Medicare eligibility for New Zealand citizens 011-44050000

This document explains Medicare eligibility for New Zealand citizens in Australia.

Step	Action
1	Documents required to enrol as a New Zealand citizen New Zealand citizens enrolling for the first time in Medicare must prove their identity and residency by providing: a completed Digital Medicare Enrolment (DME) application or Medicare enrolment form (MS004), and a valid New Zealand passport for each member, and 2 residency documents dated within the last 6 months Only 2 residency documents are needed for a family, if all family members: are New Zealand citizens, and arrived in Australia on the same day When a New Zealand customer cannot provide 2 residency documents after residing in Australia for 6 months or more, they can submit a Commonwealth statutory declaration along with any documents they have. See Escalation process for Medicare Eligibility and Child Dental Benefits Schedule (CDBS). Note: if the customer was enrolled on a Medicare card with other family members, and those members have not returned to reside in Australia, the customer needs to be transferred to a new Medicare card. The customer does not need to complete an application to copy or transfer from one Medicare card to another (MS011) form. If the Medicare enrolment form (MS004) is incomplete or documents are missing, Service Officers must request details. See Medicare eligibility and enrolments request for information. If the Digital Medicare Enrolment (DME) application documents are incorrect or missing, Service Officers must request information. See Digital Medicare Enrolments and Extensions in the MEE Portal.
2	Document Verification Service (DVS) If the customer’s New Zealand passport gives a DVS D result, Service Officers must complete a Visa Entitlement Verification Online (VEVO) to determine their onshore/offshore status. Does the below VEVO error message display? 'VEVO has not identified a visa for this person. They must hold a valid visa for the duration of their stay and comply with conditions attached to their visa. If they do not have the right to remain in Australia, they are expected to depart. If they want to extend their stay in Australia, they will need to apply for a Bridging visa E (BVE). In most cases, they can resolve their visa matter quickly and easily through the My visa is about to expire or has expired web page.' Yes, go to Step 3 No, escalate to LPS via Tier 1 technical support - Local Peer Support (LPS) and LPS to escalate to SSO via Escalation process for Medicare Eligibility and Child Dental Benefits Schedule (CDBS)
3	Request an International Movement Record (IMR) An IMR can be used to determine: when a customer arrived in Australia when a customer departed Australia how long a customer has been absent from Australia what current visa the customer is on, or if the customer is an Australian citizen and the grant date If requesting an IMR in MEE Portal Leave notes in the Activity Log of the MEE Portal explaining the reason for escalation. For example: 'requesting IMR' Leave DME application ID Open Return to the PaNDA work item in Work Optimiser - Medicare, unassign the work item and recategorise to ME_IMR Referral IMR Skilled Officers will: action the IMR request, and reassign the DME work item back to the requesting Service Officer If requesting an IMR in PaNDA Leave a processing note on the work item stating 'requesting IMR' Leave enrolment applications Open. Do not place on hold Recategorise the work item to: ME_IMR_Referral IMR Skilled Officers will: action the IMR request, and reassign the work item back to the requesting Service Officer To request an IMR, see Table 10 in Escalation process for Medicare Eligibility and Child Dental Benefits Schedule (CDBS). Does the IMR confirm the following? New Zealand Citizen (Onshore) DVS shows D result, VEVO has not identified a visa for this customer, escalate to Service Support Officers (SSO) who will escalate to the Medicare Customer Eligibility Support team. See Tier 1 technical support - Local Peer Support (LPS) Offshore, reject the application and send Z0139M - Medicare enrolment - unable to process. Complete PaNDA work item. Procedure ends here Australian Citizen (Onshore) Service Officers must contact the customer to request an Australian passport or Australian citizenship certificate, see Medicare eligibility and enrolments request for information
4	Register the customer and enter the entitlement details See Table 1 in Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS). After registration of a new customer: select Entitlement on the Registration Type screen the New Medicare Entitlement Details screen will show: Entitlement Type - New Zealand citizen Country of relevance - New Zealand (or previous country of residence) Entitlement Start Date - Date of arrival Entitlement End Date - Not applicable (open Medicare card) Note: when processing a Digital Medicare Enrolment (DME) application, Service Officers must use the date of arrival stated on the customer's application as the Entitlement Start Date, even if it differs to the Visa Entitlement Verification Online (VEVO) date in the MEE Portal.
5	Record each customer's eligibility documents Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS. Select Documents tab Key the details of each of the customer's eligibility documents: Eligibility Document (mandatory) Residency Document (if applicable) Reference Text (mandatory) (number or text of the document) Reference Date (mandatory) Select Add Repeat above to key all documents provided separately For eligibility and residency document details to record in CDMS, see: Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and Document types for Medicare eligibility and enrolment Note: if this is part of a Digital Medicare Enrolment (DME) application, Service Officers must check the recorded document details in CDMS from the MEE Portal. See Digital Medicare Enrolments and Extensions in the MEE Portal.
6	Issue the Medicare card Select Group tab - Group Details tab on Amend Medicare Card Details screen will show Select Name/Address tab Confirm the Group mailing address is correct Select Card Request tab Confirm the Group Eligibility Start Date is correct Remove Group Eligibility End Date, if applicable Tick the required checkbox to request: Replace Current Card, and Duplicate Replacement Card, if required Select: Replacement Reason - Card Information is Outdated Card Request Source - Medicare Enrolment Form Select Validate, Update to finalise the enrolment transaction See Medicare cards.

