Affiliated Provider-only healthcare services
A number of procedures and healthcare services are only eligible for cover if they are performed by an Affiliated Provider, this is applicable for all health insurance policies except UltraCare.
In order to receive cover, the healthcare services must be approved treatment, meet applicable eligibility criteria and members must also meet the terms and conditions of their policy at the time the services are provided. Please be aware that not all healthcare services are available from all Affiliated Providers or in all areas.
Unless otherwise advised by Southern Cross / your Affiliated Provider, we will pay the following:
- RegularCare, KiwiCare and First Cover plans – 80% of the amount charged by your Affiliated Provider for the healthcare service up to policy limits.
- All other plans (excluding UltraCare) – 100% of the amount charged by your Affiliated Provider for the procedure up to policy limits.
For full details, please refer to your policy document.
Select the healthcare service you require from the list below to understand what you need to do to confirm cover for your treatment.