Eligibility rules

Eligibility rules

Te Whatu Ora provides funding for laboratory testing services. Those who are not eligible will be required to pay at the time of sample collection.

As the referring medical practitioner, you are responsible for confirming your patient can have free tests.

New Zealand citizens and residentsNew Zealand citizens (including those living in the Cook Island, Niue or Tokelau) and residentsYES
Any person applying for immigration / emigration
Testing for immigration / emigration or visa purposesNO
Referrals from government agenciesSuch as WINZ, CYPS or similar NO
Wellness for a trial or study screening programmeTests that are requested on a well person devoid of symptoms and with no identifying risk factors e.g. blood group, wellness testing. Tests that are for, or part of, a research project, study or trial. Screening campaigns or ongoing programmes – ministry, DHB, or other funding (e.g. cervical, breast, bowel screening – or more targeted screening for high risk groups such as throat swabs for strep throats / rheumatic fever)NO
TravellersScreening tests prior to travel e.g. Hepatitis immunity, rabies antibodiesNO
Tests for employment,
pre-employment, education and
work experience
Screening tests for education or work experience e.g. Nursing medical,
health and safety testing e.g. lead levels, drug testing
Self referred or referrals from health practitioners who are not approved referrersFor example Naturopaths, Dentists, Podiatrists, Dietricians and similar. Limited range of funded tests for Midwives, Smear taker, Nurse practitionerNO
People obtaining a medical
certificate, insurance
or superannuation policy
Where a certificate is required e.g. pilot or diver’s medical licence and
insurance testing
Pregnant women An otherwise ineligible pregnant partner of an eligible person is eligible for maternity -related services, on the basis that the child is likely to be born eligible.  Should the partnership end during the pregnancy, but the child be born a NZ citizen, the maternity-related services continue to be fundedYES
Work visa holdersHolds a current work visa which together with the time the person has already been in NZ lawfully, allows for a continuous stay of at least 2 yearsYES
Refugees and applicant
With proof of refugee / applicant statusYES
Foreign Language Teaching AssistantsFunded by Ministry of Education. Partners and children of foreign language teaching assistants are NOT ELIGIBLE. YES
Visitor and Student permit holderVisitor and student permit holders who had been eligible since October 2003 are no longer eligible under the 2011 Eligibility Direction.  They are no longer entitled to be enrolled unless they have become eligible under another criterionNO
Australian citizensEligible for the full range of publicly funded health and disability services if they are able to demonstrate they have or intend to spend at least two consecutive years in New ZealandYES
Australian residentsTesting required for medical conditions requiring prompt attentionYES
United Kingdom citizens
ordinarily resident in UK
Testing required for medical conditions requiring prompt attentionYES
Foreign DiplomatsForeign diplomats and their familyNO
All persons receiving
compulsory health services including prison inmates
Services received under any of: Compulsory treatment under TB Act 1948, Health Act 1956, the Mental Health (Compulsory Assessment and Treatment) Act 1992, the Alcoholism and Drug Addiction Act 1966, the Criminal Procedure (Mentally Impaired Persons) Act 2003 are funded regardless of a person’s citizenship or immigration statusYES
Funded StudentsFunded by NZAID ODA and includes partners and children. Commonwealth Scholarship Holder does not include partners and childrenYES
Student permit holdersHolds a current student permit holders who had been eligible since October 2003 are no longer eligible under the 2011 Eligibility DirectionNO

For more information on test funding eligibility, please visit https://www.moh.govt.nz/eligibility