Service Schedule

Programme 

Fee

Eligibility 

ACC GP Referral MRI

$129.00 + GST

Patient over 16 yrs.

Are able to provide informed consent for the referral (or this can be provided by the person who has the legal right to make decisions on the client's behalf).

Who claim (from date of claim lodged with ACC) is not older than 6 months.

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 Screening - High Needs Smear

$34.78 + GST

Maori, Pacific & Asian women 25 - 69 yrs *

CSC, HUHC or Q5 women aged 25-69 yrs*

Must be 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.

Using the agreed St John pathway, crew will determine that the patient could be treated without being taken to ED.

If the practice has capacity to see the patient, and the patient agrees, the patient can be transported by ambulance, or by family if this is an option.

COPD Hospital Discharge 

$60.00 +GST 

Prior to discharge from hospital, the discharge nurse or discharge coordinator 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 Advanced Prescriptions For COVID Therapeutics

$103.50 incl GST ( Prescription issued)

$69.00 incl GST ( Prescription not issued)

$51.75 incl GST (Prescription re-issued)

$41.46 incl GST (Administration)

For those who meet anti-viral criteria

 COVID 19 Adverse Event 

$60.00 + GST (Virtual in person limited assessment)

$120.00 + GST (Full assessment)

Patient must have had an adverse event to the vaccine.

CARM form must be completed.

Observations are required for full assessments.

Full assessments can only be performed by a nurse practitioner or GP.

COVID 19 Care in the Community

Please see link to programme sheet for information                                 (click on programme name to go to the page)

COVID 19 Medical Exemptions

 $60.00 + GST (Simple)

$120.00 + GST (Complex)

Exemptions are limited to situations where a suitable alternative to the COVID 19 vaccine is not readily available for the patient.

Exemptions are for a specified time, reflecting, for example, recovery from clinical conditions or the availability of alternative vaccines.

It is likely that most patients who are not medically exempt can be safely vaccinated, with some requiring extra precautions.

The application may only be on the grounds that the person meets the specified exemption criteria.

COVID 19 Monkey Pox

Please see link to programme sheet for information                                 (click on programme name to go to the page)

COVID 19 Novavax Consult

Patient has not received their vaccine as a primary course.

Patient has received another COVID 19 vaccine and wants Novavax for second dose.

COVID 19 Third Dose Consult

$60.00 + GST

$120.00 + GST

Patients with primary or acquired immunodeficiency states at the time of vaccination.

Patients on immunosuppressive or immunomodulating therapy at the time of vaccination.

Patients with chronic immune-mediated inflammatory disease who were receiving or had received immunosuppressive  therapy prior to vaccination.

Patients who had received high-dose steroids for any reason in the month before vaccination.

It’s been 8 weeks since second dose administered.

 COVID 19 Vaccine Consult 2nd Booster

$60.00 + GST 

6 months after first booster

3 months after testing positive

CVD Risk Assessment 

$30.00 +GST

Funding is available for the following group of patients:

Maori, Pacific & South Asian MEN aged 30-74           

Maori, Pacific & South Asian WOMEN aged 40-74         

All other ethnicities MEN aged 45-74 (must have CSC or HUHC or be Quintile 5)                                                 

All other ethnicities WOMEN aged 55-74 (must have CSC or HUHC or Quintile 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, Tibetan

Patients 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, either Type 1 or Type 2.  Next review can be completed after 11 months 

Please consider CLIC for patients with Diabetes

Diabetes - Insulin Initiation 

$391.30 +GST

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.

The patient must have been registered on the programme by WellSouth at the time of arrival.

An initial extended appointment is available to each person at the beginning of their enrolment (usually within the first 4 weeks).

Ongoing visits can be claimed for the duration of the 2 year period at a variable rate—maximum $80

Hepatitis C - Maviret 

$70.00 +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 

IV Antibiotic Cellulitis Follow-up

$110.00 +GST (Dose 1) 

$45.50 +GST (Follow up)

Any patient who meets criteria as per relevant Health pathway.             

Two additional treatments may be claimed for patients with Cellulitis 

 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:

Hyperemesis

Pyelonephritis

Dehydration

RenalColic

Other

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:

Symptomatic Iron Deficiency

Maternity: Trimester 2 or 3 only

Chronic Heart Failure

Inflammatory Bowel Disease

Chronic Kidney Disease

Postpartum 

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)

$80.00 +GST Jadelle Insertion           

$160.00 +GST  Jadelle Removal           

$150.00 +GST IUD Insertion                   

$60.00 +GST IUD Removal                  

LARC Insertions:   High Needs women (Maori, Pacific, Q5) aged under 45 or CSC Holders aged under 45 or Termination of pregnancy

LARC 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.

Patient must be enrolled at the practice.

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 +GST

Patient is registered onto the
Rheumatic Fever programme in the WellSouth portal. This is done
before a claim can be made by the practice.
NB: There is no payment
associated with registration. 

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).