VLCA Fee Amendment Form
Very Low Cost Access (VLCA) practices receive higher capitation funding specifically to make healthcare more affordable for their enrolled patients in high-need communities. In exchange for this additional funding, VLCA practices are required to keep their standard consultation fees for enrolled patients within nationally set maximum amounts (including GST), listed below:
Maximum Fees for VLCA Practices from 1 July 2025
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For patients aged 14 to 17 years (CSC and non-CSC), the maximum fee is $13.50.
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For CSC holders aged 18 years and older, the maximum fee is $20.00.
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For non-CSC holders aged 18 years and older, the maximum fee is $30.50.
The Annual Statement of Reasonable Fee Increase (ASRFI) does not apply to VLCA practices. VLCA practices are required to stay within the fixed fee caps above and cannot use ASRFI percentages to set fees above these amounts.
If you make any changes to your Standard Consultation fees or CSC fees, you must notify WellSouth by completing the VLCA Fee Amendment Form. Please send the completed form to practicenetwork@wellsouth.org.nz as soon as possible after deciding to change fees, and no later than two weeks after the new fees take effect.
