30 Oct Claim Statistics: Southern Cross
Southern Cross Health Society has released its latest claims statistics – here’s what they pay out on.
Southern Cross says it has 870,263 members and, as a non-profit organisation has paid out 92c in claims for every $1 received in premiums.
In the period April 1 to September 30 it paid out $567.1 mill in total claims, including:
- 124,897 surgical procedures
- 383,223 GP visits
- 253,361 specialist consults
- 379,296 prescriptions
Top three specialties by cost:
- Orthopaedic – $104.7m
- General Surgery – $94.8m
- Imaging & Tests – $56.6m
Top three highest claims by cost:
- $211,978 – spinal fusion
- $170,106 – spinal fusion
- $169,723 – spinal fusion
Top three most common surgical procedures claimed for:
- Skin lesion excision (including biopsy and freezing) – 31,779
- Colonoscopy – 10,718
- Nasendoscopy (nose and throat) – 4,698
276,529 members registered to the My Southern Cross app.
Southern Cross’s longest standing membership is 46 years.