Support with health costs if you have cancer

If you are living with cancer, you may be able to get help with health costs. Find out more about financial support for things like prescriptions, wigs and fabric supports, dental treatment and eye treatment.

What financial help is available?

You may be able to get financial help with health costs when you have cancer. This can include help with prescriptions, wigs and fabric supports, dental treatment and eye treatment.

If you need special equipment or aids to help you live at home, you may be able to get what you need for free. Your doctor or nurse may arrange for this to be provided, or they can refer you to a social worker.

If you pay for your own nursing home charges, you may be entitled to financial help. You should speak to your healthcare professional or call the Macmillan Support Line for free on 0808 808 00 00.

Help with prescriptions

The help you can get for prescriptions is different across the UK.

In Scotland, Wales and Northern Ireland, prescriptions are free for everyone.

In England, prescriptions are free for anything related to cancer or its effects. You need to apply for a medical exemption certificate.

Medical exemption certificates in England

To apply for a medical exemption certificate, your GP must complete an FP92A form for you.

An exemption certificate lasts for 5 years and can be renewed if you are still eligible. Once you have the exemption certificate, you do not need to pay for any prescriptions. This includes prescriptions for medicines that are not related to your cancer treatment. You will need to show the exemption certificate to the pharmacist when you collect your medicines.

In England, if you are a carer, or someone who is not having cancer-related treatment, you can get help to pay for prescriptions in some situations. To find out more, visit nhs.uk

Prescriptions pre-payment certificates in England

If you live in England and do not qualify for free prescriptions, you can buy a prescription pre-payment certificate. You pay once for the certificate and then all your prescriptions are free for 3 or 12 months, no matter how many you need. This will save you money if you need:

  • more than 3 prescriptions in 3 months
  • more than 11 prescriptions in a year.

You can buy the certificate:

  • online from GOV.UK
  • by phone using a credit or debit card – call the NHS Business Services Authority on 0300 330 1341 or use textphone 18001 0300 330 1431
  • in person at some pharmacies.

The NHS Business Services Authority sends your certificate details by email, or you can print them at the end of the online process. You must show the pharmacist your certificate when you collect your prescription.

Help with the cost of dental care

Help with the cost of dental care is different across the UK.

Dental examinations

In Scotland, NHS dental examinations are free for everyone.

In England, Wales and Northern Ireland, there is a cost for NHS or Health Service dental examinations. But if you qualify for free dental treatment below, you will not have to pay for examinations either.

In Wales, you also get free NHS dental examinations if you are aged:

  • under 25
  • 60 or over.

Dental treatment

NHS dental treatment is free if you are:

  • Under 18 (or 18 and in full-time education) in England, Wales or Northern Ireland.
  • Under 26 in Scotland.

If you are not in 1 of these groups, you may still get free NHS or Health Service dental treatment or free dentures. You need to meet 1 or more of the criteria listed here when the dental treatment starts:

  • You are pregnant or have had a baby in the last 12 months. You need a maternity exemption certificate called a MatEx. Speak to your doctor, midwife or health visitor.
  • You are being treated in an NHS or Health Service hospital and a hospital dentist does the treatment. You may have to pay for any dentures or bridges.
  • You have a valid war pension and need treatment for your war injury.
  • You are entitled to, or named on, a valid NHS certificate for full help with health costs – this is called an HC2 certificate.

If you are named on an NHS certificate for partial help with health costs, called an HC3 certificate, you may get some help. We have more about this in our information about the NHS Low Income Scheme below.

You also qualify for free dental treatment if you or your partner get:

You are also eligible if you are under the age of 20 and are the dependant of someone getting 1 of the benefits listed above.

When you go to the dentist

You must show your dentist that you are entitled to help with dental costs. For example, you could give them a letter showing which benefits you get. You must also sign a form to confirm that you do not have to pay.

Help with wigs and fabric supports

The NHS can provide:

  • some different types of wig, including synthetic (artificial) hair wigs and human hair wigs
  • fabric supports, including abdominal supports or surgical bras.

If you live in Scotland or Wales, these are free on the NHS. There are special arrangements if you are registered with a GP in Wales but have cancer treatment in England.

If you live in Northern Ireland, wigs and fabric supports are free through the Health and Social Care services.

If you live in England, you may qualify for free wigs or fabric supports on the NHS if you:

  • are aged under 16
  • are aged 16 to 18 and in full-time education
  • are a hospital inpatient when the wig or fabric support is given to you
  • have a valid war pension and need the items for your war injury
  • are entitled to, or named on, a valid NHS certificate for full help with health costs – this is called an HC2 certificate.

If you are named on an NHS HC3 certificate, you may get some help. We have more about this in our information about the NHS Low Income Scheme.

You also qualify for free wigs or fabric supports if you or your partner get:

You are also eligible if you are under the age of 20 and the dependant of someone getting one of the benefits listed above.

When you order a wig or fabric support

If you are entitled to a free wig or fabric support, tell the person who fits it. You need to show proof that you qualify. For example, this could be the letter showing which benefits you get.

If you do not qualify for free wigs or fabric supports, you can find a list of costs at nhs.uk

You may be able to reclaim the VAT on these items. Contact the HMRC VAT helpline on 0300 200 3700. You can also visit GOV.UK

Help with eye treatment

Help with the cost of eye care is different across the UK.

Eyesight tests

In Scotland, eyesight tests are free for everyone.

