Eligibility Criteria

INFLUVAC®  the funded vaccine will be available from early March until 31 December 2017.

Eligibility criteria for FREE seasonal influenza vaccination for 2017:

  1. Pregnant women (any trimester)
  2. Anyone under 65 years with any of the medical conditions listed below
  3. Anyone aged 65 years or over
  4. From 1 May 2017, all children and young people aged from 6 months to under 18 years who are living within the following earthquake impacted areas will be eligible to receive funded influenza immunisation:
    – Seddon/Ward and rural Eastern Marlborough (Nelson Marlborough DHB)
    – Kaikoura and Hurunui (Canterbury DHB)

The following conditions are excluded from funding:

  • Asthma not requiring regular preventive therapy
  • Hypertension and/or dyslipidaemia without evidence of end-organ disease

Eligible medical conditions for funded influenza vaccine

List of eligible medical conditions for free influenza immunisation (adults and children).

Funded influenza vaccine is available each year for patients who meet
the following criteria as set by PHARMAC:

• all people 65 years of age and over; or
• people under 65 years of age who:
  • have any of the following cardiovascular diseases:
    • ischaemic heart disease, or
    • congestive heart failure, or
    • rheumatic heart disease, or
    • congenital heart disease, or
    • cerebrovascular disease; or
• have either of the following chronic respiratory diseases:               
    • asthma, if on a regular preventative therapy, or
    • other chronic respiratory disease with impaired lung
      function;(a) or
• have diabetes; or
• have chronic renal disease; or
• have any cancer, excluding basal and squamous skin
  cancers if not invasive; or
• have any of the following other conditions:
      • autoimmune disease(b), or
      • immune suppression or immune deficiency, or
      • HIV, or
     

     

      • transplant recipients, or
      • neuromuscular and CNS diseases/disorders(c), or
      • haemoglobinopathies(d), or
      • are children on long term aspirin, or
      • have a cochlear implant, or
      • errors of metabolism at risk of major metabolic decompensation, or
      • pre and post splenectomy, or
      • down syndrome, or
    • are pregnant (any trimester); or
• children aged four years and under who have been hospitalised for
   respiratory illness or have a history of significant respiratory illness;

Unless meeting the criteria set out above, the following conditions are
excluded from funding:

• asthma not requiring regular preventative therapy,
• hypertension and/or dyslipidaemia without evidence of end-organ
  disease.

Also refer to the New Zealand Pharmaceutical Schedule on the
PHARMAC website
www.pharmac.govt.nz/patients/PharmaceuticalSchedule/Schedule?osq=influenz

a. Chronic respiratory diseases may include: chronic bronchitis, chronic obstructive pulmonary disease, cystic fibrosis, emphysema.
b. Autoimmune diseases may include: coeliac disease, Crohns disease, Graves’ disease, Hashimoto’s thyroiditis, lupus, rheumatoid arthritis:
    Immune suppression or immune deficiency includes diseases modifying anti-rheumatic drugs (DMARDS) or targeted biologic therapies.
c. Neuromuscular and CNS diseases/disorders include: celebral palsy, congenital myopathy, epilepsy, hydrocephaly, motor neurone disease,
    multiple sclerosis, muscular dystrophy, myasthenia gravis, Parkinson’s disease.
d. Haemoglobinopathies including: sickle cell anaemia, thalassemia.

 

Patient eligibility and clinical queries contact
Immunisation Advisory Centre (IMAC)
The University of Auckland
Phone: 0800 IMMUNE (0800 466 863)
Email: 0800immune@auckland.ac.nz

For manual claiming and Payment Queries
Call sector services contact centre on 0800 458 448