WellSouth has a number of funded programmes for specific conditions and patient groups.
This Service Schedule gives a brief summary around eligibility and Programme Fees.
Programme |
Fee |
Eligibility |
After Hours Under 14 |
$80.00 +GST (Mon-Fri 6pm - 11pm, W/E 8am and 11pm$150.00 +GST (Between 11pm and 8am and callouts) |
Patients aged 0-13 years.Practices cannot claim GMS if the patient is enrolled in a WellSouth Practice, if not enrolled with WellSouth then GMS can be claimed |
Cervical Smears |
$34.78 +GST |
Maori, Pacific & Asian women or CSC, HUHC or Q5 women aged 20-69 years due; overdue or never screened.Other Ethnicities aged 30-69 years; who have never had a smear or who have not had a smear in the last 5 years. |
CLIC |
$100.00 +GST (CHA)
$100.00 +GST (Quick CLIC Assessment)
$60.00 +GST (Quick CLIC Review) |
Comprehensive Health Assessment (CHA), patient will be stratified into a level (1, 2 or 3). This level determines the ongoing programme for the patient.Quick CLIC is best for patients who have well-managed LTC usually, but are experiencing a short term exacerbation, or an acute episode of another health problem.Quick CLIC Review can be completed for a patient at anytime within the ensuing 6 months. This review is there to identify what interventions and outcomes have occurred for the patient. Review can take place at anytime from a few weeks after initial assessment, through to the full 6 months. |
COPD Ambulance Diversion |
$60.00 +GST(standard Consult)$100.00 +GST (Extended Consult) |
Patient must have arrived at the Practice as an Ambulance Diversion - Not a walk in COPD presentation |
COPD Hospital Discharge |
$60.00 +GST |
Prior to discharge from hospital, the discharge nurse will contact the patients usual GP to arrange a follow-up appointment. This appointment is expected to occur with 14 days of discharge.Appointment can be with Nurse or GP.This is for one appointment only, further follow-ups if deemed necessary are not covered under this programme. |
COVID-19 |
$60.00 +GST (Virtual)$120.00 +GST (Simple Assessment + Swab)$250.00 +GST (Full Assessment) |
Three funded assessments available for those who are displaying COVID-like symptoms. Please review full summary page for more detail |
CVD Risk Assessment |
$30.00 +GST
|
Funding is available for the following group of patients:1. Maori, Pacific & South Asian MEN aged 30-74 2. Maori, Pacific & South Asian WOMEN aged 40-74 3. All other ethnicities MEN aged 45-74 (must have CSC or HUHC or be Quintile 5) 4. All other ethnicities WOMEN aged 55-74 (must have CSC or HUHC or Quintile 5) 5. Patients with severe mental illness (Schizophrenia, major depressive disorder, Bipolar disorder, Schizoaffective disorder from age 25). **Patients with a severe mental illness - assessment must be commenced as a new Non-Funded Assessment, once severe mental illness is ticked, the claim will update to a funded Assessment** South Asian includes: Indian, Fijian Indian, Sri Lankan, Afghani, Bangladeshi, Nepalese, Pakistani, TibetanPatients must not have previously had a CVDRA or if they have had a CVDRA, it must have been more than 5 years ago.Use of this programme should be in conjunction with the Southern Health Pathway for Cardiovascular Risk Assessment (CVRA) |
Diabetes Annual Review |
$40.00 +GST |
All patients with Diabetes. Next review can be completed after 11 months |
Diabetes - Insulin Initiation |
$391.30 +GST |
Patient must be:
Use of this programme should be in conjunction with the Southern Health Pathway for starting Insulin in Type 2 Diabetes |
Former Refugee Subsidy |
$100.00 +GST
up to $80.00 (max)Subsidy Consult(value can be changed when submitting the claim) |
Former Refugee patients enrolled in a WellSouth practice within Dunedin and Invercargill are eligible for funded GP and Nurse appointments for the first 2 years of their resettlement.
|
Hepatitis C - Maviret |
$80.50 +GST |
One appointment to commence Maviret treatment. Patients must be HCV positive with a positive HVC viral load and not treated previously |
IV Antibiotics including Cellulitis |
$110.00 +GST Dose 1 |
Any patient who meets criteria as per relevant Health pathway.Two additional treatments may be claimed for patients with Cellulitis |
IV Antibiotic Cellulitis Follow-up |
$45.50 +GST |
One follow up to review patient |
IV Fluids |
$145.00 +GST (1 litre)$205.00 +GST (2 litre) max claim |
IV Fluids can be given to patients with the below conditions, to prevent hospital admission or presentation:
Please do not submit claim until after you have completed the treatment in full as you can only make one claim.Follow relevant Health Pathway |
IV Iron Infusion |
$125.00 +GST |
Patients who meet the below criteria:
Also eligible are patients who have already had an IV Iron Infusion within the last 3 months and need to have a 2nd infusion because a dose of >1000mg is required or on consultant advice* *must be clearly documented in the portal, and include name of consultant.Follow relevant Health Pathway |
Long Acting Reversible Contraception (LARC) |
Jadelle Insertion: $80.00 +GSTJadelle Removal: $160.00 +GSTIUD Insertion: $150.00 +GSTIUD Removal: $60.00 +GST |
LARC Insertions: High Needs women (Maori, Pacific, Q5) aged under 45 or CSC Holders aged under 45 or Termination of pregnancyLARC Removals: Any patient who is High needs (Maori, Pacific, Q5) or has a CSC. May be aged over 45, but please note they will not be eligible for a new insertion if over 45.Exclusions: women who require management of bleeding, but do not require contraception |
National Bowel Screening |
$60.00 +GST |
Eligible population aged 60-74 years screened via National Bowel Screening programme only (Follow relevant Health Pathway) |
Palliative Care |
$200.00 +GST (Registration)$250.00 +GST (Exit) |
Registration is for all Patients who have a terminal condition with end of life likely to be within 6 months.Exit from the programme is available on patient's death or 6 months following registration (patients cannot be re-registered) |
Pipelle Biopsy Programme |
$205.00 +GST (Pipelle Biopsy)$75.00 +GST (Follow-up) |
Procedures carried out by identified providers |
Rheumatic Fever |
$34.78 +GSTPatient is registered onto the
|
Patients diagnosed with Rheumatic Fever by a hospital specialist, paediatrician or physician, and currently requiring long term prophylactic antibiotics.Exclusions: Patients who had childhood Rheumatic Fever, but no longer require long term antibiotics. (see health pathway) |
Sexual Health |
$34.78 +GST |
1. Outside of Dunedin and Invercargill for Non-High needs patients from the commencement of sexual activity under 22 years.2. High Needs patients from the commencement of sexual activity up to 50 years. |
Urinary Catheterisation |
$80.00 +GST |
Patients presenting with Acute urinary retention (Follow relevant Health Pathway). |
Printable version (NB: This webpage will remain the most current, check regularly for updates.)
Service Schedule updated April 2021