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GP Appointments, Availability and Costs – The Definitive New Zealand

Updated 16 September 2024
Summary:
  • The GP process can sometimes be confusing and unclear regarding process and fees - as well as whether it's worth going down the private healthcare pathway for certain treatments compared to waiting on the public roll.
  • With general GP shortages, healthcare arguably not being a priority for extra government funding and changing policies, many find getting a GP appointment difficult and expensive, especially when the illness is urgent.

To help explain things in detail, our guide covers:
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​This guide is specific to GPs; we have included relevant government-provided resources which outline related information: <h3 id="earn">

What is a GP? What Does a GP Provide

A General Practitioner (GP) is a medical doctor who provides primary and continuing care to patients. They’re usually the first point of contact for anyone seeking (non-urgent) medical attention and are responsible for diagnosing and treating a wide range of health issues.

GPs manage the overall healthcare of their patients, coordinating care and referring patients to specialists when necessary. They treat acute and chronic illnesses, provide preventive care and health education, and address various medical conditions across all ages, genders, and parts of the body. GPs play a crucial role in the healthcare system, acting as gatekeepers who ensure patients receive appropriate and timely care.

General practitioners run general practices. Generally, in New Zealand, all general practices are private businesses that have contractual agreements with the government to provide partially subsidised services. In other words, technically, GP practices and medical centres in New Zealand are privately owned, but due to government subsidisation, they charge rates that are more like public goods/services given their government subsidy.

Fortunately, most GP appointments are relatively affordable, although the appointment wait time will vary per GP.

Generally, people visit the GP when they're sick or not feeling 100% and aren't sure what's wrong with them (which might suggest deeper health issues). Often, if it's just the flu, many decide to "endure through it" and see if their condition improves (given the flu is quite common).

However, if their situation gets worse, going to a GP can be a good step to prevent any future health problems (that aren't super urgent and would require you to visit a hospital or Accident and Emergency unit). Alternatively, visiting the GP can be a faster way to heal (e.g., through proper diagnosis and getting medication quickly).

General practices mainly provide:
  • Diagnosis (e.g. “I have these symptoms – please tell me what’s happening”).
  • Treatment for illnesses.
  • Care and advice for long-term conditions.
  • Injury treatment.
  • Support for mental health and wellbeing.
  • Prescriptions and injections.
  • Minor surgeries.
  • Referrals to specialists and coordination of care.
  • Lifestyle advice and immunisations.

Understanding Who Works at a GP Practice

While it varies depending on the medical centre or health clinic, General Practices generally have a roster of different staff types to help the GP consultation process run smoothly and offer efficient allied health referrals. These types of staff can include:
  • Qualified doctors trained in general practice.
  • Practice nurses offering nursing care and treatment.
  • Clinical nurse specialists with expertise in areas like diabetes can prescribe some medicines.
  • Advanced-trained nurse practitioners can order tests, prescribe medicines, and provide treatment.
  • Counsellors and social workers
  • Health improvement practitioners and health coaches.
  • Allied health professionals include dietitians, occupational therapists, optometrists, and osteopaths.

Enrolling in a GP Practice: What You Need to Know

​Enrolling with a general practice is free, though consultation fees apply afterwards. Non-enrolled patients often pay higher, casual rates. Enrolment means your care is subsidised, reducing consultation fees (albeit still somewhat pricey - with consultations usually costing $50). Eligibility for publicly funded health services is required for enrolment, and you may need to provide proof such as a passport or birth certificate and sign an enrolment form.
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Some key aspects and benefits of enrolling with a GP includes:
  • Your Medical Records: Your medical records are maintained by the practice you're enrolled with but accessible to any health professional involved in your care. You can request to view your records at any time.
  • Fees and Subsidies: General practices (and the doctors who run them) set the fees they charge. Enrolled patients pay less due to government subsidies. Other fee-related information you’ll need to know includes:
  • Accidents: Lower fees for injury-related visits covered by ACC.
  • After-Hours Care: General practices must have arrangements for after-hours care. Check with your practice for details.
  • Care Plus: Extra care is provided without additional cost for long-term or terminal conditions.
  • Community Services Card LINK: Reduces costs for non-enrolled visits and offers discounts for enrolled patients.
  • Maternity Care: Free essential care during and after pregnancy if your baby is born in New Zealand.
  • Other Fees: Additional charges for services like repeat prescriptions or referral letters may apply.
  • Specialist Care: Free through the public system, though private care is available for a fee.
  • Very Low-Cost Access: Some practices offer low fees through extra government funding.
  • Zero Fees for Tamariki (Children): Free general practice visits for children under 14, including after-hours care.

