Claims

To make a claim download a claim form ► and make sure you provide this information:

• Your Southern Cross membership number (on your Member card or Membership Certificate)
• Name, address and contact details of the policyholder
• Name and further details about the member who had the surgery/procedure
• The name of the treatment (surgery or procedure) that was performed and information about the patient’s medical condition and history in relation to that treatment (surgery or procedure)
• Name and address of both the surgeon/specialist and the hospital/facility where the surgery/procedure was performed
• Itemised original surgeon, anaesthetist and hospital receipts, or doctor visits and prescription receipts.
• Submit claim within 12 months of treatment

We may need to come back to you for additional information to assess your eligibility for cover for some procedures or health conditions.

Filling out your claim form

To speed up the processing of your claim, please make sure you fill in the claim form correctly.

Here are some tips:

• The policyholder must sign the claim form. Lack of signature is the most common reason for claim forms to be returned to members.
• Include original invoice and proof of payment from the treatment providers - EFTPOS and credit card receipts alone are not acceptable as receipts.
• Read and follow the guidelines printed on the claim form.
• Don't forget tell us about the nature of your illness or the reason why you visited the provider.
• Ensure your membership number is on the form.
• If you run out of space on your claim form, download and complete an additional form.
• Finally, check that your current postal address is correct and make sure that any pre-printed bank details are correct.
• The refund will be paid into your nominated bank account. If we don't have your bank account we will refund you by cheque.
• Submit your claim within 12 months of treatment.