Affiliated Provider-only services 

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 Affiliated Provider programme. Southern Cross achieves this by making reimbursement of certain services contingent on an Affiliated Provider agreement being in place with the provider of those services.

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

The following services became Affiliated Provider-only on 17 July 2017. This means Southern Cross members are only entitled to reimbursement under their policy when these services are performed under contract by an Affiliated Provider (this applies to all Southern Cross health insurance policies except UltraCare).


  • 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