✨ Health Services Entitlement Details
1370 NEW ZEALAND GAZETTE, No. 55 23 MARCH 2005
(b) $1,200 where the Eligible Person is medically certified as requiring the Services for
both brasts.
D3.2
If an Eligible Person who has received an entitlement under clause D3.1(a) provides to the
Ministry medical certification that the Services are required for that Person’s other breast, the
Ministry will credit the Entitlement Account of that Eligible Person by the amount necessary
so that the Entitlement Balance becomes $1,200.
D3.3
An Eligible Person who:
(a) is under 18 years of age and whose growth is incomplete; or
(b) has lost a reconstructed breast or breasts due to infection or necrosis following
Reconstructive Surgery; and
(c) requires Services, the cost of which exceeds that Eligible Person’s Entitlement Balance,
may apply in writing to the Ministry, with supporting medical certification, for an additional
entitlement.
D3.4
If the Ministry is satisfied that the requirements of clause D3.3 are met, the Ministry will credit
the Eligible Person’s Entitlement Account by $600 if the Services are required for one breast,
or $1,200 if the Services are required for both breasts.
D4.
Entitlement Period
D4.1
The period from the date of crediting an Eligible Person’s Entitlement Account under clause
D3.1 or clause D3.2, until the fourth anniversary of the latter of those dates, is the entitlement
period ("Entitlement Period"), and payments will only be made during the Entitlement Period
in respect of Services provided to an Eligible Person during the Entitlement Period.
D4.2
At the end of the Entitlement Period, the Entitlement Balance, including any additional
entitlement credited under clause D3.4 during that Entitlement Period, will be cancelled.
D5.
Transitional Entitlement
D5.1
Where an Eligible Person has since 31 March 2001 claimed a benefit under the former breast
prosthesis benefit scheme operated by the Ministry ("the Former Scheme") immediately prior
to 31 March 2005, the Ministry will:
(a) open an Entitlement Account for the Eligible Person (and the requirements of
clause D2.1 will not apply); and
(b) credit the Entitlement Account of that Eligible Person by an amount equal to the
relevant amount under clause D3.1 (a) or (b), less the amount of any payments made
for services provided to that Eligible Person since the date of the first claim by that
Eligible Person or, if that date was before 31 March 2001, the most recent anniversary
of that date which is a multiple of four; and
(c) credit the Entitlement Account of that Eligible Person in accordance with clauses D3.2
or D3.4 (or both) if the requirement of those clauses are satisfied.
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2005, No 55
Gazette.govt.nz —
NZ Gazette 2005, No 55
✨ LLM interpretation of page content
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Service Specification for Health Services
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🏥 Health & Social WelfareHealth Services, Provider Requirements, Eligible Persons, Service Information, Service Objectives, Entitlement Period, Transitional Entitlement