Reclaiming Hospital Travel Costs?


A

agnon

A person has
i) a severe and enduring MH problem (DLA care component higher rate, DLA
mobility low rate, IB)
ii) Needs to go to distant hospitals many times

They've got all the receipts and tickets, which were given to their "care
co-ordinator" (MH key worker) to claim for.

That person stopped working for the MH trust, and the new worker sent the
info off to the wrong department.

Now it's several years later. (about two).

The total monies are about £1,000 (there was a *lot* of travel, to many
hospitals)

Does the person have any hope of claiming it now, or should they just
give it up as lost money?
 
Ad

Advertisements

R

Robbie

agnon said:
A person has
i) a severe and enduring MH problem (DLA care component higher rate, DLA
mobility low rate, IB)
ii) Needs to go to distant hospitals many times

They've got all the receipts and tickets, which were given to their "care
co-ordinator" (MH key worker) to claim for.

That person stopped working for the MH trust, and the new worker sent the
info off to the wrong department.

Now it's several years later. (about two).

The total monies are about £1,000 (there was a *lot* of travel, to many
hospitals)

Does the person have any hope of claiming it now, or should they just
give it up as lost money?
If the person isn't in receipt of Income Support then there's no
automatic refund of hospital travel costs. It would come down to
claiming under the low income scheme which requires a timeous claim and
in any case I believe there's a time limit of 6 months in which to make
a claim.
 
M

Mike

Robbie said:
If the person isn't in receipt of Income Support then there's no
automatic refund of hospital travel costs. It would come down to
claiming under the low income scheme which requires a timeous claim and
in any case I believe there's a time limit of 6 months in which to make
a claim.
If they are on income support the NHS Trust refunds the money and I dare
say they have limitations re time as well.

Mike
 
R

Robbie

Mike said:
If they are on income support the NHS Trust refunds the money and I dare
say they have limitations re time as well.

Mike
I think it may be 6 months (perhaps 3 months?) for those in receipt of
Income Support etc too. If the hospital costs aren't claimed back at the
time of the appointment then I think the procedure is that the patient
gets a form from the NHS helpline - the form number I can't remember -
then completes it, sends it to the local benefit office who stamp it,
confirm receipt of IS etc and then the IS section send it to the
relevant hospital. I'm sure it's a 6 month limit but I could be wrong
and it could be 3 months. Either way, claims from 2 years ago wouldn't
be entertained.

Plus if the OP is not in receipt of IS then I doubt the NHS would do a
means test for claims going back 2 years ago. In fact I know they wouldn't.
 
C

Clive Martin

Robbie said:
I think it may be 6 months (perhaps 3 months?) for those in receipt of
Income Support etc too. If the hospital costs aren't claimed back at
the time of the appointment then I think the procedure is that the
patient gets a form from the NHS helpline - the form number I can't
remember - then completes it, sends it to the local benefit office who
stamp it, confirm receipt of IS etc and then the IS section send it to
the relevant hospital. I'm sure it's a 6 month limit but I could be
wrong and it could be 3 months. Either way, claims from 2 years ago
wouldn't be entertained.

Plus if the OP is not in receipt of IS then I doubt the NHS would do a
means test for claims going back 2 years ago. In fact I know they
wouldn't.
Actually for once you and Mike are both wrong.

See:http://www.opsi.gov.uk/si/si2003/20032382.htm#11

There is a 3 month time limit, but there is an old style "good cause"
provision.

The two practical problems in pursuing this would be usually one would
not have the evidence, and it might be hard to show "good cause". But
here the person seems to have all of the evidence, and, because of the
nature of their ill-health, may be able to show good cause.

So it looks worth a try...

Clive
 
R

Robbie

Clive said:
Actually for once you and Mike are both wrong.

See:http://www.opsi.gov.uk/si/si2003/20032382.htm#11

There is a 3 month time limit, but there is an old style "good cause"
provision.

The two practical problems in pursuing this would be usually one would
not have the evidence, and it might be hard to show "good cause". But
here the person seems to have all of the evidence, and, because of the
nature of their ill-health, may be able to show good cause.

So it looks worth a try...

Clive
Cheers for the link Clive. Useful to know there is a "good cause" rule.
 
