Affiliated Provider-only services

Some healthcare services are only covered under Southern Cross health insurance policies (excluding UltraCare) if they’re performed by an Affiliated Provider (AP). These services are called AP-only services.


The following services became AP-only on 17 July 2017:

All specialties

  • all specialist consultations (all locations)
  • 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

 Other healthcare services

  • 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*

  • Digital breast tomosynthesis*

 *Eligibility criteria applies. More information on these criteria will be published on our website soon.

In all Southern Cross health insurance plans (apart from UltraCare), some services are AP-only. View a full list of existing AP-only services.


If you’re a healthcare provider and you have any questions please email