Fill in the form and we'll get back to you shortly, or give us a call on 0800 100 777.

indicates a required field

1. Your details
Are you and all family members named in this application, entitled to all publically funded healthcare services in New Zealand (i.e. NZ Citizens, NZ Residents, holders of a resident Visa or otherwise entitled as determined by the Ministry of Health)?
2. What type of cover are you interested in?
Privacy Statement

Please read and tick the box to accept before you proceed. This form collects personal information for the purpose of contacting you via email, telephone or letter as you have requested. The information is collected and held by Southern Cross Medical Care Society, at Level 1, Ernst & Young Building, 2 Takutai Square, Auckland 1010. You have a right to access and request correction of this information in accordance with the Privacy Act 1993. If we believe your enquiry relates to travel insurance we will forward the relevant details to Southern Cross Travel Insurance.