your treatment plan may change after you apply for prior notification. If this happens, you can only claim repayment for the healthcare you receive.
Applying for prior notification
To apply for prior notification you must send:
- a valid referral
- a completed prior notification form
- proof that you have travelled to Northern Ireland for your first appointment with the consultant
Send the form and the supporting documents to:
Northern Ireland Planned Healthcare Scheme,
St Canice’s Hospital,
Completing the notification form
You and your consultant in Northern Ireland must complete and sign the form before you have your inpatient treatment.
The consultant must enter the correct DRG (Diagnosis-Related Group) code for the treatment you are getting.
You can download a list of costs and DRG codes for inpatient healthcare in Ireland.
If you had your treatment on or after 1 July 2022, use:
If you had your treatment before 30 June 2022, use:
Planning your payment to the hospital
You must pay the hospital in Northern Ireland for your healthcare and keep proof of the payment.
Before you make a payment, check that you can pay the hospital in Northern Ireland directly.
You cannot claim reimbursement if:
- someone else makes the payment on your behalf - for example, a relative or friend
- you make the payment to a medical tourism company instead of the hospital in Northern Ireland