Ad

Advertisements

A

agnon

On Sun, 05 Jul 2009 10:25:01 +0100, Mike wrote:

[snip]
If they are on income support the NHS Trust refunds the money and I dare
say they have limitations re time as well.
Things are a bit complicated - the person now has a claim of IS (paid at
a zero rate? because other payments take them over the threshold?) and an
HC2 certificate.

NHS trust should refund costs, but I've found they're often keen to try
to avoid it.

Some treatment is provided in specialist hospitals and thus there's a
long, possibly expensive, journey. (See, for example, burns patients
from Cornwall being treated in Swansea)

I've tried to claim many cheapest-route journeys and given up because the
finance office refused to pay.
 
A

agnon

On Sun, 05 Jul 2009 18:57:37 +0100, Clive Martin wrote:

{snip}
Actually for once you and Mike are both wrong.

See:http://www.opsi.gov.uk/si/si2003/20032382.htm#11

There is a 3 month time limit, but there is an old style "good cause"
provision.

The two practical problems in pursuing this would be usually one would
not have the evidence, and it might be hard to show "good cause". But
here the person seems to have all of the evidence, and, because of the
nature of their ill-health, may be able to show good cause.

So it looks worth a try...

Ah, thats excellent.

I'll write up a nice letter, showing the good cause (extreme illness,
changing workers and 'chaos' in the MH trust because of re-configuration,
and previous attempts to claim that got sent to incorrect address) and
asking if it's possible for them to have a look at the claim.

Even if we only get some of it it'd be a great help.
 
M

Mike

agnon said:
On Sun, 05 Jul 2009 18:57:37 +0100, Clive Martin wrote:

{snip}



Ah, thats excellent.

I'll write up a nice letter, showing the good cause (extreme illness,
changing workers and 'chaos' in the MH trust because of re-configuration,
and previous attempts to claim that got sent to incorrect address) and
asking if it's possible for them to have a look at the claim.

Even if we only get some of it it'd be a great help.
Don't get your hopes up - good cause over such an extended period is
very difficult. He's kept receipts and submitted them at least once
which shows he's aware that a refund process exists but not pursued it.

Also if he has representatives, social worker, etc they could have
pursued it on his behalf.

Mike
 
M

Mike

Clive said:
Actually for once you and Mike are both wrong.

See:http://www.opsi.gov.uk/si/si2003/20032382.htm#11

There is a 3 month time limit, but there is an old style "good cause"
provision.

The two practical problems in pursuing this would be usually one would
not have the evidence, and it might be hard to show "good cause". But
here the person seems to have all of the evidence, and, because of the
nature of their ill-health, may be able to show good cause.

So it looks worth a try...

Clive
Oh there are always good cause provisions!

Mike
 
R

Robbie

agnon said:
On Sun, 05 Jul 2009 10:25:01 +0100, Mike wrote:

[snip]
If they are on income support the NHS Trust refunds the money and I dare
say they have limitations re time as well.
Things are a bit complicated - the person now has a claim of IS (paid at
a zero rate? because other payments take them over the threshold?) and an
HC2 certificate.

NHS trust should refund costs, but I've found they're often keen to try
to avoid it.

Some treatment is provided in specialist hospitals and thus there's a
long, possibly expensive, journey. (See, for example, burns patients
from Cornwall being treated in Swansea)

I've tried to claim many cheapest-route journeys and given up because the
finance office refused to pay.
You can't get Income Support paid at a zero rate.
 
Ad

Advertisements

R

Robbie

agnon said:
On Sun, 05 Jul 2009 10:25:01 +0100, Mike wrote:

[snip]
If they are on income support the NHS Trust refunds the money and I dare
say they have limitations re time as well.
Things are a bit complicated - the person now has a claim of IS (paid at
a zero rate? because other payments take them over the threshold?) and an
HC2 certificate.

NHS trust should refund costs, but I've found they're often keen to try
to avoid it.

Some treatment is provided in specialist hospitals and thus there's a
long, possibly expensive, journey. (See, for example, burns patients
from Cornwall being treated in Swansea)

I've tried to claim many cheapest-route journeys and given up because the
finance office refused to pay.
You can't get Income Support paid at a zero rate.
 
C

Clive Martin

agnon <g@examle.com> said:
On Sun, 05 Jul 2009 18:57:37 +0100, Clive Martin wrote:

{snip}



Ah, thats excellent.

I'll write up a nice letter, showing the good cause (extreme illness,
changing workers and 'chaos' in the MH trust because of re-configuration,
and previous attempts to claim that got sent to incorrect address) and
asking if it's possible for them to have a look at the claim.