New Zealand citizens re-enrolling in Medicare

Table 2: this table describes how to re-enrol a New Zealand citizen that has been absent from Australia for 12 months or more.

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Step	Action
1	New Zealand citizens returning to reside in Australia A New Zealand citizen who has been absent from Australia for 12 months or more, can be re-enrolled in Medicare when they provide evidence that they have returned to Australia to live. Note: if there is a Consumer end date in Personal Details and the Consumer end reason is ‘Residing Overseas’, see Amend customer details in the Consumer Directory Maintenance System (CDMS) for Medicare.
2	Documents needed to re-enrol as a New Zealand citizen New Zealand citizens re-enrolling in Medicare must prove their identity and residency by providing: a completed Digital Medicare Enrolment (DME) application or Medicare enrolment form (MS004), and a valid New Zealand passport for each member, and 2 residency documents dated within the last 6 months Only 2 residency documents are needed for a family, if all family members: are New Zealand citizens, and arrived in Australia on the same day When a New Zealand customer cannot provide 2 residency documents after being in Australia for 6 months or more, they can submit a Commonwealth statutory declaration along with any documents they have. See Escalation process for Medicare Eligibility and Child Dental Benefits Schedule (CDBS). Note: if the customer was enrolled on a Medicare card with other family members, and those members have not returned to reside in Australia, the customer must be transferred to a new Medicare card. The customer does not need to complete an Application to copy or transfer from one Medicare card to another (MS011) form. If the Medicare enrolment form (MS004) is incomplete or documents are missing, Service Officers must request details. See Medicare eligibility and enrolments request for information. If the Digital Medicare Enrolment (DME) application documents are incorrect or missing, Service Officers must request information. See Digital Medicare Enrolments and Extensions in the MEE Portal.
3	Document Verification Service (DVS) If the customer’s New Zealand passport gives a DVS D result, Service Officers must complete a Visa Entitlement Verification Online (VEVO) to determine their onshore/offshore status. Does the below VEVO error message display? 'VEVO has not identified a visa for this person. They must hold a valid visa for the duration of their stay and comply with conditions attached to their visa. If they do not have the right to remain in Australia, they are expected to depart. If they want to extend their stay in Australia, they will need to apply for a Bridging visa E (BVE). In most cases, they can resolve their visa matter quickly and easily through the My visa is about to expire or has expired web page.' Yes, go to Step 3 No, escalate to LPS via Tier 1 technical support - Local Peer Support (LPS) and LPS to escalate to SSO via Escalation process for Medicare Eligibility and Child Dental Benefits Schedule (CDBS)
4	Request an International Movement Record (IMR) To request an IMR, see Table 10 in Escalation process for Medicare Eligibility and Child Dental Benefits Schedule (CDBS). Does the IMR confirm the following? New Zealand Citizen (Onshore) DVS shows D result, VEVO has not identified a visa for this customer, escalate to Service Support Officers (SSO) who will escalate to the Medicare Customer Eligibility Support team. See Tier 1 technical support - Local Peer Support (LPS) Offshore, reject the application and send Z0139M - Medicare enrolment - unable to process. Complete PaNDA work item. Procedure ends here Australian Citizen (Onshore) Service Officers must contact the customer to request an Australian passport or Australian citizenship certificate, see Medicare eligibility and enrolments request for information
5	Amend entitlement details Once eligibility is established, add the new entitlement details and record all documents. On CDMS home page: Select Amend Consumer Details Key the customer's Medicare card number in ID Number field Select Entitlement The New/Additional Medicare Entitlement Details screen will show: Entitlement Type: New Zealand Citizen Country of Relevance: Country of residence before returning to Australia Entitlement Start Date: Date of arrival Entitlement End Date: Not applicable (open Medicare card) If a New Zealand citizen has been absent from Australia for more than 12 months: the previous entitlement must be end-dated 12 months after the date of departure (if known), and the if the exact date of departure is not known, the end-date is 12 months from the end of the known departure year. That is, 12 months from 31 December of the advised year of departure Note: when processing a Digital Medicare Enrolment (DME) application, Service Officers must use the date of arrival stated on the customer's application as the Entitlement Start Date, even if it differs to the Visa Entitlement Verification Online (VEVO) date in the MEE Portal.
6	Record each customer's eligibility documents Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS. Select Documents tab Key the details of each of the customer's eligibility documents: Eligibility Document (mandatory) Residency Document (if applicable) Reference Text (mandatory) (number or text of the document) Reference Date (mandatory) Select Add Repeat above to key all documents provided separately For eligibility and residency document details to record in CDMS, see: Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and Document types for Medicare eligibility and enrolment Note: if this is part of a Digital Medicare Enrolment (DME) application, Service Officers must check the recorded document details in CDMS from the MEE Portal. See Digital Medicare Enrolments and Extensions in the MEE Portal.
7	Issue the Medicare card Before issuing a Medicare card, Service Officers must check that consumer end dates have been removed if they are no longer applicable. After the entitlement has updated: Select Group tab - Group Details tab on Amend Medicare Card Details screen will show Select Name/Address tab Confirm the Group mailing address is correct Select Card Request tab Confirm the Group Eligibility Start Date is correct Do not change the Group Eligibility Start Date unless there has been a gap in the customer's Entitlement period Remove Group Eligibility End Date, if applicable Tick the required checkbox to request: Replace Current Card, and Duplicate Replacement Card, if required Select: Replacement Reason - Card Information is Outdated Card Request Source - Medicare Enrolment Form Select Validate, Update to finalise the enrolment transaction See Medicare cards.

