General medical care is free to medical card holders. However, there are a number of services we provide which are not covered by the medical card. These include examination and reports relating to an insurance policies or medico-legal purposes, pre-employment medicals, examinations relating to fitness to drive or take part in sports, school entry examinations, dressings, passport/ identity reports, travel vaccinations and some screening tests. INR and routine bloods are not covered by the medical card unless part of the management of a chronic disease e.g. Diabetes, COPD, Heart Failure, Asthma as part of an annual or interim review.