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Entitlement to help with health costs (HC3 Certificate)

You will need to show a copy of this information whenever you want to use it.


  • Prescriptions
  • This certificate does not entitle you to free prescriptions

  • Sight tests
  • Towards a private sight test, you pay a maximum of:

  • £5.10
  • Glasses or contact lenses
  • Towards an optical voucher, you pay:

  • £10.20
  • Travel to receive NHS treatment
  • Towards travel, in one week you pay:

  • £5.10
  • NHS dental treatment
  • Per course of treatment, you pay a maximum of:

  • £15.30
  • NHS wigs or NHS fabric supports
  • Per prescribed item, you pay a maximum of:

  • £15.30

This does not affect ny entitlement you already have,
for example if you already get help because of your age or a medical condition

Entitlement for

Priya Mattu
Vinay Mattu

Certificate number

123 456 789

Valid dates

from: 14 July 2015
to: 14 August 2016


Update your details or tell us your circumstances have changed