Understanding How the GP Appointment Booking Process Works

​Booking and attending a GP appointment is relatively straightforward; you typically contact your local GP clinic. This can be done via phone, online booking systems, or by visiting the clinic in person. Once an appointment is scheduled, you will be given a date and time to see the GP.
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There are different ways you can attend your GP appointment:
  1. Face-to-Face: The most common way that New Zealanders interact with their doctors is that they provide a much better experience, which is necessary when a physical examination is required.
  2. Virtual/Video Call: These have become common since the pandemic. Virtual appointments are suitable for conditions that can be visually assessed and for follow-up consultations.
  3. Telephone: These are the quickest option and are useful for discussing medical issues that don't require a visual examination. They are a good starting point if you are unsure about the necessity of an in-person visit.

Important: Going to see a GP is not a fast process, and there's wait time. If you need urgent care, it’s almost always best to head to your local Accident and Emergency (A&E) centre, which has staff 24/7 to assist you.
 
Procedure when going to an In-Person GP appointment.
On the day of your appointment, you should arrive a few minutes early to complete any necessary paperwork, especially if it's your first visit (where they'll need additional information from you, such as your identification, medical history, and other information).

During the consultation, the GP will discuss your symptoms, medical history, and any concerns you might have. They may perform a physical examination, order tests, or prescribe medication. The GP will also advise on treatment options and may refer you to a specialist if further evaluation or treatment is needed. Consultations are usually booked for at least 15 minutes but can go up to an hour (with some clinics charging more for double bookings).

Note that these costs are specifically for the consultation alone - there may be additional charges if you get referred or are prescribed medication. In the context of referrals, the doctor will usually ask whether you want to be referred to a public or private healthcare option (for example, if you have a nut allergy, you may get offered a faster private healthcare doctor specialising in nut allergies but will cost far more, or the public roll for a nut allergy test that may take many months longer).

Where can I find a list of GPs to enrol in?
Healthpoint is a comprehensive online directory that provides detailed information about healthcare services and providers across New Zealand. It is the main way to track, search, and find GP clinics to enrol in. The directory includes listings for GPs, specialists, hospitals, and community health services.

Healthpoint helps patients find healthcare providers based on their specific needs and location. It also offers information on telehealth services, making it easier for patients to connect with doctors online. The platform aims to improve healthcare accessibility and transparency, ensuring patients have the information they need to make informed decisions.
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Use Healthpoint to search for general practices by hours, location, services, and enrolment availability. You can also check the Medical Council’s register to verify a doctor’s current registration.

How Much Does It Cost to Go to a GP?

The cost of visiting a GP in New Zealand varies depending on the clinic, location, and specific services provided. On average, a standard consultation with a GP can range from $50 to $85. This fee typically covers a 15-minute consultation, during which the GP will discuss your symptoms, perform any necessary examinations, and provide a treatment plan. Additional costs may arise if you require further tests, treatments, or specialist referrals. For instance, blood tests, imaging scans, and prescription medications are often billed separately. Some GPs offer packages or memberships LINK EXAMPLES that include a certain number of consultations per year for a fixed fee, which can provide savings if you require frequent visits. Paying for Healthcare Services: Cheat Sheet
Service ​
Provider
Subsidised by the Government?
​Urgent Injuries (Accident & Emergency)
​Urgent Care Clinics or Hospitals 
Free/heavily subsidised by ACC
​Hospital visits
​Ministry of Health (Hospitals)
​Free/heavily subsidised by ACC
​GP visits
​General practises (generally all privately owned)
Free for under 14. Subsidised by the government if enrolled. It can be covered under private health insurance plans
​Medication
​Pharmacies
​Free/subsidised by the government if enrolled. It can be covered under private health insurance plans
​Dental care
Private dentists
​Free up to age 18 (not subsidised after this age). It can be covered through specific private health insurance plans
Important:
  • Doctors set the fees they charge for their services. Children and some individuals who frequently need to see their doctor can receive free or subsidised visits.
  • Many health services for children under 14 are free of charge.
  • If you visit your doctor more than 12 times a year, your doctor can apply for a High Use Health Card (HUHC) from the Ministry of Health. This card can reduce the cost of future visits.
  • A Community Services Card (CSC) can also help lower healthcare costs for you and your family. It offers discounts for some health services when you show your card. Our guide to the CSC has more information LINK.

