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> _Markdown transcription of Southern Cross Wellbeing Modules policy wording, effective 2026-04-01. Source: https://www.southerncross.co.nz/-/media/Southern-Cross-Health-Society/Health-insurance/Sales-collateral/Plan-documents/BS-Wellbeing-Modules.pdf_

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# Wellbeing One and Wellbeing Two modules

## Benefit summary

Modules can be added as an optional add-on to Wellbeing One and Wellbeing Two to provide extra cover.

### TAILORING YOUR COVER

You can add a module that includes GP services, vision and dental benefits, or a range of preventative and natural healthcare services.

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# Modules that can be added to Wellbeing One and Wellbeing Two plans

This is only a high-level summary of the benefits available under the Wellbeing modules. It does not form part of your contract with Southern Cross Medical Care Society. It is intended as a guide to help you understand what is covered by each module.

For full policy details, including benefit terms and conditions and policy exclusions, please refer to the full **Wellbeing One and Two** policy document available on our website southerncross.co.nz/plans where you can also view the other documents that form part of the **Wellbeing One and Two** plan which may change from time to time, including the eligibility criteria, the list of unapproved healthcare services, the list of prostheses and specialised equipment, the list of Affiliated Provider-only healthcare services and the list of policy variations. You can also contact us directly to request copies.

## Keeping Well Module – GP, vision, dental and other benefits

**Please note:** The Keeping Well Module cannot be held with either the Day-to-day or Vision and Dental modules

| HEALTHCARE SERVICE | MAXIMUM* |
|---|---|
| Flu vaccination | Cost of 1 vaccination each claims year |
| **$200 (combined maximum) each claims year for the following** | |
| General practitioner services | |
| Nurse services | |
| Optometry consultations | |
| Audiology services and hearing tests | |
| Dental services | |
| Prescriptions | $100 each claims year (excludes cover for drugs that are not Pharmac approved) |
| Clinical psychology | $100 each claims year |

## Body Care Module – preventative, allied and natural healthcare services

| HEALTHCARE SERVICE | MAXIMUM* |
|---|---|
| Dietitian or nutritionist services | $250 combined maximum each claims year |
| Podiatry services | $250 each claims year |
| **$500 each claims year (combined maximum) for the following:** | |
| Acupuncturist | |
| Registered massage therapist | |
| Chiropractor or Osteopath, Homeopath or Naturopath | |

## Day-to-day Module – day-to-day medical care

**Please note:** Day-to-day Module and Keeping Well Module cannot be held together

| HEALTHCARE SERVICE | MAXIMUM* |
|---|---|
| Annual health check | $90 each claims year |
| Flu vaccination | Cost of 1 vaccination each claims year |
| General practitioner services | $65 for each visit |
| Nurse services | $30 for each visit |
| Prescriptions | $600 each claims year (excludes cover for drugs that are not Pharmac approved) |
| Physiotherapy | $300 each claims year |

## Vision and Dental Module – vision, dental and other benefits

**Please note:** Vision and Dental Module and Keeping Well Module cannot be held together

| HEALTHCARE SERVICE | MAXIMUM* |
|---|---|
| Prescription glasses, prescription sunglasses and prescription contact lenses | 75% of costs incurred up to $500 each claims year |
| Optometry consultation | $50 each claims year |
| Orthoptist treatment | $200 each claims year |
| Dental services | 75% of costs incurred up to $750 each claims year |
| Audiology services and hearing tests | $200 each claims year |
| Brainstem auditory evoked response tests | $210 each claims year |

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# TERMS AND CONDITIONS

All dollar figures include GST.

From time to time, Southern Cross may change or update which healthcare services are eligible, the scope of cover and terms and conditions.

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## Joining?

Call **0800 100 777**, or if your employer has a work scheme call **0800 438 268**

For a free quote, or to apply, visit **join.southerncross.co.nz/quote**

## Already a member?

For member queries, please call **0800 800 181**

Underwritten by Southern Cross Medical Care Society, Level 1, Te Kupenga, 155 Fanshawe Street, Auckland 1010. 0042/MC/1XSC310W/1225

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Effective from 1 April 2026.
