2. Who is eligible
Under age 19
If you are in full-time education, you are entitled to vouchers for glasses.
If you are in part-time education, you are not automatically exempt from NHS charges, but you may get help because you get a qualifying benefit, are in an exempt group or qualify under the low income scheme (see here).
Under age 26
If you are under 26, you are entitled to free NHS dental treatment. It does not matter if you are studying full time or part time or not studying at all.
Age 26 or over
You are not automatically exempt from NHS charges because you are a student, but you may get help because you get a qualifying benefit, are in an exempt group or qualify under the low income scheme.
Qualifying benefits
You get free NHS dental treatment, vouchers for glasses and certain fares to hospital if you get:
- universal credit (UC) and you:1
- have no earnings; or
- earn £435 or less a month (or, if you have a partner, your combined earnings are £435 or less a month); or
- have a child element in your UC, or you or your partner (or both of you) have limited capability for work (LCW) or limited capability for work-related activity (LCWRA) and earn £935 or less a month (or, if you have a partner, your combined earnings are £935 or less a month); or
- guarantee credit of pension credit.
References
- 1
NHS(TERC)(S) Regs, as amended (most recently in 2021 by SI No.241)
Exempt groups
Dental treatment
You are eligible for free NHS dental treatment if:
- you are pregnant or have given birth in the last year; or
- you are under the Public Dental Service (for people who have difficulty getting treatment for reasons such as a disability); or
- you are an asylum seeker getting asylum support; or
- you get a war pension and need treatment for your war disablement; or
- you are a care leaver getting support from the local authority under section 29 of the Children (Scotland) Act 1995.
Vouchers for glasses or contact lenses
You are eligible for vouchers for glasses if:
- you are aged under 16; or
- you have a prescription for complex lenses; or
- you are a Hospital Eye Service patient; or
- you are an asylum seeker getting asylum support; or
- you get a war pension and need treatment for your war disablement; or
- you are a care leaver getting support from the local authority under section 29 of the Children (Scotland) Act 1995.
Fares to hospital
You are eligible for help with fares to hospital if:
- it is 30 miles or more away or involves a journey of five miles or more by sea, and you live in the Highlands or Islands – ie:
- the Highland region, Western Isles, Orkney Islands, Shetland Islands;
- Arran, Great Cumbrae, Little Cumbrae;
- the area formerly covered by Argyll and Bute District Council;
- parts of Moray (Aberlour, Cabrach, Dallas, Dyke, Edinkillie, Forres, Inveravon, Kinloss, Kirkmichael, Knockando, Mortlach, Rafford, Rothes); or
- you are an asylum seeker getting asylum support; or
- you get a war pension and need treatment for your war disablement; or
- you are a care leaver getting support from the local authority under section 29 of the Children (Scotland) Act 1995.
Low income scheme
If you are on a low income, you may be eligible for help under the low income scheme, even if you do not qualify on other grounds.
Under the low income scheme, your income is worked out in a similar way to housing benefit, and it is compared with your needs in the form of premiums and allowances, similar to housing benefit but with certain housing costs added.
Step 1: capital
You do not qualify if your capital is over £16,000. If your capital is between £6,000.01 and £16,000, add £1 to your income for every £250, or part of £250, between these limits.
Step 2: work out your requirements
This is an amount for basic weekly needs. See Chapter 6 for details of how to qualify for each premium. Your requirements are made up of:
- personal allowances
| Circumstances | Rate |
|---|---|
| Single person aged under 25 | £75.65 |
| Single person aged under 25, has claimed ESA and been assessed as having LCW or LCWRA | £95.55 |
| Single person aged 25 or over | £95.55 |
| Lone parent aged 18 or over | £95.55 |
| Couple, both aged 18 or over | £150.15 |
| Couple, both pension age or over (both reached pension age on or after 1 April 2021) | £363.25 |
| Couple, one or both pension age or over (and reached pension age before 1 April 2021) | £383.35 |
- premiums
- carer (as for housing benefit (HB));
- disability (this is included after 28 weeks of incapacity for work). You also get a disability premium if you (or your partner) are under 60 and get new-style ESA with a work-related activity or support component, or have been getting new-style ESA for at least 28 weeks, or have had LCW for at least 28 weeks. The amount of the disability premium increases to £50.35 if you are single or a lone parent and get new-style ESA with the support component, get the Scottish adult disability living allowance middle or highest rate care component or get the standard or enhanced rate of the daily living component of adult disability payment, and have been incapable of work for at least 28 weeks;
- enhanced disability for an adult (as for HB and also if you (or your partner) are under 60 and get ESA with a support component);
- severe disability (as for HB);
- weekly rent less any HB and non-dependant deductions;
- weekly council tax, if you are liable, less any council tax reduction;
- mortgage interest, endowment payments and capital repayments on your home, as well as on loans to adapt a home for a disabled person, deducting any non-dependant deductions.
Step 3: work out your weekly income
Income is calculated in a very similar way as it is for HB, with some modifications. See CPAG’s Welfare Benefits Handbook for more details. Your income is taken into account, as well as the income of your partner. Information about how your income is calculated and how student income is treated is in Chapter 14.
Step 4: deduct weekly income from requirements
If your income is less than your requirements or no more than £4.95 (half the cost of an English prescription) higher, you are entitled to maximum help with health benefits. If your income is more than £4.95 higher than your needs, you may get partial help.
You are expected to contribute your ‘excess income’ (the amount by which your income exceeds your needs) towards hospital fares, and you can get help with the rest of the costs up to the maximum amount allowed. You are expected to contribute twice your excess income towards help with glasses or contact lenses and three times your excess income towards help with dental charges.1
Examples
Madhu is a second-year undergraduate aged 20. She has a student loan of £9,400 (including £2,400 special support loan) and a young students’ bursary of £2,000. She is single, has no children and pays £75 rent a week. She gets no UC or HB. Under the low income scheme, her requirements are £150.65 (£75.65 personal allowance, plus £75 rent). Her income from her student loan is £121.29 (see here). Her income is below her requirements so she is entitled to free NHS dental treatment and vouchers for glasses.
Lewis is 26 and is a second-year undergraduate. He needs dental treatment costing £140. His weekly income for health benefits is £140.52 student loan, plus £50 earnings, making a total of £190.52 (see here). His requirements are £95.55 personal allowance plus £80 weekly rent, a total of £175.55. His excess income is £14.97. He must contribute £44.91 (three times his excess income) to his dental treatment. The other £95.09 is paid for him under the low income scheme.
References
- 1
Reg 5 NHS(TERC)(S) Regs, as amended (most recently in 2021 by SI No.241); regs 14 and 19 The National Health Service (Optical Charges and Payments) (Scotland) Regulations 1998 No.642, as amended (most recently in 2024 by SI No.38)