New Zealand Gazette – 2005 – No. 55

Page 1369

✨ Health Services Entitlements



23 MARCH 2005 NEW ZEALAND GAZETTE, No. 55 1369

PART D: ENTITLEMENTS

D1. Eligible Persons

D1.1

An Eligible Person is a Person who:

(a) is entitled to publicly funded health care in accordance with any eligibility direction
issued under section 32 of the Act, or any eligibility direction continued by section
112(1) of the Act; and

(b) has undergone either a unilateral or bilateral Partial or Full Mastectomy, a
Lumpectomy, has congenital needs or has undergone Reconstructive Surgery as
specified by a Specialist or General Practitioner; and

(c) has medical certification from a Specialist or General Practitioner that certifies that the
Eligible Person is covered by paragraph (b) above, states the Eligible Person’s NHI
Number and confirms that the Eligible Person requires the Services.

D1.2

A Person is not an Eligible Person if he or she is eligible for any kind of assistance from the
ACC.

D1.3

Any disputes relating to whether or not a Person is an Eligible Person will be determined by
the Minister.

D2. Entitlement Accounts

D2.1

The Ministry will open an Entitlement Account for an Eligible Person who provides to
HealthPAC:

(a) A declaration made by the Eligible Person that the Eligible Person is:

(i) entitled to publicly funded health care in accordance with clause D1.1; and

(ii) not eligible for any kind of assistance from ACC;

(b) The medical certificate referred to in clause D1.1(c); and

(c) Any other information required by the Ministry at the relevant time.

D2.2

The Ministry will credit the Entitlement Account of an Eligible Person with entitlements under
Part D of this Notice, and will debit the Entitlement Account by the amount of any payments
made in respect of Services provided to that Eligible Person under Part F of this Notice, and
the balance in the Entitlement Account from time to time is the entitlement balance
("Entitlement Balance").

D3. Eligible Person Entitlement

D3.1

If the Ministry is satisfied that the Eligible Person has provided the information required under
clause D2.1, the Ministry will credit the Eligible Person’s Entitlement Account by:

(a) $600, where the Eligible Person is medically certified as requiring the Services for one
breast; or



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Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 2005, No 55


Gazette.govt.nz — PDF NZ Gazette 2005, No 55




✨ LLM interpretation of page content

🏥 Service Specification for Health Services (continued from previous page)

🏥 Health & Social Welfare
Health Services, Provider Requirements, Eligible Persons, Service Information, Service Objectives