GP Appointment Approximate Pricing

Service
Description
​Price Range
Standard Consultation (Adult)
​General GP visits for adults (18+) who are enrolled.
​$50 - $85
​Standard Consultation (Child)
​GP visits for children (under 14). Some providers offer free visits.
​Free - $50
Youth Consultation (14-17 yrs)
​GP visits for teenagers (14-17 years). Varies by Community Services Card status.
​$40 - $80
Casual Consultation (Adult)
​GP visits for adults not enrolled with the clinic.
​$80 - $120
Casual Consultation (Child)
​GP visits for children not enrolled with the clinic.
​$45 - $100
Prescription
​The standard prescription fee varies by urgency.
​$19 - $30
Minor Surgery
​Small surgical procedures (e.g., mole removal).
​$195 - $250+
​ACC Consultation
​Consultation for injury covered under ACC.
​$40 - $64
ECG
​Electrocardiogram to check heart function.
​Around $60
Flu Vaccine
​Seasonal flu vaccination.
​Around $35
​Skin Check
​Comprehensive skin examination for mole checks, etc.
​$250+
​Full Medical Check
​Comprehensive health check (includes multiple tests).
​$275 - $305
Cervical Smear Test
​Screening for cervical cancer (nurse or doctor).
​$35 - $50
​Travel Consultation
Consultation for travel vaccinations and advice.
​$180+
​Sources: MoneyHub Research, City Med, Victoria Park Medical Suites, KFD, Health NZ. LINK

​Important: Pricing varies drastically between GPs. It's not uncommon for two GP practices to charge wildly different prices for the same consultation (especially if you’re not enrolled).
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Discounts for enrolled patients:
  • Enrolled patients enjoy reduced rates across consultations and certain services, thanks to government funding and subsidies.
  • Children under 14 often receive free consultations.
  • Many private health insurance plans (like Southern Cross) will heavily subsidise or completely cover GP appointments.
  • Youth and adult consultations are further discounted if the patient holds a Community Services Card (CSC).
  • Repeat prescriptions, ACC consultations, and selected services like vaccinations are generally less expensive for enrolled patients.

Telehealth GP Providers – Options and Costs

​While online health consultations are a somewhat new phenomenon (largely driven by COVID-19), there are a few local platforms that are providing this service now:
​Bettr
Bettr is a telehealth service designed to provide convenient and accessible healthcare to New Zealanders. It offers online consultations with registered doctors via video call, making it easy for patients to get medical advice, prescriptions, and referrals without needing to visit a clinic.
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Bettr is ideal for managing general health concerns, follow-up appointments, and chronic conditions. It emphasises user-friendly technology and aims to reduce healthcare access barriers, especially in remote areas.
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Costs: X LINK
​MedOnline
MedOnline is a telehealth platform offering virtual consultations with New Zealand-registered doctors. It caters to various medical needs, from general health concerns to repeat prescriptions and mental health support. MedOnline provides an efficient and secure way for patients to receive medical advice and treatment from the comfort of their homes.
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It’s particularly beneficial for those with mobility issues or those who find it difficult to attend in-person appointments. The service is designed to be user-friendly, ensuring a seamless patient and doctor experience.

​Costs: X LINK

Practise Plus
Practise Plus is a telehealth service that provides quick and convenient access to GP consultations via video call. Patients can book appointments online and speak to a doctor without leaving their homes. Practise Plus suits various healthcare needs, including acute illnesses, chronic disease management, and preventive care.
​
The platform aims to reduce wait times and improve access to healthcare, especially for those living in rural areas. Practise Plus ensures that patients receive quality medical care with the added convenience of virtual consultations.

Costs: X LINK
Care HQ
Care HQ is a virtual healthcare service that connects patients with New Zealand-registered doctors for online consultations. It offers various services, including general health advice, prescriptions, and specialist referrals.
​
Care HQ is designed to complement traditional healthcare by providing an alternative for those who need quick and convenient access to medical care. The platform is secure and easy to use, making it an excellent option for busy individuals or those who prefer the flexibility of telehealth.
Tend Health
TBC
Costs: X LINK

Must Know Facts About GP Appointments

Not all GPs are created equal

Firstly, not all private GP clinics offer the same range of services, so it's crucial to research and choose a clinic that meets your specific healthcare needs. Check if they provide the necessary diagnostics, treatments, and specialist referrals.

