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Home, Health New Zealand.
Te Whatu Ora
. Logo.
Our health system
What's happening
For the health sector
Keeping well
Publications
Measles Translations
INT Redirector Page Cyclone Aid
compTIA Fundamentals
Transparency Statement
INTERNAL REDIRECT NIR
INTERNAL REDIRECT AIR
Nurses' strike 2023
ASMS Strike
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Claims, provider payments and entitlements
Claims, provider payments and entitlements
There are various claims, provider payments, subsidies, and entitlements you can apply for through Te Whatu Ora.
Whatu Tāniko
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Accessing dialysis while on holiday
Dialysis for eligible patients within New Zealand while on holiday is available free of charge.
Agreement management
New agreements are created by Sector Operations on behalf of the funders and Te Whatu Ora. These agreements are based on standard templates.
Care Plus
Care Plus is a primary health care funding initiative to support people with high health needs.
Carer Support Subsidy
The Carer Support Subsidy is available for older people and people with other health conditions who need support.
Community Services Card
The Community Services Card (CSC) can help individuals and their families with the costs of health care.
Contact lens subsidy
This subsidy is available to optometrists and dispensing opticians if they have an agreement with Te Whatu Ora.
Dental claim and enrolment forms
Te Whatu Ora provides funding for some child and adolescent oral and dental health services.
General Medical Services claims
GMS are subsidies paid to general practitioners under the Section 88 notice to help reduce patient fees for children and subsidy card holders.
High Use Health Card
The High Use Health Card (HUHC) gives a general practice a higher government subsidy for patients with high health needs.
Immunisation subsidy
A subsidy for GPs who give vaccines to eligible patients and submit claims to Sector Operations.
In-between travel settlement
Home and community support workers can be paid for travel between clients, known as 'in-between travel'.
Care and Support Worker proposed wage increase
Read about the proposed wage increase for care and support workers and what it means for providers.
National Enrolment Service
Information on the National Enrolment Service, how it is being implemented, and what this means for PHOs and general practice.
NHI Number Format Changes
The Ministry is working with the sector to introduce a change to the NHI number format to extend the range of NHI numbers available.
Pharmaceutical co-payments
Everyone who is eligible for publicly-funded health and disability services should in most cases not have to pay to pick up subsidised medicines.
Research and evaluation of primary health care initiatives
As part of the Primary Health Care Strategy a number of evaluations were carried out. The following information is based on historical initiatives.
Sector operations resources
Resources such as claim specifications and guidelines.
Services to improve access
A key priority for Primary Health Care is to enable groups with the greatest need to access services to improve their health.
Laboratory payments
A laboratory can submit a claim when a medical practitioner, oral surgeon, cervical smear taker, approved nurse or midwife refers a patient to them.
Maternity claims
Authorised doctors and midwives can claim for the maternity services they provide to New Zealanders.
Mental health payments
The Mental Health Service Payment allows a GP to claim a fee if they are called to assess someone for treatment under the Mental Health Act.
National Health Index entitlements
Learn more about National Health Index entitlements
Needs assessment and service coordination forms
This is the standard national form for Needs Assessment Service Coordination agencies to record eligibility and service coordination information.
Nicotine replacement therapy
The NRT programme aims to reduce tobacco consumption and to improve the health and lifestyle of New Zealanders.
Also in this section
Border Health
Data and statistics
Claims, provider payments and entitlements
Digital Health
Eligibility for publicly funded health services
Environmental health
Genetic Health Service NZ
Health sector organisations
Health system overview
Health System Indicators framework
Hospitals and specialist services
Infrastructure and Investment
The National Screening Unit
Who we're working with
Minister of Health Volunteer Awards
Nationwide Service Framework Library
Preventative Health/Wellness
Pay equity settlements
Primary Care Sector
Publicly funded health and disability services