New Zealand Gazette – 2005 – No. 55

Page 1401

✨ Health Entitlements



23 MARCH 2005 NEW ZEALAND GAZETTE, No. 55

1401

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 a medical condition that has caused hair loss, such as alopecia or other scalp
condition causing hair loss or certain cancer therapies such as chemotherapy and
radiotherapy as specified by a Specialist or General Practitioner; and

(c) has medical certification from a Specialist or General Practitioner that:

(i) certifies that the Eligible Person is covered by paragraph (b) above and states
whether the Eligible Person’s hair loss is permanent or temporary;

(ii) states the Eligible Person’s NHI Number; and

(iii) confirms that the Eligible Person requires the Services.

D1.2

A Person is not an Eligible Person if he or she has hair loss that is a result of a hereditary hair
loss condition.

D1.3

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

D1.4

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").



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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

🏥 HealthPAC Service Specification (continued from previous page)

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