Patient Charging

 

Laboratory contracts provide for 'free' testing for all diagnostic work, as well as for breast and cervical screening; all other testing is chargeable. When requesting tests of a commercial nature (e.g. insurance medical, pre-employment medical, immigration testing, seasonal workers), you need to clearly state this on the request form. In such cases the patient is liable for all laboratory costs and payment is normally required at the time of testing

  • If your practice is generating your own request forms please ensure that a tick box is added to indicate an entitlement to public funding (eligibility)
  • If you are aware the patient is a visitor to NZ or does not have work permits totalling more than 2 years (in which case they also have no entitlement to the GMS) please send them to one of our Collection Centres to have their samples taken or
  • If you are happy to collect money on our behalf please contact Customer Services to arrange monthly billing and clearly mark forms 'Bill to [practice name]'
  • In cases where we identify on receipt of the sample that the patient should have been charged but has not been we will notify the referrer and/or patient, and samples will be held for 48 hours pending payment being received. Where we identify such cases post reporting the results a bill will be sent to the patient with notification to the GP.

 

For details of our latest patient charging schedule download our Patient Price List

 

Payment is always required by Non-New Zealanders and New Zealand citizens when they:

  • are applying for a visa or immigration permit eg: going to work overseas, applying for NZ residency
  • require an insurance related health check
  • require a work related health check eg: for a pilots licence, St John, Rest Home staff
  • require a pre-employment health check, for example, hepatitis status, MRSA screen, drug screen (note: DHB staff are exempted)
  • are getting non-diagnostic testing done eg: clearance for sporting clubs, screening for students entering halls of residence, anti-aging clinics, blood grouping
  • are having checks of immune status eg: University or Polytechnic accommodation and prior to or post vaccination eg: HepA, Hep B, Rubella, Tetanus, Rabies, Mumps, Varicella
  • require employment related checks eg: lead or mercury levels, drug testing
  • have been referred by a dentist or an alternative health provider
  • are part of a screening program other than the breast and cervical programs
  • are having tests done which are not funded under the contract (these are usually new tests which the DHB has not agreed to fund) eg: Quantiferon Gold, Gliadin II (AGAII), Sirilimus, Mycophenylate
  • are self requesting tests

 

All Non-New Zealand citizens are also charged for all tests unless:

  • they are a resident of The United Kingdom having urgent care (reciprocal arrangements exist)
  • they have a current work permit valid for at least 2 years, or renewed work permits totalling at least 2 years
  • they have refugee status, or are in the process of applying for refugee status
  • they are having maternity care and their partner is a NZ resident
  • the testing relates to an accident, in which case it is covered by the ACC

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