Also quote from the NHS site:
The extent of any help available is based on a comparison between a person’s weekly income and their assessed requirements at the time the claim is made (or the date the charge was paid if a refund is claimed). Any help a person is entitled to is extended to their partner and dependent children, if applicable. Anyone can make a claim, providing they do not have capital which exceeds the capital limit. The capital limits are as follows:
If you are resident in England or Scotland:
£22,250 for those permanently in a care home
£16,000 for everyone else
If you are resident in Wales:
£22,000 for those permanently in a care home
£16,000 for everyone else
LIS assessments are broadly based on Income Support arrangements to determine how much, if anything, a person should contribute towards their health costs. However, the Scheme also allows for the inclusion of council tax and housing costs in the assessment.
People are entitled to full help with NHS charges (which includes free NHS prescriptions), and are sent an HC2 certificate, if their income is less than or equal to their requirements or their income is greater than their requirements by no more than half the current English prescription charge. People are entitled to limited help with certain NHS charges, and are sent an HC3 certificate which shows how much they are expected to contribute to their health costs, if their income is greater than their requirements by more than half the current English prescription charge. Certificates are usually valid for periods of between 6 months to 5 years, depending on a person’s circumstances. The Scheme is designed so that people can claim help in advance of incurring a cost and are able to budget accordingly. However, if charges have already been incurred, refund claims and claims for certificates may be made at the same time.
Customers who wish to query the outcome of their claims are entitled to ask for their claim to be formally reviewed. The Review Section considers whether claims have been assessed in accordance with the provisions of the regulations governing the Scheme (The NHS (Travelling Expenses and Remission of Charges) Regulations, 2003, as amended).
To request a review click on “Go To Form” or write to:
Review Section
NHS Business Services Authority
PO Box 993
NEWCASTLE UPON TYNE
NE99 2TZ
You will normally hear from the Review Section within four weeks.
If you have any general queries about your claim, how to fill in the form or what to send us, you can call us on 0845 850 1166. Or, complete our query form.