Be clear about what your health insurance plan covers (if you have one)

Understanding your health insurance policy LINK and what it covers concerning private GP visits is essential. Policies can vary significantly, and knowing the specifics can help you avoid unexpected costs. Some private GPs may also offer direct billing to insurance companies, simplifying the payment process.

Getting access to your unique medical records is increasingly easier (and better)

An increasingly common trend among GPs in New Zealand is the open transparency of health records and information through the platform Manage My Health (almost two million New Zealanders have signed up). Most health centres in New Zealand use Manage My Health to provide Kiwis access to their patient records.
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The more up-to-date your health records (and the more information you have about your medical history), the better your likelihood of getting good care (especially if you move doctors). 

Be wary that it might be hard to enrol in new GP practices

Some GPs are not accepting new patients LINK MEDIA STORY due to a lack of GPs and many existing patients (particularly in smaller towns where there may not be that many GPs). While there are waitlists that you can get onto if you want to enrol in a specific GP practice, know that it might not be as easy to do.
​
Know This: While you can attend any GP practice you like, you can only be enrolled (and you will only get subsidies) from the GP practice that you're registered for. 

If you need semi-urgent (but not emergency) care, let your GP know when you book

While GPs are usually based on booked appointments in a first come, first serve layout, some GPs do keep appointments aside for people who need them semi-urgently. If you've got a semi-urgent issue (e.g. a skin infection or gout) as opposed to a minor issue (like you want a blood test or you have a small cough), letting your GP know when you book the appointment might mean they can fast track your appointment (though this is not guaranteed and will depend on demand for the GP at that time). 

The "pushiness" of your GP and specialist will significantly impact the speed, slowness, and frustration of your medical treatment experience

In the current medical landscape, after diagnosing your symptoms, if you have a serious condition, your GP will need to refer you to a specialist for tests or treatments (usually as a pre-check step before recommending surgery). However, many New Zealanders experience frustration when their dedicated GP does not swiftly recommend a specialist (or requires more evidence and time through things like blood tests to confirm their diagnoses).

For example, if you wanted to get an MRI to check whether you had cancer at age 35, a New Zealand GP may be hesitant to refer you to a specialist straight away given your age and your lack of serious symptoms (even if you’re fully covered under private health insurance - as many terms stipulate that you need to be referred by a GP or healthcare professional to be eligible for full coverage for scans).

While the rationale behind the GP not instantly referring every patient who wants an MRI makes sense (there are likely people far more at risk of things like cancer who should take priority for the MRI machines), it can be frustrating for Kiwis who have the money to pay (or the private healthcare that makes it effectively free) but can't get the preventative scans or tests they want.

In other words, unless you go overseas and pay for the scans yourself (and claim through your insurance provider), it can be frustrating to get the tests or treatment you'd like in New Zealand (even if you have private health insurance).

In some cases, the best value for money when considering private healthcare will come from buying private surgery insurance

While non-urgent medical issues can largely be dealt with through the standard New Zealand GP process, getting quick treatment or surgery for more serious matters (like cancer treatment or MRI scans) is increasingly more urgent and valuable.

Even if you've been diagnosed with cancer, the public roll to get an urgent MRI can still take weeks (given there are only so many MRI machines and potentially hundreds or thousands of patients that need scans done).
​
If you’ve got advanced cancer or other terminal illnesses, the delay between getting scans and treatment (largely the difference between going through the public healthcare treatment system that’s free or the private healthcare treatment system that costs far more but will be covered under private health insurance) can be the difference between life and death. 

In the first instance, register with a general practice as soon as possible. It's far cheaper to see a GP when you're enrolled than if you just show up to one

Everyone should register with a general practice to address all their health needs. Your general practice should be your primary contact for health advice and care unless it's an emergency. Learn about their services and the enrolment process.

If you do take out private healthcare, thoroughly read through the policy terms and conditions with a fine-tooth comb

In particular, know exactly where you are (or aren't) covered. Our guide to health insurance LINK has more information. Having private insurance won't help you get into a go or an appointment any quicker, though. Some policies can help you jump straight to a specialist, but some coverage will only cover you if you've been referred first by a GP. 

