How Get Free Prescriptions with a Community Services Card

The standard $5 prescription co-payment is back as of 1 July 2024. This will affect most kiwis, however there are some exempt groups who do not need to pay this charge. In this article we will look at how you can get free prescriptions in New Zealand with a Community Services Card, who is eligible for the card, and how you can apply for one.

Community Services Card (CSC) get free standard prescriptions

Who is exempt from prescription charges?

From 1 July 2024 your pharmacy may start charging you the standard $5 prescription co-payment per item. People aged 13 years or younger, and 65 years or older are exempt from this charge. If you are not in these age groups you may be able to avoid their prescription charges by getting a Community Services Card.

What is the Community Services Card?

A Community Services Card (CSC) can help you and your family with the costs of healthcare and some other services. The card is supplied by Work and Income on behalf of the Ministry of Health to help lower the cost of healthcare for cardholders and their families. For those on regular medicines it can be a big cost saver, as Community Service Card holders are exempt from the standard $5 prescription charge – as are their dependent children under 18 years of age.

What can the Community Services Card help with?

The CSC reduces the cost of prescriptions:

  • standard prescriptions are free for CSC holders,
  • partially or unsubsidised prescriptions, or specialist prescriptions are reduced for CSC holders.

 

It also reduces the cost of:

  • visits to a health practitioner (e.g. doctor) if your enrolled at the practice (also applies to dependent children aged 14-17),
  • ACC visits to a general practice if you’ve been injured, depending of the practice you may not need to be enrolled, e.g., urgent care clinics,
  • fees for after-hours health practitioner visits,
  • glasses for children under 16,
  • emergency dental care provided by hospitals and approved dental contractors,
  • public transport fares (trains, buses, and some ferries)
  • travel and accommodation for treatment at a public hospital you’ve been referred to outside your area (at least 80km away for adults, at least 25km away for children),
  • home help.

How can you apply for the Community Services Card?

You can find the full process on how to apply on the Work and Income website.

 

Step 1

To get your CSC you first need to get an application form by:

 

Step 2

You will need to provide 2 forms of proof of identity. People receiving NZ Super don’t need proof of identity. Learn more about what you need to provide when you apply for a CSC on the Work and Income website.  

 

Step 3

Send your application form and documents to Work and Income using the address on the form. Work and Income will let you know if they need anything else.

 

Step 4

If your application is approved, Work and Income will send you a CSC. Your card will have a start date and an expiry date. You can continue to use the card until it expires – even if your circumstances change.

What if I can't get a Community Services Card? - Prescription Subsidy Scheme

If you can’t get a CSC you can still lower your cost for prescriptions through the prescription subsidy scheme. Once you have paid for 20 prescription items from 1 February each year you are eligible – meaning you no longer need to pay any more prescription charges for the rest of that year.

 

You can reach this 20-item threshold quicker by combining prescription items for your partner, and dependent children aged from 14 to 18. Our pharmacy team can check to see how many prescriptions you and your eligible family members have paid for.

Key Information on Community Services Card Eligibility

Many people who don’t fall into the age groups exempt from prescription charges may be eligible for a Community Services Card. Once common misconception is that you need to be on a benefit to qualify for a card – this is not true.

 

You may get the CSC if you:

  • are 16 or over
  • either:
    • are a New Zealand citizen
    • are a permanent resident, or
    • have, or have applied for, refugee or protection status
  • normally live in New Zealand and intend to stay here.

 

It also depends on how much income you and your partner get. By income, we mean any money, goods and services you or your partner get from any source, such as:

  • wages or salary
  • NZ Superannuation
  • private pensions (if you get NZ Super and a private pension, only half of your private pension is counted as income)
  • overseas pensions
  • interest or dividends from investments
  • Child support
  • Paid Parental Leave
  • Working for Families Tax Credits from Inland Revenue
  • ACC payments
  • income from rents

 

You can find a full breakdown of income limits in the next section.

You may be able to get a card if you’re…

And your yearly income (before tax) is less than…

Single – living with others

$33,181

Single – living alone

$35,213

Couple, no dependant children

$52,656

NZ Super, single, sharing accommodation

$35,283

NZ Super, living alone

$37,531

NZ Super, in a relationship, no dependant children

$56,327

Family of 2

$64,316

Family of 3

$79,167

Family of 4

$91,332

Family of 5

$103,281

Family of 6

$116,434

For families of more than 6, the limit goes up another $11,802 for each extra person.

 

Family: in this table, a family includes either 1 or 2 adults and the dependent children they care for. For example, a family of 2 is made up of 1 adult and 1 dependent child. A family of 3, can be made up of either 1 adult and their 2 dependent children or 2 adults and 1 dependent child.

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