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EU pensioners resident in Ireland and who are in receipt of a qualifying pension, as evidenced by form E121, are entitled to a Medical Card provided they Dependants resident in Ireland of pensioners with entitlement under EU legislation are entitled to a medical card on production of form E121 provided the in Ireland) they may be entitled to healthcare abroad. (E106/S1, E121/S1). Details of these forms are available through the HSE Overseas Section Tel: 01 If you have an Irish social welfare pension and you retire to another EU/EEA You will need Form E121 to establish entitlement in the other country.EHIC Application Form For IRISH Pensioners / Insured Persons resident in other EU/EEA Last Address in Ireland: Date E121 / E109 was registered:.