In England, Wales and Northern Ireland, you can get free NHS or Health Service eyesight tests if you meet 1 of the following criteria:

  • You are aged under 16.
  • You are aged under 19 and are in full-time education.
  • You are aged 60 or over.
  • You are registered as blind or are partially sighted.
  • You have been diagnosed with diabetes or glaucoma.
  • You are aged 40 or over and your parent, brother, sister or child has been diagnosed with glaucoma.
  • You have been advised by an eye doctor that you are at risk of glaucoma.
  • You have a valid war pension and have eyesight issues due to your war injury.
  • You are a prisoner on leave from prison.
  • You need complex or powerful lenses.
  • You get Income Support, income-based Jobseeker’s Allowance, income-related Employment and Support Allowance (ESA) or Guarantee Credit part of Pension Credit.
  • You get Universal Credit (UC) and meet certain criteria.
  • You have a low income and are named on a valid NHS HC2 certificate for full help with health costs.

You may get a reduced cost eyesight test if you are named on a valid NHS certificate for partial help with health costs – this is called an HC3 certificate. We have more information about the NHS Low Income Scheme on this page.

Cost of glasses or contact lenses

In all areas of the UK, vouchers can help with the cost of glasses or contact lenses. You can use the vouchers with any optician. You must show the optician proof that you qualify. For example, you could show them a letter showing which benefits you get.

You can get a voucher if you meet 1 of the following criteria:

You may get a voucher if you are named on a valid NHS certificate for partial help with health costs – this is called an HC3 certificate.

If you have a valid war pension and have eyesight issues due to your war injury, you may be able to claim money back for the cost of glasses or contact lenses.

NHS Low Income Scheme

This scheme helps people on a low income pay for health costs. You do not have to be getting benefits to access this scheme. It is run by the NHS in England, Scotland and Wales and by the Health Service in Northern Ireland.

The scheme can help you pay for:

  • prescriptions
  • wigs and fabric supports
  • dental treatment
  • eyesight tests, glasses and contact lenses
  • travel to receive treatment.

You cannot qualify if you or your partner (or both) have more than £16,000 in savings. This does not include the place where you live. If you live permanently in a care home, the savings limit may be different.

How to claim the NHS Low Income Scheme

If you live in England, Scotland or Wales, call 0300 330 1343 and ask for an HC1 form, or visit the NHS Business Services Authority

If you live in Northern Ireland, download the HC1 form from NI Direct If you have reached State Pension age, the Pension Service will deal with your claim. You can contact them on 0800 587 0892.

You may also be able to get an HC1 form from:

  • your local hospital
  • a Jobcentre Plus or Jobs and Benefits office
  • your GP
  • your dentist
  • a pharmacist
  • your optician
  • Citizens Advice in England Scotland and Wales
  • Advice NI in Northern Ireland.

Apply online

In England, Scotland and Wales, you may be able to apply online for the NHS Low Income Scheme. This is a new service and is not available to everyone. Find out more at the NHS Business Services Authority.

Claim a refund

If you paid for something before you applied for the NHS Low Income Scheme, you can claim a refund using an HC5 form. You must apply within 3 months. Refunds have to be claimed within 3 months of the date you paid the charge or had a sight test. You must also have the relevant receipt, such as an FP57 form for prescriptions.

Where you can get an HC5 form, and how to claim, is different depending on the country you live in. Visit the NHS Business Services Authority for more information on how to claim in your area.

Help with home equipment and adaptations

Talk to your GP, cancer doctor or specialist nurse if you think you need equipment or aids to help you manage at home. For example, if you may need a raised toilet seat or handrails. If your doctor or nurse agrees you need equipment, they can arrange this.

Your doctor or nurse may refer you to a social worker. You can also contact your local social services or social work department directly. They can arrange for a social worker or occupational therapist to assess your needs. They may be able to give you what you need for free.

You can also get general advice and information about all types of equipment from Living Made Easy.

VAT-exempt goods and services

If you have a long-term illness or are registered disabled, you do not have to pay value-added tax (VAT) on some products. These are products designed or adapted for your own personal or domestic use.
VAT-exempt goods and services include:

  • adjustable beds
  • stairlifts
  • wheelchairs
  • medical appliances to help with severe injuries
  • alarms
  • Braille paper or low-vision aids – but not glasses or contact lenses
  • cars
  • building work, such as widening doors or installing ramps, lifts and toilets.

For more information, visit GOV.UK or call 0300 200 3700.

Paying for a care home or care at home

If you need support from carers at home or you need care in a residential or nursing home, you may get help to pay for this.

Local Authority or Health and Social Care Trust funding

In England, Scotland or Wales, your local council may pay some or all of the cost of your care. In Northern Ireland, your local Health and Social Care (HSC) Trust may provide funding.

What you get depends on the results of a needs assessment. It may also depend on your income, savings and assets.

You can contact your council or HSC trust to ask for an assessment of your care needs. Or someone else can contact them for you. For example, a family member, friend or someone from your healthcare team could call.

NHS funding

If you need ongoing, complex medical care, the NHS may pay for or provide some of the care you need at home or in a care home.

This is called the NHS Continuing Healthcare scheme in England, Wales and Northern Ireland.

The rules and how funding is arranged is different in Scotland.

For more information speak to your healthcare professional or call our support line for free on 0808 808 00 00, 7 days a week, 8am to 8pm.

About our information

This information has been written, revised and edited by Macmillan Cancer Support’s Cancer Information Development team. It has been reviewed by expert medical and health professionals and people living with cancer.

Macmillan Welfare Rights Team

Reviewer

Date reviewed

Reviewed: 01 June 2025
|
Next review: 01 June 2028
Trusted Information Creator - Patient Information Forum
Trusted Information Creator - Patient Information Forum

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