Specialist consultations
All consultations, except for psychiatrist consultations.
Diagnostic imaging
- 2D or 3D mammography
- Computed tomography (CT scan)
- CT angiogram (CTA)
- Nuclear medicine scan (scintigraphy)
- Ultrasound (excludes ultrasounds related to obstetrics and varicose veins (legs))
- X-ray (excludes X-rays performed by a dentist or chiropractor)
- Cone beam computed tomography (CBCT)
- CT coronary angiogram (CTCA)
- Magnetic resonance imaging (MRI Scan)
- Magnetic resonance angiogram (MRA)
- Myocardial perfusion scan
- Positron emission tomography / computed tomography (PET/CT) for specific diagnosed cancers and cardiac conditions
Cardiac tests
- Advanced electrocardiogram (A-ECG)
- Resting ECG
- Exercise ECG
- Holter monitoring
- Echocardiogram
- Stress echocardiogram
- Dobutamine stress echocardiogram
- Transoesophageal echocardiogram (TOE)
Diagnostic tests
- Ambulatory blood pressure monitoring (ABPM)
- Caloric reflex test
- Colposcopy with or without biopsy under local anaesthetic or no anaesthetic
- Corneal topography
- Endometrial biopsy under local anaesthetic or no anaesthetic
- Fractional exhaled nitric oxide (FeNO) test
- Fluorescein angiography
- Heidelberg retinal tomography (HRT)
- Intraocular pressure (IOP) test
- Optical coherence tomography (OCT)
- Retinal photography
- Scanning laser polarimetry (SLP)
- Single fibre electromyogram (SFE)
- Vestibular evoked myogenic potential (VEMP)
- Video-assisted head impulse test (vHIT)
- Visual field test
- Vulvoscopy with or without biopsy under local anaesthetic or no anaesthetic
Chemotherapy for Cancer
This includes the Cancer Cover Plus upgrade.
All chemotherapy treatment for cancer.
Radiotherapy
All radiotherapy planning and treatment.
Allergy services
This applies to all services under this benefit unless provided by a General Practitioner who has an Easy-Claim agreement with us.
All allergy services, including desensitisation, drug challenge testing, food challenge testing, allergy injections, or skin testing.
Skin lesion services
This applies to all services under this benefit unless provided by a General Practitioner.
- All consultations related to skin lesions.
The following eligible treatments for skin lesions when performed under local anaesthetic or no anaesthetic, or oral sedation
- Biopsy
- Cryotherapy
- Curettage and diathermy
- Excision
- Mohs surgery (including excision and closure)
Except for complex reconstruction following an eligible skin lesion healthcare service or Mohs surgery. For more information, see our Skin closures and reconstructions following skin procedures policy variation.
Surgical procedures
Cardiac
- Ablation of cardiac arrhythmias
- Bentall procedure
- Coronary angiogram and/or angioplasty
- Coronary artery bypass graft surgery (CABG)
- Drug-eluting balloon angioplasty for in-stent restenosis
- Electrophysiology studies
- Intravascular lithotripsy for coronary artery disease
- Left atrial appendage occlusion
- Pacemaker surgery
- Percutaneous atrial septal defect (ASD) closure
- Percutaneous patent foramen ovale (PFO) closure
- Transcatheter aortic valve implantation/replacement (TAVI/TAVR)
- Transcoronary ethanol septal ablation (TESA)
- Valve replacement
- Valvuloplasty
Ear, nose and throat (ENT)
- Adenoidectomy
- Balloon sinuplasty
- Botulinum toxin for laryngeal dystonia
- Endoscopic modified Lothrop procedure
- Functional endoscopic sinus surgery (FESS)
- Insertion and/or removal of grommets in theatre
- Laser treatment for pharyngeal, laryngeal and oesophageal conditions
- Nasal cautery (in rooms)
- Primary cochlear implant surgery and initial internal receiver/stimulator only
- Removal of exostoses
- Robot-assisted transoral surgery (TORS)
- Septoplasty
- Tonsillectomy
Gastroenterology
- Balloon enteroscopy
- Colonoscopy
- Endoscopic ultrasound
- Flexible sigmoidoscopy
- Gastroscopy
- Peroral endoscopic myotomy (POEM) & Zenker's peroral endoscopic myotomy (Z-POEM)
- Radiofrequency ablation for Barrett’s oesophagus
- Wireless pH capsule and wireless capsule endoscopy
General Surgery
- Anti-reflux mucosal ablation (ARMA)
- Contrain biofeedback and electrostimulation for faecal incontinence
- Femoral hernia repair
- Hiatus hernia repair
- Inguinal hernia repair
- Laparoscopic fundoplication
- Open and laparoscopic cholecystectomy
- Sacral nerve stimulation for faecal or urinary incontinence (no reimbursement will be made towards the cost of the stimulation device used to treat faecal or urinary incontinence)
- Thyroid nodule ablation
- Umbilical hernia repair
Gynaecology
- Bartholin's cyst/abscess surgery under local anaesthetic or no anaesthetic (in rooms)
- Cautery of cervix under local anaesthetic or no anaesthetic (in rooms)
