Consultation Fees 1 June 2019
|Enroled||Casuals and non residents|
|Age||Medical / ACC without CSC*||Medical / ACC with CSC*||Medical||ACC|
- PAYMENT EXPECTED AT TIME OF SERVICE OR ON-LINE to Ellerslie Medical Centre 12-3060-0245732-00. Account fees of $5 are charged at month end on unpaid invoices, and overdue accounts may be sent to a debt collection agency (debt collection fee applies).
- *CSC = Community Services Card. This fee is available only to enroled patients with a valid CSC. It is not available to casual patients. Casual patients with a current valid CSC receive a $5 discount on casual fee.
- This fee for patients with CSC only applies to a doctor’s medical or ACC consultation. There is an additional fee for nurse services, medical reports, MSD/WINZ benefit forms, driver’s license medical reports, cervical smears etc.
- Tertiary Students studying at a tertiary institution are eligible for a $5 discount on the full fee, if they do not have a CSC. There is no additional discount on the $18.50 for tertiary students.
- See Understanding Fees and Enrolment for further information. Please note that ACC funding for accidents seen at the GP is separate from DHB funding (which is for non-accident consultations), and does not cover the full consultation charge at the GP. A&M’s have a different funding stream to GP practices.
- Note: Fee is for a standard 15 minute consultation. 30 minute extended consultations are available at a double charge.
|Repeat Prescription by phone or portal|
|B12 and Depo Provera injections|
|Follow up ACC dressings|
|Intravenous iron infusion (Ferinject)|
Understanding Fees and Enrolment
When you enrol at a general practice the government provides partial subsidies if you are eligible. The Ministry of Health requires us to hold proof of eligibility and to hold an enrolment form for everyone. In order for the subsidies to continue you need to be seen at least once every three years or otherwise sign a new enrolment form. You also become ineligible for the subsidies if you spend more than 183 days in a 12 month period outside of New Zealand and you must advise us of this. The casual fees in orange for those people that are ineligible for whatever reason.
The Ministry of Health subsidies are only calculated every three months – middle of February, May, August and November and allocated to the patients 6 weeks later. This means that if for example you enrolled on 25 August, you would not start receiving subsidies until 1 January. In this initial (up to 4 1/2 month) period the fees are those shown in green (enroled and not yet funded column). To be clear, once the funding has started coming in you get ongoing subsidies unless you transfer practices or become ineligible.
If you are enroled with us, go to a different practice on the weekend or when away on holiday and enrol with them in order to take advantage of their lower fee for enroled patients, you will lose your funding with us until you enrol in person with us again and the new funding quarter comes around.
In addition, if you do not see us for three years, the Ministry takes you off our funding list and you will need to enrol again.
Each General Practice receives different levels of funding from the government. The level of subsidy the government gives is based on the area that the practice is in and how well off financially the patients in the practice are as a whole. This is the main reason why the enroled fees can vary so much. This is completely out of our control and we do agree that the current funding model is not ideal. We believe that the funding should follow the individual patient but the Ministry’s policies are otherwise. The government also approves co-payment fees that are charged by all practices, and sets the level of what these should be. Our fees are DHB approved at all times.
ACC consultations are not covered by this government funding, but instead are only partially subsidised by ACC. Again, each practice gets a different level of funding from ACC depending on the setup of the practice. For example Accident & Medical clinics get substantially more funding for ACC consults because they have advanced services such as X-rays, plaster casts, splints, and other advanced equipment on site. There is always a surcharge at GP practices for an ACC consultation with a doctor, which is unfortunately not claimable back from ACC by the patient.
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