Amending and adding a New Zealand entitlement type to an existing Medicare record

Table 3: this table describes how to amend and add a New Zealand entitlement type to an existing New Zealand citizen with a previously recorded conditional Migrant or Migrant entitlement type in CDMS.

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Step	Action
1	New Zealand citizens previously enrolled as a conditional migrant or migrant A New Zealand citizen who has been previously enrolled as a conditional migrant or migrant can have their entitlement details amended in Medicare. They must provide evidence that they have returned to Australia to live. Note: if there is a Consumer end date in Personal Details, see Amend customer details in the Consumer Directory Maintenance System (CDMS) for Medicare.
2	Documents required to amend entitlement to New Zealand citizen Customers updating their Medicare entitlement from conditional Migrant or Migrant to New Zealand citizen must provide: a completed Digital Medicare Enrolment (DME) or Medicare enrolment form (MS004) application, and valid New Zealand passport Customers must provide these documents for each member listed on the enrolment form or listed in their Digital Medicare Enrolment (DME) application. Note: if the customer is amending their entitlement after returning from residing overseas their entitlement start date is their date of arrival. Two residency documents dated within 6 months of date of lodgement are required to prove residency in Australia. If the: Medicare enrolment form (MS004) is incomplete or documents are missing, Service Officers must request details. See Medicare eligibility and enrolments request for information Digital Medicare Enrolment (DME) application documents are incorrect or missing, Service Officers must request information. See Digital Medicare Enrolments and Extensions in the MEE Portal
3	Document Verification Service (DVS) To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal. Note: if a customer submits a Digital Medicare Enrolment (DME) application, DVS is completed in the MEE Portal. See Digital Medicare Enrolments and Extensions in the MEE Portal.
4	Complete mandatory detailed search in CDMS Once eligibility is established, add the new entitlement details and record all documents. On CDMS Home page: Select Amend Consumer Details Key the customer's Medicare card number in ID Number field Select Entitlement The New/Additional Medicare Entitlement Details screen will show: Entitlement Type: New Zealand Citizen Country of Relevance: Previous country of residence Entitlement Start Date: New Zealand Passport date of issue Entitlement End Date: Not applicable (open Medicare card) If a New Zealand citizen has been absent from Australia for more than 12 months: the previous entitlement must be end-dated 12 months after the date of departure (if known), and the if the exact date of departure is not known, the end-date is 12 months from the end of the known departure year. That is, 12 months from 31 December of the advised year of departure
5	Record each customer's eligibility documents Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS. Select Documents tab Key the details of each of the customer's eligibility documents: Eligibility Document (mandatory) Residency Document (if applicable) Reference Text (mandatory) (number or text of the document) Reference Date (mandatory) Select Add Repeat above to key all documents provided separately For eligibility and residency document details to record in CDMS, see: Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and Document types for Medicare eligibility and enrolment Note: if this is part of a Digital Medicare Enrolment (DME) application, Service Officers must check the recorded document details in CDMS from the MEE Portal. See Digital Medicare Enrolments and Extensions in the MEE Portal.
6	Issue the Medicare card Before issuing a Medicare card, Service Officers must check that consumer end dates have been removed if they are no longer applicable. After the entitlement has updated: Select Group tab - Group Details tab on Amend Medicare Card Details screen will show Select Name/Address tab Confirm the Group mailing address is correct Select Card Request tab Confirm the Group Eligibility Start Date is correct Do not change the Group Eligibility Start Date unless there has been a gap in the customer's Entitlement period Remove Group Eligibility End Date, if applicable Tick the required checkbox to request: Replace Current Card, and Duplicate Replacement Card, if required Select: Replacement Reason - Card Information is Outdated Card Request Source - Medicare Enrolment Form Select Validate, Update to finalise the enrolment transaction See Medicare cards.

