Biggest claims paid by health insurer
Southern Cross Health Society has released its latest claims statistics - here's what they pay out on.
Tuesday, October 30th 2018, 6:33AM
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 1to 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.
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