All about UltraCare policy updates

On 17 July 2017 some updates will be made to your UltraCare policy. 

  • You’ll be able to get more from your cover with improvements to benefits and access to some of the latest health technologies. 
Policyholders will receive formal notice of changes.

To help you understand more here you’ll find:

Remember if you haven’t already, register for My Southern Cross and download the app now – for faster claiming and more on the go. Plus you’ll receive your communications online so you can have all the information you need right at your fingertips.

Frequently asked questions

General information about policy updates

Feedback from members is an important part of regular plan reviews. We also consult with medical professionals, and consider changes in healthcare such as new technology and new procedures.

These considerations help us to decide on the policy updates that will give members the most value. We know that balancing improvements in benefits with premium affordability is important for our members.  

About Affiliated Providers

Our Affiliated Provider network is made up of more than 1,600 healthcare providers contracted across over 20 specialties to provide Southern Cross members with healthcare services at agreed prices.

- It’s easy. No forms and no fuss as prior approval and claiming are sorted for you directly with the Affiliated Provider.
- Less stress. After treatment the Affiliated Provider claims on your behalf. 
- Plus, it keeps your future premiums more affordable by helping us to keep claims costs down. Claims through Affiliated Providers now account for over 55% of all claims costs.

We take an inclusive approach when entering into Affiliated Provider agreements with healthcare providers. However, providers must have vocational registration with the New Zealand Medical Council for their area of practice, have a current practising certificate and be working from a facility that meets certain quality standards. 

We also need to be able to agree a reasonable price with them.

Specific - Changes to your policy

This list outlines the prostheses, specialised equipment, donor tissue preparation charges and associated costs covered by your policy. If a prosthesis is not listed we will not provide cover unless we advise otherwise.
We have guidelines to ensure a clear and consistent approach for making decisions about which healthcare services we provide cover for. Our approach to assessing health technology is to ensure there is a clinical benefit to our members, at an acceptable cost.
Your premium generally remains the same until your next renewal. At this time, your premium will include an adjustment to allow for the policy updates as well as other factors we consider when reviewing premiums, such as claims trends and ageing.
Your premium generally remains the same until your next renewal. Your next renewal date is in My Southern Cross under ‘My policy’ or on your membership certificate. At this time, your premium will include an adjustment to allow for the policy updates as well as other factors we consider when reviewing premiums, such as claims trends and ageing, plus things like low claims rewards.
A lifetime allowance is the total allowance available for the duration of a member’s relationship with Southern Cross whether or not the membership is continuous. The allowance includes all associated costs.