Universal Credit and help with health costs

Advice and Information - 27 July 2026

Did you know that receiving Universal Credit does not automatically entitle someone to free NHS prescriptions, dental treatment, or other health costs?
A green prescription form on a wooden surface. On top of the form is a blister pack of tablets, some loose tablets, and a pen.

Entitlement depends on income levels during the claimant's most recent Universal Credit assessment period.

The information below has been provided by Gloucestershire Citizens Advice.

Why this matters

Many patients incorrectly believe that Universal Credit automatically provides free NHS treatment. Incorrect claims can result in:

  • Penalty charge notices
  • Repayment of treatment costs
  • Additional stress and financial hardship

Where entitlement is uncertain, patients should be advised to pay the charge, retain receipts, and seek advice about their eligibility.

Key information

A person may qualify for help with NHS health costs if their earnings during their latest Universal Credit assessment period were:

  • £435 or less; or
  • £935 or less where the Universal Credit award includes a child element or limited capability for work.

For couples, the income threshold applies to the combined household earnings.

Support available

Eligible patients may receive help with:

  • NHS prescription charges
  • NHS dental treatment charges
  • NHS sight tests
  • Glasses and contact lenses
  • NHS wigs and fabric supports
  • Travel costs to receive NHS treatment

Important advice for patients

Patients waiting for their first Universal Credit payment should not assume they are entitled to free NHS treatment. They should:

  • Pay any NHS charges when treatment is received
  • Keep receipts and supporting documents
  • Request the appropriate refund form (such as form FP57 for prescriptions)
  • Apply for a refund later if they are found to be eligible

Role of reception and frontline staff

Receptionists and frontline staff can help reduce incorrect claims by:

  • Asking whether a patient receives Universal Credit
  • Explaining that Universal Credit alone does not guarantee free NHS treatment
  • Encouraging patients to check their Universal Credit award notice
  • Signposting patients to advice and support services
  • Providing information about NHS refund procedures where appropriate

Bottom line

  • If in doubt, pay the charge, keep receipts, and check entitlement before claiming free treatment.

Further information and advice

Patients can obtain advice from:

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