FAQs and quick answers
What are the eligibility criteria?
Eligibility criteria set out any additional requirements that must be met for some healthcare services.
We’ll only cover certain healthcare services if the additional terms and conditions set out in the eligibility criteria have been met.
The terms of each benefit in your policy document state if eligibility criteria apply.
If you're seeing an Affiliated Provider, they can organise prior approval and claim directly from us for any contracted healthcare service. We’ll treat this as a claim under your policy.
We regularly update eligibility criteria as we continuously review how we cover healthcare services and certain technology. To view the latest versions of the eligibility criteria that apply to certain benefits, visit southerncross.co.nz/eligibility
If you have any questions or would like more information, please contact us.
