GP referrals for Southern Cross members 

Southern Cross Health Society expanded its Affiliated Provider (AP) programme on 17 July 2017 to include specialist consultations, x-rays and ultrasounds as AP-only services. 

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Referring Southern Cross members to an AP is important as it means members have certainty of cover for those services. It’s also less hassle, as the approval and claim will be taken care of for them.

We want to make it easy for you to refer to APs so here are three simple ways:

1. Head online at www.Healthcarefinder.co.nz and type in the name of the service or specialist you are looking for.

2. Within your electronic medical record system, click on the HealthLink icon.

3. Go to the online directory www.Healthpages.co.nz or click on the Specialist & Referrals icon in Medtech 32 and Medtech Evolution.

Expansion of Affiliated Provider-only services

Our aim is to provide health insurance that helps our members receive sustainable, accessible and affordable quality healthcare services through our AP programme. Southern Cross achieves this by making reimbursement of certain services contingent on an AP agreement being in place with the provider of those services.

The simplicity of accessing healthcare services through APs is a key benefit Southern Cross members enjoy from the programme. It makes life so much easier for patients.

A full list of the services which became AP-only on 17 July is shown below.

 

  • all specialist consultations (over 75 per cent of consultations already go through APs)
  • ultrasounds 
  • x-rays
  • cardiac tests performed by a specialist (eg ECG)
    • functional endoscopic sinus surgery (FESS)
    • septoplasty 
    • nasal cautery performed by a specialist
    • aural toilets performed by a specialist
    • prostate biopsies
    • resection of bladder tumour 
    • nephrectomy
    • circumcision
    • ureteroscopy

    *Eligibility criteria applies. View a full list of existing Affiliated Provider-only services here

    • Microwave ablation of lung tumours 
    • Endoscopic ultrasound*
    • KTP laser ear surgery*
    • Endoscopic third ventriculostomy
    • Breath nitric oxide testing
    • Transcatheter aortic valve replacement or transcatheter aortic valve implantation*
    • Trans-oral robotic surgery* 
    • Left atrial appendage occlusion* 
    • Laser cyclophotocoagulation* 
    • Percutaneous medial branch radiofrequecy neurotomy*

     

    View a full list of existing AP-only services.

    If you’re a healthcare provider and you have any questions please email provider@southerncross.co.nz