At Southern Cross we care about your health
You can apply online now if you know:
- which health insurance plan you want
- who you want covered
- what it costs
Applying could take 10 to 20 minutes depending on whether you need to answer any health questions. We aim to process your application within five working days unless we require further information, such as from your doctor, in which case processing may take longer.
Want to apply for HealthEssentials? Click here
Please accept the Southern Cross Privacy Statement
We take your privacy seriously. Please read and tick the box to accept before you proceed.
- I understand that:
- the information Southern Cross collects in this application form and in the wider application process will be used to consider and process the application for health insurance and, if approved, consider the specific terms that apply to the policy, to administer the policy and for marketing purposes.
- if any of the information requested as part of this application is not provided, it may delay the application being processed, or result in Southern Cross not providing the people named in this application with cover or associated benefits.
- the people named in this application are entitled to have access to, and request correction of, any of their personal or health information held by Southern Cross.
- I authorise Southern Cross to collect from, and to disclose to:
- my husband/wife/partner (if named in this application form);
- any person(s) nominated in writing by me;
- third parties such as health services providers and medical authorities (including ACC and Ministry of Health), group administrators, agents, contractors, suppliers and other business partners;
information relating to people named in this application form and I authorise these parties to disclose to Southern Cross and receive from Southern Cross this information, in accordance with the Southern Cross Privacy Statement.
I authorise Southern Cross to collect information from a previous Southern Cross health insurance and/or Critical Illness policy (including previous application(s), membership certificate(s) and/or claims.)
- In relation to any other people named in this application, I confirm that:
- I am authorised to complete this application form on their behalf;
- I am authorised to disclose to Southern Cross and to receive from Southern Cross their personal and health information and I have made each of them aware of the terms and conditions of Southern Cross’ full Privacy Statement (contained on Southern Cross’ website);
- I have made each of them aware of the contents of this application; and
- each of the people named have authorised me to give the acknowledgements, undertakings and authorities set out above on their behalf.
* Sorry, to apply for health insurance, we need you to agree to the Southern Cross Medical Care Society privacy statement.