Unapproved healthcare services

What is an unapproved healthcare service? 

An unapproved healthcare service is any drug, device, technique, test and/or other healthcare service that has not been approved by Southern Cross prior to treatment. Unapproved healthcare services are an exclusion and are not covered by Southern Cross. 

List of unapproved healthcare services

This is not an exhaustive list of unapproved healthcare services. We consider healthcare services which are alternative names for and/or are similar to those listed below to be unapproved healthcare services. 

To find out if you will be covered for a particular healthcare service you can contact us or your Affiliated Provider.

Why is a healthcare service unapproved?

A healthcare service may not have been approved by Southern Cross for one of the following reasons:
• The healthcare service has not been assessed for cover by Southern Cross
• The healthcare service has been assessed by Southern Cross and the decision made to exclude cover 

It is important Southern Cross balances the cover available under its policies with the cost to members, this means that not all healthcare services can be covered.
 

List of unapproved healthcare services

Insertion of implantable cardiac event monitor (eg reveal device)
Pacemaker (appliance)
Sutureless cardiac valve surgery

External counter pulsation therapy 
Renal artery denervation
 
Cochlear implant (appliance)
Eustachian tube injections 
Eustachian tube balloon dilatation 
Intranasal phototherapy (eg Rhinolight)
Laser ear surgery (except for KTP laser mastoidectomy, KTP laser revision mastoidectomy, KTP laser tympanoplasty, KTP laser second look tympanoplasty, KTP laser middle ear adhesiolysis, KTP laser stapedectomy, KTP laser medial canalplasty, and KTP laser myringotomy)
Pharyngoplasty
Pillar procedure
Radiofrequency ablation/coblation of tongue
Reduction of tongue base
Uvulectomy
Uvulopalatoplasty
Vidian neurectomy
VOX vocal cord implant 
 
BRAVA assisted breast reconstruction 
Bulking agents including PTQ silicone microspheres 
Colonic chromoendoscopy 
Gastroduodenal artery embolisation 
HALO radiofrequency ablation 
Laparoscopic hepatectomy 
Laser ablation of common bile duct stones 
Methylene blue injections (for anal pruritus) 
Microwave ablation of renal tumours 
Portal vein embolisation 
Transanal total mesorectal excision of the rectum
VenaSeal closure system for varicose veins
 
Hymenorrhaphy
Labiaplasty
Laser treatment for atrophic vaginal changes (eg MonaLisa Touch) 
Laser treatment for incontinence
MRI-guided ultrasound for ablation of uterine fibroids
 
Breast thermography
Clinical photography
CT calcium scoring
3D volumetric photography
 
Adrenal vein sampling
Percutaneous renal cryoablation 
Sclerotherapy and embolisation for pelvic venous congestion syndrome

 

 
Cranioplasty 
Embolisation or surgery for cerebral vascular abnormality (including aneurysm)
 
Biozorb breast implant 
Intraoperative radiation therapy (IORT)
Irreversible electroporation (eg Nanoknife)
Proton beam therapy
Selective internal radiation therapy (SIRT)
Stereotactic radiation therapy
Transarterial chemoembolization (TACE) of hepatic tumours and drug-eluting bead TACE (DEB-TACE)
 
BlephEx treatment          
Ellex 2RT ophthalmic laser (other than for the treatment of significant macular oedema) 
Microstents for the treatment of glaucoma (eg  Glaukos iStent, Ivantis Hydrus)
Micropulse Transcleral Cyclophotocoagulation (mpTSCPC)
Insertion of implantable telescope (eg CentraSight)
Intense pulse light therapy for dry eye treatment 
Intravitreal implants 
Neural vision correction technology (eg Neuro-vision therapy) 
YAG laser for vitreous floater
 
Temporo-mandibular joint replacement
Balloon kyphoplasty
Bone tamp 
Cementoplasty/Vertebroplasty 
Collagen nerve wrap 
Hyaluronic acid injection (eg Durolane injection)
Great toe arthroplasty 
Interspinous dynamic stabilisation 
Laser treatment of ingrown toenails
Lumbar/thoracic disc replacement
Multi level cervical disc replacement 
Sinus tarsi spacer for posterior tibialis reconstruction surgery 
Spinal cord stimulator implant (SCS)
Subtalar implants
Trabecular metal bone replacement implant
 
Brow lift
Abdominoplasty and/or repair of rectus divarication
Fat grafting (except when used as part of an eligible breast reconstruction following an eligible mastectomy)
Liposuction
 
Laser treatment of skin lesions/conditions
Microwave therapy for the treatment of axillary hyperhidrosis (eg MiraDry)
Photodynamic therapy
Phototesting for light sensitive dermatological disorders
 
Cxbladder test 
Fibroscan
Harmony prenatal test
Hepatic venous pressure gradient test (HVPG) 
InflammaDry MMP
Tilt table test
 
Allium Prostatic stent 
FemiLift for stress urinary incontinence 
Percutaneous tibial nerve stimulation
Renal aneurysm coiling
Renal dialysis
Resonance metal ureteric stent 
Sacral Nerve Stimulation for bladder disorders 
 
Thoracic endovascular aneurysm repair 
Vascular embolisation procedure  
 
Blood injections/transfusions/infusions (except when used for chemotherapy treatment)
Bone and soft tissue tumour ablation 
Botox Injections (except when used in the treatment of anal fissures or the bladder or urethra)
Colonic irrigation
Custom made prosthesis
Ex-Ablate system
Extracorporeal shock wave therapy (other than for lithotripsy for the treatment of kidney stones) 
Hilotherapy
Hyperbaric oxygen therapy
Phlebotomy / Venesection
Platelet-rich plasma injections 
Radiofrequency neurotomy (except for thermal radiofrequency neurotomy of the medial branch nerves of the spine)