Clause 11.1. Dentures, Spectacles etc., and Hearing Aids

11.1

Dentures, Spectacles etc., and Hearing Aids

11.1.1

MSD may grant a Payment of up to the following amount to an Applicant for any of the following purposes:

(a)

$1,000 towards the cost of obtaining and fitting dentures including any examination required:

(b)

$1,000 toward the cost of obtaining and fitting a hearing aid including any examination required:

(c)

unless paragraph (d) applies, $1,000 towards the cost of obtaining spectacles including any eye examination, fitting, and adjustment required:

(d)

if section 368(1) of the Act applies to the Applicant, the price determined by the contract with the preferred supplier under section 366 of the Act for the supply of a spectacle frame, lenses, care products, spectacle protection, eye examinations, fitting and adjustment.

11.1.2

A Payment under clause 11.1.1 may be granted only in respect of that part of the fees or charges the Applicant is required to pay, after the deduction of-

(a)

any subsidy or payment to which the Applicant may be entitled, including subsidies or payments-

(i)

available to a holder of a Community Services Card;

(ii)

made available under the New Zealand Public Health and Disability Act 2000;

(iii)

provided by a Health Agency;

(b)

any Health Or Disability Insurance Payment to which the Applicant is entitled; and

(c)

any disability allowance paid under section 85 of the Act in respect of the disability that led to the need for that item.

11.1.3

A Payment must not be granted for medical, health, and disability related costs if a Health Agency provides, without cost to the Applicant, goods or services which meet the need.

11.1.4

If an applicant receives any health or disability services arising out of personal injury by accident, a Payment must not be granted for any part of the fees or charges that is not paid by the Accident Compensation Corporation or an accredited employer (within the meaning of the Accident Compensation Act 2001) or an insurer (within the meaning of the Accident Insurance Act 1998) except-

(a)

where this programme otherwise provides; or

(b)

if the applicant satisfies the chief executive that he or she has no cover for that injury under the Accident Compensation Act 2001 or under any former Act (as that term is defined in section 6 that Act).