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

Drug-eluting balloon angioplasty
Edwards Intuity Elite valve system
External counter pulsation therapy
Insertion of implantable cardiac event monitor (eg reveal device)
Inspiris Resilia aortic valve
Intravascular lithotripsy for coronary artery disease
Minimally invasive aortic valve surgery
Mitral valve repair clip
Pacemaker (appliance)
Pacemaker surgery (other than the initial implantation)
Renal artery denervation
Sutureless cardiac valve and surgery (other than when the valve cost does not exceed the surgically implanted heart valve maximum as listed on the List of Prosthesis and Specialised Equipment)
Transcatheter aortic valve implantation, TAVI (other than when using the transfemoral approach)
Transcatheter ethanol septal ablation

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)
Sleep apnoea surgery
Vidian neurectomy
VOX vocal cord implant 

BRAVA assisted breast reconstruction 
Bulking agents including PTQ silicone microspheres 
Colonic chromoendoscopy 
Endobronchial ultrasound (EBUS)
Gastroduodenal artery embolisation 
HALO radiofrequency ablation 
Laparoscopic hepatectomy 
Laser ablation of common bile duct stones 
Lloyd release procedure 
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
Video-assisted fistula tract/sinus ablation

Laparoscopic ovarian vein clipping
Laser treatment for atrophic vaginal changes (eg MonaLisa Touch) 
Laser treatment for incontinence
MRI-guided ultrasound for ablation of uterine fibroids



Breast thermography
Carotid intima-media thickness test (CIMT)
Clinical photography
CT calcium scoring
123Iodine scan of the thyroid and whole body (Radioactive iodine uptake test, RAIU test)
3D volumetric photography

Adrenal vein sampling
Bone tumour ablation and cementoplasty/vertebroplasty
Cryoablation of central and peripheral nerve
Percutaneous renal cryoablation 
Sclerotherapy, embolisation or clipping for pelvic venous congestion syndrome

Embolisation or surgery for cerebral vascular abnormality (including aneurysm)
Occipital neurectomy and denervation skull base

Biozorb breast implant 
Intraoperative radiation therapy (IORT)
Irreversible electroporation (eg Nanoknife)
Lutetium 177 PSMA radioligand therapy
Proton beam therapy
Selective internal radiation therapy (SIRT)
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) 
Eyelid warming (eg Blephasteam, EyeGiene, MGDRx eye bag, LipiFlow) 
Microstents for the treatment of glaucoma (eg  Glaukos iStent, Ivantis Hydrus)
Micropulse Transcleral Cyclophotocoagulation (mpTSCPC)
Implantation of artificial iris
Insertion of implantable telescope (eg CentraSight)
Intense pulse light therapy for dry eye treatment 
Neural vision correction technology (eg Neuro-vision therapy) 
YAG laser for vitreous floater
Partial glossectomy using laser 
Temporo-mandibular joint replacement

Balloon kyphoplasty
Bone tamp 
Chitosan-based biomaterial (eg BST-CarGel)
Collagen nerve wrap (eg Neuragen Nerve Guide)
Hyaluronic acid injection (eg Durolane injection, Synvisc 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
Thermosensitive hydrogel (eg JointRep)
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)

Intralesional cryotherapy

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 
Prenatal tests (except for amniocentesis, maternal serum screening, triple X test and chorionic villus sampling)
Hepatic venous pressure gradient test (HVPG) 
InflammaDry MMP
Tilt table test
Video Head Impulse Test (vHIT) 

Allium Prostatic stent
FemiLift for stress urinary incontinence 
Percutaneous tibial nerve stimulation
PrecisionPoint transperineal prostate biopsy
Prostatic urethral lift surgery (e.g. Urolift)
Renal aneurysm coiling
Renal dialysis
Resonance metal ureteric stent 
Sacral Nerve Stimulation for bladder disorders
Thoracic endovascular aneurysm repair 
Vascular embolisation procedure  
Acellular Dermal Matrix e.g. biological mesh (except when used in breast reconstruction, rotator cuff repair and gastrointestinal surgery)
Blood injections/transfusions/infusions (except when used for chemotherapy treatment)
Bone and soft tissue tumour ablation 
Botulinum toxin injections eg Botox, Dysport (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) 
Hyperbaric oxygen therapy
Phlebotomy / Venesection
Platelet-rich plasma injections 
Radiofrequency neurotomy (except for thermal radiofrequency neurotomy of the medial branch nerves of the spine)