Going via private healthcare treatments usually means more flexibility and privacy

When you go down the private treatment pathway, there's generally much more privacy that comes with pre and post-operation procedures. Whether that's your recovery/hospital room or control over the procedure (when/where you take the operation, what preparation steps you want, etc.), private healthcare treatments are normally a far better experience than going down the public treatment track (that usually has budget constraints so ends up putting many people in one hospital room). 

Frequently Asked Questions Related to GP Appointments

When should I use telehealth (virtual doctor) providers over in-person consultations?

​Virtual doctor consultations are a fast and safe way to get the medical attention you need right away from anywhere. They’re ideal for appointments when travelling is difficult or if you prefer the privacy, comfort, and safety of your home. In many cases, an online doctor can see you the same day you book, and appointments are affordable.
Generally, many non-urgent and non-critical health concerns can be addressed remotely through online doctor consultations, such as:
  • Allergies, skin conditions, and rashes
  • Respiratory problems
  • Coughs, colds, and flu
  • Mental health and wellness
  • Oral health
  • Infectious diseases and infections
  • Smoking cessation
  • Digestive and abdominal health
  • Minor injuries
However, if you're ever in doubt, it's always safer to just go for a physical in-person GP visit so that a doctor can diagnose you.
Know This: GPs can’t carry out basic checks when you use a telehealth service (LINK EXPAND ON THIS). 

Why should I enrol in a GP clinic?

​Having a regular doctor is crucial for your overall health. Your local doctor can help you stay healthy and access other health services. Enrolling with a GP practice offers benefits such as:
  • Lower fees for visits
  • $5 prescriptions from your GP LINK
  • Free interpretation services if needed
  • Inclusion in recalls for screenings and immunisation reminders
  • Additional support for managing conditions like diabetes and high blood pressure and advice on healthy lifestyles, such as quitting smoking
  • Developing a strong relationship with your GP and practice team leads to quicker diagnoses and less time in the hospital
  • Enrollment is free, easy, and beneficial for you, your family, and your community

What’s the difference between general practice doctors and hospital doctors?

​Both GPs and hospital doctors are qualified. GPs in general practices/clinics provide primary care and ongoing management of health issues. Hospital doctors generally handle more acute or specialised cases.

Can anyone enrol in GP clinics?

​Eligibility for public health services in New Zealand is required. Generally, New Zealand citizens, permanent residents, or work visa holders with two years or more visas can enrol. 

Will I still need to pay to see my GP or nurse?

​Yes, generally, but fees may be lower if you live in an area with higher health needs or if the visit is for a child under 6. Check with your practice for specific costs.

Can I enrol with two different GPs?

​No, you should enrol in the practice you use most frequently. You can visit other practices but won't receive benefits like cheaper fees.

Can I see another doctor or primary health care professional?

​Yes, but without enrollment benefits such as lower visit fees, note that enrollment is voluntary. You can still visit any GP for care but won't receive benefits like reduced fees.

What if I want to change my GP and enrol somewhere else?

​You can change your GP anytime by enrolling with a new one. The Ministry of Health will notify your old GP’s PHO. Note that the transfer may take some time, affecting immediate access to enrolment benefits.

How long do GP appointments usually last?

​It depends on the number of issues you want to raise with your GP, but generally, sessions last 15 – 30 minutes.

What does private health insurance cover?

​While it will depend on the specific policy, generally, standard private health insurance covers 50%—100% of eligible costs related to GP consultations, day-to-day medical expenses, prescriptions, diagnostics, and specialist consultations. Many private health insurers offer different packages for more comprehensive insurance (e.g., for cancer or surgery treatments).

How can I find a GP?

​The Medical Council of New Zealand has an online register of Doctors in New Zealand that you can use to find GPs. You can search the Medical Council's register to verify if a doctor is registered and authorised to practice in New Zealand. The register also provides other public information about the doctor

Who Are the Best GPs in NZ?

​Because almost all private GPs run their practices themselves and franchises are few and far between, many Kiwis go to their family doctor or the doctor closest to their home.

Are GPs available in rural areas?

​GP services are common in urban areas, but some rural regions may have private practices or visit private GPs. Access can be more limited in remote areas, so checking availability in your specific location is important.

Can I enrol in any General Practise?

​Yes, you're free to pick which general practices you want to enrol in, and you can change your general practice at any time. When enrolling with a new practice, you’ll sign a form to transfer your records from your old practice. Practices should not refuse enrolment unless full. They can end enrolment if there is an irreparable breakdown in the relationship. 
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