Adding an unaccompanied child from New Zealand

Table 4: this table describes how Service Officers can add an unaccompanied child from New Zealand to a customer’s existing Medicare record

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Step	Action
1	Documents required to enrol an unaccompanied child from New Zealand A customer can apply to add an unaccompanied child from New Zealand who arrives in Australia to reside with them. The following must be provided with a completed Medicare enrolment form (MS004): Child’s passport A letter from their school confirming the child is enrolled and attending school in Australia (only required when the child is of school age) A Commonwealth statutory declaration completed by the parents stating: they (parents) are not residing in Australia the date the child entered Australia, and the name of the person whom the child is residing with in Australia Note: where a Commonwealth statutory declaration cannot be completed by the parents, a New Zealand statutory declaration can be accepted. Service Officers do not need to escalate the enrolment application. If Service Officers are unsure if the statutory declaration is suitable, contact Medicare and Aged Care - Local Peer Support (LPS) for help.
2	Document Verification Service (DVS) If the customer’s New Zealand passport gives a DVS D result, Service Officers must complete a Visa Entitlement Verification Online (VEVO) to determine their onshore/offshore status. Does the below VEVO error message display? 'VEVO has not identified a visa for this person. They must hold a valid visa for the duration of their stay and comply with conditions attached to their visa. If they do not have the right to remain in Australia, they are expected to depart. If they want to extend their stay in Australia, they will need to apply for a Bridging visa E (BVE). In most cases, they can resolve their visa matter quickly and easily through the My visa is about to expire or has expired web page.' Yes, go to Step 3 No, escalate to LPS via Tier 1 technical support - Local Peer Support (LPS) and LPS to escalate to SSO via Escalation process for Medicare Eligibility and Child Dental Benefits Schedule (CDBS)
3	Request an International Movement Record (IMR) To request an IMR through PaNDA or the MEE Portal, see Table 10 Escalation process for Medicare Eligibility and Child Dental Benefits Schedule (CDBS). Does the IMR confirm the following? New Zealand Citizen (Onshore) DVS shows D result, VEVO has not identified a visa for this customer, escalate to Service Support Officers (SSO) who will escalate to the Medicare Customer Eligibility Support team. See Tier 1 technical support - Local Peer Support (LPS) Offshore, reject the application and send Z0139M - Medicare enrolment - unable to process. Complete PaNDA work item. Procedure ends here Australian Citizen (Onshore) Service Officers must contact the customer to request an Australian passport or Australian citizenship certificate, see Medicare eligibility and enrolments request for information
4	Register the customer and enter the entitlement details See Table 1 in Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS). After registration of a new customer: Select Entitlement on the Registration Type screen The New Medicare Entitlement Details screen will show: Entitlement Type - New Zealand citizen Country of relevance - New Zealand (or previous country of residence) Entitlement Start Date - Date of arrival Entitlement End Date - Not applicable (open Medicare card)
5	Record each customer's eligibility documents Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS. Select Documents tab Key the details of each of the customer's eligibility documents: Eligibility Document (mandatory) Residency Document (if applicable) Reference Text (mandatory) (number or text of the document) Reference Date (mandatory) Select Add Repeat above to key all documents provided separately For eligibility and residency document details to record in CDMS, see: Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and Document types for Medicare eligibility and enrolment
6	Issue the Medicare card Select Group tab - Group Details tab on Amend Medicare Card Details screen will show Select Name/Address tab Confirm the Group mailing address is correct Select Card Request tab Confirm the Group Eligibility Start Date is correct Do not change the Group Eligibility Start Date unless there has been a gap in the customer's Entitlement period Remove Group Eligibility End Date, if applicable Tick the required checkbox to request: Replace Current Card, and Duplicate Replacement Card, if required Select: Replacement Reason - Card Information is Outdated Card Request Source - Medicare Enrolment Form Select Validate, Update to finalise the enrolment transaction See Medicare cards.

Operational Information

Medicare eligibility for New Zealand citizens 011-44050000

On this page:

New Zealand citizens enrolling in Medicare

New Zealand citizens re-enrolling in Medicare

Amending and adding a New Zealand entitlement type to an existing Medicare record

Adding an unaccompanied child from New Zealand