- Cervical polypectomy under local anaesthetic or no anaesthetic (in rooms)
- Cone biopsy of cervix under local anaesthetic or no anaesthetic (in rooms)
- Excision of vulval/vaginal cyst or lesion under local anaesthetic or no anaesthetic (in rooms)
- Hysteroscopy under local anaesthetic or no anaesthetic (in rooms)
- Insertion and/or removal of intrauterine device under local anaesthetic or no anaesthetic (in rooms)
- LLETZ loop under local anaesthetic or no anaesthetic (in rooms) (Large loop excision of the transformation zone)
- Robot-assisted hysterectomy (with or without oophorectomy or salpingectomy, or both)
- Robot-assisted sacrocolpopexy
- Vaginal biopsy under local anaesthetic or no anaesthetic (in rooms)
Interventional radiology
- Adrenal vein sampling (AVS)
- Basivertebral nerve ablation (BVNA)
- Microwave ablation of lung tumours
- Percutaneous medial branch thermal radiofrequency neurotomy
Ophthalmology
- Bleb needling
- Cataract surgery
- Corneal cross-linking (CXL)
- Correction of ptosis
- Cyclodiode laser cyclophotocoagulation
- Entropion and ectropion repair
- Excision of pinguecula
- Excision of pterygium
- Implantation of prosthetic iris device (including custom-made artificial iris)
- Intravitreal injection: Only $100 is available towards the cost of the drug used for each injection, regardless of the type of drug used
- Laser iridoplasty
- Laser iridotomy
- Laser trabeculoplasty
- Macular laser
- Minimally invasive glaucoma surgery (MIGS) (Kahook Dual Blade goniotomy, Tanito Microhook, iTrack canaloplasty, Streamline, implantation of trabecular bypass microstent - Glaukos iStent, implantation of minimally invasive subconjunctival filtration device (microshunt) - Allergan XEN or Glaukos PreserFlo, micropulse transscleral cyclophotocoagulation, iStent Infinite, Hydrus Microstent)
- Panretinal laser
- Photocoagulation of the retina
- Posterior vitrectomy
- Probing/syringing of lacrimal passage
- Removal of tarsal cyst
- Upper eyelid blepharoplasty
- YAG laser capsulotomy
Oral and maxillofacial
- Complete extraction or partial removal of unerupted or impacted teeth
- Extraction of teeth is not an Affiliated Provider‑only service under the SureCare Concessionary policy.
- Extraction of teeth is an exclusion on the KiwiCare and RegularCare policies
- Lingual or labial frenectomy/frenotomy
- Total temporomandibular joint (TMJ) replacement
Orthopaedic
- Open carpal tunnel release
- Endoscopic carpal tunnel release
- Image-guided percutaneous carpal tunnel release
- Image-guided percutaneous trigger finger release
- Lumbar disc replacement (LDR) 1 level
- Lumbar disc replacement (LDR) 1 level performed in conjunction with anterior lumbar interbody fusion (ALIF) 1 level or 2 levels
- Primary total or partial knee joint replacement
- Primary total hip joint replacement
- Robot-assisted primary knee replacement
- Johnson & Johnson: VELYS procedures for total knee arthroplasty
- Zimmer Biomet: ROSA procedures for total and partial knee arthroplasty
- Smith + Nephew: CORI procedures for total and partial knee arthroplasty
- Stryker: MAKO procedures for total and partial knee arthroplasty
- CORIN: APOLLO procedures for total knee arthroplasty
- CORIN: OMNIBotics procedures for total and partial knee arthroplasty
- Robot-assisted primary total hip replacement
- CORIN: APOLLO procedures for total hip arthroplasty
- Stryker: MAKO procedures for total hip arthroplasty
- Smith + Nephew: CORI procedures for total hip arthroplasty
Skin surgery
(Skin lesion removal or Mohs closure under general anaesthetic or IV sedation)
- Excision and biopsy of skin lesions, or
- Closure of the wound following a Mohs surgery.
Except for complex reconstruction following an eligible skin lesion healthcare service or Mohs surgery. For more information, see our Skin closures and reconstructions following skin procedures policy variation.
Vascular
- Peripheral angiogram and/or angioplasty
The following treatment for varicose veins (legs):
- Cyanoacrylate embolisation
- Duplex vein mapping for varicose veins
- Endovenous laser treatment (EVLT)
- Endovenous radiofrequency ablation (EVRFA)
- Ultrasound guided sclerotherapy (UGS)
- Varicose vein surgery
Urology
- Circumcision
- Laparoscopic or percutaneous renal cryoablation
- Laparoscopic prostatectomy
- Laser resection of prostate
- Nephrectomy
- Open enucleation of prostate
- Periurethral injection for incontinence
- Perineal prostatectomy
- Prostate biopsy
- Prostate brachytherapy
- Radical retropubic prostatectomy
- Resection of bladder tumour
- Robot-assisted laparoscopic prostatectomy
- Robot-assisted partial nephrectomy
- Transurethral resection of prostate (TURP)
- Ureteroscopy
