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Guide · Healthcare access

Illness Benefit in Ireland — Sick Pay & DSP Guide

Illness Benefit is the main social welfare payment when you cannot work due to illness in Ireland. Here is how it works alongside employer sick pay and what medical certs you need.

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Online doctor consultation in Ireland — Illness Benefit Dsp Ireland Guide
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Sick-pay in Ireland — the layers

If you cannot work due to illness in Ireland, there are typically two parallel layers of support:

  • Statutory Sick Pay (SSP) — your employer pays you a portion of your wage for a limited number of days each year (Ireland's SSP scheme has been phasing in since 2023 — current entitlement increases year-on-year; check current figures).
  • Illness Benefit — paid by the Department of Social Protection (DSP) for longer-term illness once you're out of the SSP window, subject to PRSI contributions.

Many employer contracts also provide additional sick pay beyond SSP — check your employment contract or HR.

Illness Benefit — key features

Per DSP Illness Benefit:

  • Available to employees and self-employed (with relevant PRSI contributions) under age 66
  • Subject to means assessment in some cases
  • Currently does not pay for the first 3 days of illness ("waiting days")
  • Paid weekly; rate depends on your average weekly earnings
  • Can last up to 2 years depending on PRSI contributions
  • Application via the MyWelfare website or paper form (Form IB1)

Medical certificates — what kind, from whom

The Department of Social Protection has specific requirements:

  • For Illness Benefit / IB1 claims: a medical certificate from your treating doctor ("Medical Certificate of Incapacity for Work" — completed electronically through the DSP MED1 system). The certificate must be filed by a doctor with departmental certification access — an employer sick note on its own is not what the department reads. One of our doctors holds that access and can file it for you.
    Timing: filing through us is an extra service for patients who cannot get an early appointment with their own GP. It can take up to 72 hours from when your PPS number, occupation and dates reach us, depending on how busy the certifying doctor is — we lodge certificates as soon as we can. Asking us does not guarantee that a certificate will be filed, and a filed certificate does not guarantee the department will approve your claim. If you need it filed sooner, we strongly recommend your own registered GP.
  • For employer sick pay: most employers accept a sick cert from any registered doctor for short-term absence (sometimes self-certification for 1-3 days). Check your specific employer's policy.
  • For colleges/schools: most accept a sick cert from any registered doctor, including Online Doctor consultations.

What sick certs can an Online Doctor provide?

Online Doctor consultations can provide sick certificates accepted by most employers for short-term absence and by colleges/schools for student absence. Examples include:

  • Standard sick certificate for time off work
  • Back-to-work certificate (fit to return)
  • Fit-to-work certificate (with or without modifications)
  • Student/college medical certificate
  • School absence note for parents

The DSP MED1 form is a separate document from the sick cert above. Your own treating doctor can complete it — or we can.

Apply for Illness Benefit — practical steps

  1. Get your MED1 completed — by your own treating doctor, or by us after an online consultation
  2. Apply on MyWelfare (online at gov.ie/mywelfare) — requires MyGovID
  3. Or submit paper Form IB1 by post
  4. Provide PPS number, bank details, employment details
  5. The DSP will assess and notify you
  6. Subsequent weekly cert may be needed if illness continues — your treating doctor renews

Other welfare options to know about

  • Invalidity Pension — for permanent incapacity (12+ months), subject to PRSI
  • Disability Allowance — for those with a long-term disability, means-tested
  • Carer's Benefit / Allowance — for those caring for someone needing full-time care
  • Treatment Benefit Scheme — dental, optical, hearing for PRSI-paying individuals

Online Doctor consultation

For employer or school sick certs, an Online Doctor consultation is fast, confidential, and accepted by most employers and schools. For DSP Illness Benefit (MED1), please see your treating doctor.

Sources: DSP Illness Benefit, gov.ie welfare services, Citizens Information. Rates and rules change with each Budget — always confirm current figures at gov.ie.

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Two layers in Ireland

Statutory Sick Pay (employer-funded) + Illness Benefit (DSP-funded after waiting days).

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Medical cert required

Most illness payments need a doctor's certificate confirming inability to work.

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Illness Benefit certs

The claim needs its own certificate, not the employer sick note. We can file it with the department — allow up to 72 hours once your details reach us.

Frequently asked questions

Can I get a sick cert for Illness Benefit from an Online Doctor?
Yes — though it is a different document from the employer sick cert. The MED1 certificate goes to the department directly, and one of our doctors holds the certification access needed to file it.
Can my employer accept an Online Doctor sick cert?
Most employers do for short-term absence. Some have specific HR policies — check with your manager or HR. Schools and colleges generally accept Online Doctor certs without issue.
How much is Illness Benefit?
Weekly rate depends on your average earnings before becoming ill. Current rates are published on gov.ie/welfare. Maximum rate is updated each Budget.
What if my employer does not provide sick pay?
Statutory Sick Pay (SSP) is now legally required for most employees, with annual entitlement increasing during the phase-in period. Check the current SSP entitlement and your eligibility on gov.ie/swp.
I am self-employed — can I claim Illness Benefit?
Yes — provided you have sufficient PRSI contributions in the relevant tax year. Self-employed claims are handled under similar rules to employee claims.
How long does Illness Benefit last?
Up to 2 years depending on your PRSI contributions. After this, longer-term options like Invalidity Pension or Disability Allowance may apply.

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