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L'înformâtion et les sèrvices publyis pouor I'Île dé Jèrri

About the Pension Plus scheme

About the Pension Plus scheme

The Pension Plus scheme started on 1 January 2017 and replaced the 65+ Health Plan.

It is a States funded scheme to help lower-income pensioners aged 65 or over with the costs of the following services:

  • dental
  • optical 
  • chiropody

It’s run and administered by Social Security.

Watch the video below to understand how the Pension Plus scheme works.

 


Who is eligible for Pension Plus

You can apply for Pension Plus if:

  • you’re 65 or over at the time of application 
  • you either have a Jersey Old Age Pension or have ‘entitled' residential status
  • you (and your partner) don’t pay Jersey income tax 
  • you (and your partner) have capital assets less than £30,000 

We don’t include the home you live in as part of your capital assets, but we do include:

  • other properties you own
  • savings and investments
  • pension bonds
  • other items of value such as jewellery and paintings

Residential statuses and what they mean

How to join Pension Plus

To apply for Pension Plus, fill out the form below.

Apply for Pension Plus

Optical, dental and chiropody costs and what you can claim for

If you were a member of the 65+ Health Plan in 2016, your available benefit levels will stay the same until your renewal date in 2017. 

If you’re eligible for Pension Plus after your renewal date, you will become a member of Pension Plus.

On Pension Plus, you will be entitled to the following financial support:

Optical

  • every two years, up to £40 towards an eye test
  • every two years, up to £120 towards new prescription spectacles, lenses or contact lenses

Dental

  • every year, up to £40 towards a dental check-up
  • every two years, up to £700 towards dental treatments or dentures

Chiropody

  • every year, up to £120 towards the cost of chiropody treatment from a Health and Care Professions Council (HCPC) registered chiropodist

You can't claim for missed or cancelled appointments.

What you can and can't claim for on Pension Plus


  Who can provide services (they must be a member of Pension Plus) What is covered by Pension Plus What is not covered by Pension Plus

Dental

•  dentist 
•  dental hygienist for dental hygiene care, eg scale and polish, (other services provided by a dental hygienist are not covered by the scheme)
•  denture repair laboratory (for repairs or dentures prescribed by a dentist) 


•  check-ups and examinations
•  dental hygiene care (scale and polish)
•  filings, root canals, dental implants, bridges, 
crowns and 
extractions
•  gum treatments (provided by a dentist)
•  dentures (provided by a dentist) 
•  denture repairs

•  dental x-rays
•  mouth guards
•  sedation

•  cosmetic dental treatments, eg teeth whitening, cosmetic braces, dental veneers and gold teeth

  new dentures bought from a denture repair laboratory (without a prescription from a Pension Plus dentist)

•  toothpaste, mouthwash and dental floss

 prescriptions and medication* 

 mouth cancer treatments*
 missed or late appointment fees 

Chiropody or podiatry

•  HCPC registered 
chiropodist or podiatrist 

•  toenail problems, such as thickening, fungal or ingrown toenails

•  corns, calluses and bunions

•  medication
•  missed or late appointment fees
Optical •  optometrist or optician 
•  glasses, frames and spectacle lenses
•  prescription sunglasses
•  cosmetic optical items, eg coloured contact lenses
•  medication 
•  eye surgery (including laser eye surgery)
•  treatment for cataracts*
•  missed or late 
appointment fees


 

*Depending on your circumstances, funding may be available for these through Health and Social Services or through the Health Insurance fund. Call us on +44 (0) 1534 445505 to find out more, or ask your GP.

How to make a claim

You must have received a confirmation letter from us to let you know that you’ve been accepted onto the scheme before you make a claim.

To use Pension Plus, follow these steps: 

  1. make an appointment with your optician, dentist or chiropodist

  2. tell your practitioner that you are a Pension Plus member or tell Social Security who your practitioners are 

  3. check how much the services will cost

  4. ask your practitioner how much available benefit you have in Pension Plus and how much you will need to pay

  5. receive your treatment

  6. your practitioner will invoice us up to your level of available benefit

  7. pay for any costs not covered by your benefit

Further details are available in your confirmation letter. You cannot claim for missed or cancelled appointments.

You must tell us if your circumstances change and you are no longer eligible for the scheme.

Claiming for treatment you've had before joining the scheme

You can’t make a claim for treatment you have had before your registration has been confirmed.

How Pension Plus is different from the 65+ Health Plan

Pension Plus is different to the 65+ Health Plan because it:

  • offers you more money towards your bills 
  • will be easier to make a claim (your optician, dentist or chiropodist will bill us directly up to your available balance, instead of you being refunded the money)
  • is managed by us in Social Security, rather than Westfield Health
  • has different eligibility criteria 

65+ Health Plan

If you were a member of 65+ Health Plan 

All previous members of the 65+ Health Plan were automatically transferred to the Pension Plus scheme on 1 January 2017. 

65+ Health Plan 

If you were a member of the 65+ Health Plan but not eligible for Pension Plus

If you think you’re not eligible for Pension Plus, let us know. Even if you’re not eligible, your 65+ Health Plan will continue until your renewal date in 2017. 

If you’re not sure whether you are eligible, or have any questions about the new rules, call us on + 44 (0) 1534 445505.

Other help for low-income pensioners

Income Support is an income-related benefit that provides financial support towards the costs of:

  • housing
  • living
  • medical needs
  • childcare

Carers also receive support.

You might also qualify for the Food Costs Bonus and Cold Weather Bonus.

Food Costs Bonus and Cold Weather Bonus

Income Support

If you disagree with a decision about your Pension Plus benefits

If you're a member of Pension Plus and you disagree with our decision about the payment of your benefit, you may be able to appeal this decision.

If you think a Social Security decision is wrong




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