Even if we only get some of it it'd be a great help.
Technically you have to show continuous good cause - good cause for each
day in the period. I wonder if someone with such health problems could
show that on every day, even a very "good day", it was not reasonable
for them to make a claim.

On the other hand, if your health is such that you need someone else to
help you with this stuff and they take it on but fail to sort it out,
then you would continuously think it was being done for you, so might
well have continuous good cause.

Clive
 
C

Clive Martin

Mike said:
Clive Martin wrote:


Oh there are always good cause provisions!

Mike
It's much more the case that there always used to be "good cause"
provisions.

The only place (apart from the Hospital Travel Costs Scheme!) where
there is still old-style good cause seems to be HB and CTB for those
under 60 - where there is a maximum 6 month backdating on that basis.

IS and JSA have a limited, up to 3 months but only if you meet one of
the listed special reasons, form of backdating.

Most benefits these days give you an automatic backdate if you meet the
qualifying conditions, usually of 3 months, but anything beyond that is
just tough, however "good" the "cause".

Clive
 
M

mart2306

It's much more the case that there always used to be "good cause"
provisions.

The only place (apart from the Hospital Travel Costs Scheme!) where
there is still old-style good cause seems to be HB and CTB for those
under 60 - where there is a maximum 6 month backdating on that basis.

IS and JSA have a limited, up to 3 months but only if you meet one of
the listed special reasons, form of backdating.

Most benefits these days give you an automatic backdate if you meet the
qualifying conditions, usually of 3 months, but anything beyond that is
just tough, however "good" the "cause".

Clive
Pension service can go back up to 12 months but not come across them
going back further than that.
Would have been nice if they could have gone back 18 months but 12
months is something for the guy with no money previously coming in at
all.

Martin <><
 
R

Robbie

Pension service can go back up to 12 months but not come across them
going back further than that.
Would have been nice if they could have gone back 18 months but 12
months is something for the guy with no money previously coming in at
all.

Martin <><
It's 3 months now for backdating Pension Credit - the rules changed on
October 6 last year.
 
Ad

Advertisements

M

mart2306

It's 3 months now for backdating Pension Credit - the rules changed on
October 6 last year.- Hide quoted text -

- Show quoted text -
Good thing we got the guy his money when we did then. 18 months
without his pension, or any income. Followed by a large backdated sum
(which of course came out as a single giro to a guy without a bank
account) and regular payments.
To be fair to the pensions people, they tried their best once they
knew what the problem was to get it sorted.

Martin <><
 
A

agnon

Don't get your hopes up - good cause over such an extended period is
very difficult. He's kept receipts and submitted them at least once
which shows he's aware that a refund process exists but not pursued it.
They didn't send receipts in, their worker did, but sent them to wrong
address.
Also if he has representatives, social worker, etc they could have
pursued it on his behalf.
Yes. One started, but sent it to wrong address. The trust went through
a lot of re-configuration, and different workers were assigned. The case
wasn't handed over particularly well, and so a bunch of stuff was missed
out.

But you're right. I still see this as "a long shot", but that's a little
bit better than "no chance".
 
A

agnon

agnon said:
On Sun, 05 Jul 2009 10:25:01 +0100, Mike wrote:

[snip]
If they are on income support the NHS Trust refunds the money and I
dare say they have limitations re time as well.
Things are a bit complicated - the person now has a claim of IS (paid
at a zero rate? because other payments take them over the threshold?)
and an HC2 certificate.
[snip]

You can't get Income Support paid at a zero rate.
An 'underlying entitlement'?
 
Ad

Advertisements

M

Mike

agnon said:
agnon said:
On Sun, 05 Jul 2009 10:25:01 +0100, Mike wrote:

[snip]

If they are on income support the NHS Trust refunds the money and I
dare say they have limitations re time as well.
Things are a bit complicated - the person now has a claim of IS (paid
at a zero rate? because other payments take them over the threshold?)
and an HC2 certificate.
[snip]

You can't get Income Support paid at a zero rate.
An 'underlying entitlement'?
De minimus case? Do they have them on IS still?

Mike
 

Ask a Question

Want to reply to this thread or ask your own question?

You'll need to choose a username for the site, which only take a couple of moments. After that, you can post your question and our members will help you out.

Ask a Question

Top