Practices have been able to use the Annual Statement of GP Reasonable Fee Increases (Annual Statement) since it was first released in 2006.
The Annual Statement for each year covers the period 1 July to 30 June.
The Annual Statement applies only to the fees set by Interim and Low Cost Access practices. Very Low Cost Access Funded (VLCA) practices receive extra funding for their enrolled patient base and in return have to set their fees below or at a threshold set by Te Whatu Ora - Health New Zealand.
Each Interim or Access (non-VLCA) practice will be sent their own Co-payment Adjustment Templates Option A and Option B and the Annual Statement Template Guide explaining how to use the templates. (A copy of the guide is also available in the downloads below.)
Maximum fees for CSC holder standard consultations remain at or below the following amounts (GST incl).
|
CSC holders |
|
|
Enrolled persons aged 0 – 13 years* |
$0.00 |
|
Enrolled persons aged 14 – 17 years |
$13.00 |
|
Enrolled persons aged 18 years and over |
$19.50 |
If you decide to change your fees, please complete the Interim or Access Practice Fee Change Notification Form 2024/25 (see downloads below) and email it to practice.support@pinnacle.health.nz.
The PHO agreement requires us to notify Te Whatu Ora what fees your practice charges for standard consultations. Please also remember to update your practice Healthpoint listing with your current fees as this feeds through to our website listing for your practice.
Very Low Cost Access (VLCA) scheme practices now have two maximum fee types for each standard consultation at or below the following amounts (GST incl).
|
|
CSC holders |
VLCA non-CSC holders |
|
Enrolled persons aged 0 – 13 years* |
$0.00 |
$0.00 |
|
Enrolled persons aged 14 – 17 years |
$13.00 |
$13.00 |
|
Enrolled persons aged 18 years and over |
$19.50 |
$29.50 |
If you decide to change your fees, please complete the VLCA Practice Fee Change Notification Form 2024/25 (see downloads below) and email it to practice.support@pinnacle.health.nz.
The PHO agreement requires us to notify Te Whatu Ora what fees Very Low Cost Access (VLCA) funded practices are charging their enrolled patients. Please also remember to update your fees on Healthpoint as this feeds through to our website listing for your practice.
Practice systems support team
practice.support@pinnacle.health.nz
07 838 5983
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