Eligibility and Financial Criteria

Eligibility Criteria

The following criteria applies to all applications for EnableNSW assistive technology programs:

  • they are a resident of NSW or Lord Howe Island, or are an asylum seeker, refugee or humanitarian visa holder residing in NSW or Lord Howe Island;
  • they are enrolled with Medicare
  • the assistive technology is prescribed to support a health need; and,
  • they are not receiving or eligible for assistive technology through a third party insurance or other Commonwealth, state or territory government schemes for the identified health need. Possible alternative funding sources are:
    • National Disability Insurance Scheme (NDIS)
    • Department of Veterans’ Affairs
    • Australian Government aged care services
    • Compensation or damages for the condition requiring assistive technology (e.g. worker’s compensation)
  • they are not an in-patient at a private hospital.

We understand every person’s situation is different. Please use the eligibility indicator to assess your eligibility for EnableNSW programs and services before you apply. You can also call our dedicated team of customer service officers on 1800 362 253 Monday- Friday 9am – 5pm to discuss your individual situation.

Financial Criteria

People accessing EnableNSW are required to pay a co-payment each financial year they receive assistive technology, consumable re-orders or repairs and maintenance.

EnableNSW income bands for assistive technology, except prosthetic limbs, are based on the former Program for Appliances for Disabled People (PADP) income bands and allowances, with adjustments for increases in the Australian Consumer Price Index since December 1998. No changes have been made to the level of consumer co-payments.

EnableNSW income bands for prosthetic limbs remains the same as the previous criteria for the Prosthetic Limb Service.

Income Bands and Consumer Co-payments

Table 1: EnableNSW Income Bands for all assistive technology except for prosthetic limbs
Banding Consumer co-payment
Band 1 –
Adults on full pension and children under
16 years
$100 each financial year accessing services
Band 2 – taxable income up to
$42,000 (single) or
$70,000 (couple)
+ $2,100 per dependent
$100 each financial year accessing services
Band 3 – taxable income above
$42,000 (single) or
$70,000 (couple)
+ $2,100 per dependent
20% of equipment costing
$800 and above
Note: Consumers in Band 3 are not eligible for equipment under $800.
Table 2: EnableNSW Income Bands for prosthetic limbs
Banding Consumer co-payment
Band 1 –
Persons holding a valid Pensioner Concession Card, a valid Health Care Card or a valid Commonwealth Seniors Health Card
Nil
Band 2 –
All persons not holding valid Pensioner Concession Card, a valid Health Care Card or a valid Commonwealth Seniors Health Card
15% of the scheduled cost of the provision, maintenance and repair of prostheses up to a maximum of $200 per financial year.

Validation of Income Band

People’s income band is to be verified by the production of:

  • A statement of full pension entitlement from Centrelink; or
  • Copy of a Centrelink Pensioner Concession Card; or
  • A valid Australian Taxation Office (ATO) Notice of Assessment for the preceding financial year.

Discretion may be applied in instances where an ATO Notice of Assessment is not available, for example, for some 16 year olds who have yet to be assessed and for newly-arrived migrants or refugees. People who are over 16 years of age and are applying for assistive technology other than prosthetic limbs are required to submit a valid ATO Notice of Assessment to establish access to the appropriate income band, including:

  • Applicants with taxable incomes who are part-pensioners;
  • Commonwealth Seniors Health Care Card holders; and
  • Self-funded retirees.

People who do not provide verification of income will be considered as Band 3.