Login
Close
My Southern Cross
Adviser Gateway
Provider Web
Easy-claim
Work Scheme Gateway
Username or Member card number
Password
Login
Forgotten
username
or
password
Not registered yet?
Register now
Username
Password
Login
Username
Password
Login
Forgotten password?
Toggle navigation
Menu
Login
Close
My Southern Cross
Adviser Gateway
Provider Web
Easy-claim
Work Scheme Gateway
Login
Buying health insurance
Our plans
For members
Take life back
For business
For health professionals
For advisers
Help
Contact us
中文
Buying health insurance
Why get health insurance?
How the health system works
Why choose us?
For families
Our plans
Plan finder
HealthEssentials
Get a quote
Apply
Wellbeing Starter
Wellbeing One
Wellbeing Two
UltraCare
Cancer Assist
Critical Illness
Pet insurance
Life insurance
Corporate group plans
RegularCare
KiwiCare
Southern Cross in your workplace
Moving to New Zealand
Inclusive and welcoming
Payment options
Find an adviser
Join now
Our plans
For members
My Southern Cross
Login or register
Download the app
Making a claim
Request cover or prior approval
Easy-claim
Affiliated Provider
Affiliated Provider-only healthcare services
Unapproved healthcare services
Managing your policy
Plan documents
HealthEssentials
Wellbeing Starter
Wellbeing One
Wellbeing Two
UltraCare
SuperCare
RegularCare
KiwiCare
VIP
First Cover
HospitalCare and Hospital SpecialistCare
SureCare
Cancer Assist
Critical Illness
Paying your premiums
Going overseas
Changing your employer
Request a member card
Policy renewal
All about premiums
Healthcare finder
Member discounts and offers
Low claims discount
Southern Cross Pet Insurance
Southern Cross Travel Insurance
Southern Cross Life Insurance
OPSM
Lumino
Specsavers
Bloom hearing specialists
FAQs
Technical help
Glossary of terms
Take life back
EatingWell
MovingWell
SleepingWell
ThinkingWell
For business
For health professionals
Affiliated Provider programme
Become an Affiliated Provider
Affiliated Provider only services
Facility standards
Affiliated Provider audits
Provider downloads
GP and allied health
Referrals to an Affiliated Provider
GP referrals
Easy-claim
Private and public healthcare
How we work with ACC
Health technology assessment
Eligibility criteria
FAQs
Contact us
For advisers
Become an adviser
Adviser enquiry form
Adviser Gateway login
Products
HealthEssentials
WellbeingStarter
WellbeingOne
WellbeingTwo
UltraCare
Cancer Assist
Critical Illness
Contact us
Our people
Help
Contact us
中文
For advisers
Become an adviser
Adviser enquiry form
Adviser Gateway login
Products
Contact us
Home
For advisers
Become an adviser
Adviser enquiry form
Adviser enquiry form
Please fill out this form and we will be in touch.
*Indicates a required field
Title
Mr
Mrs
Ms
Miss
First name
Last name
Company name
Postal address
Phone Number
Email
What type of registration do you have
AFA
RFA
Unknown
Do you have an FSP number
Yes
No
Please provide your FSP number
Years of industry experience
