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Southern Cross release top claims for each age group

Southern Cross release top claims for each age group

Southern Cross Health Society has released the top five surgical claims by paid total for men and women in each age bracket.

In 2015 Southern Cross paid $842m in claims. While elective surgery made up only a small percentage of the total claims, surgeries accounted for 73% of total costs.

Head of Provider Networks Geoff Searle says the data highlighted the fact that Kiwis go under the knife throughout their lives.

“Younger members tend to claim for speech and hearing procedures like tonsillectomies and adenoids. Men under 35 claimed for things like hernia injuries and tooth extractions, while in the same age group females made claims that affect fertility such as endometriosis surgery,ovarian cysts and the removal of abdominal lesions.

“There’s a tendency for people to think health insurance is something they’ll need in their later years, but this data shows that Kiwis undergo procedures that affect quality of life, throughout their lives,” says Searle.

Top 5 procedures by paid total – 2015.

All ages

Hip ReplacementHip Replacement
Knee ReplacementHysterectomy
Excision Skin LesionKnee Replacement
Coronary AngioplastyCataract

0 – 20

TonsillectomyRemoval of Teeth
Removal of TeethTonsillectomy
Bilateral Ear ProcedureEndometriosis Surgery
AdenoidectomyBilateral Ear Procedure

21 – 35

Removal of TeethEndometriosis Surgery
SeptoplastyRemoval of Teeth
HerniaOvarian Cystectomy
ColonoscopyFreeing of Abdominal Adhesions
Excision Skin LesionDislocation vs Arthroscopy

36 – 49

HerniaEndometriosis Surgery
Excision Skin LesionHysteroscopy
Spinal FusionColonoscopy
Hip ReplacementBreast Reconstruction

50 – 64

Hip ReplacementHip Replacement
Knee ReplacementColonoscopy
ColonoscopyKnee Replacement
Coronary AngioplastyHysterectomy
Excision Skin LesionExcision Skin Lesion

65 +

Knee ReplacementKnee Replacement
Hip ReplacementCataract
Cataract extractionHip Replacement
Excision Skin LesionExcision Skin Lesion
Coronary AngioplastyColonoscopy

Southern Cross have released this information to help Kiwis become better informed about the realities of healthcare.

For example most people also wouldn’t be aware that these procedures can be quite costly to treat.

Endometriosis surgery can cost anywhere between $4,400 - $18,800, and a small procedure such as a tonsillectomy can cost between $3,200 and $4,300. Larger procedures such as hip and knee replacements can cost between $19,600 - $29,100.

“No one is immune from developing a health condition – regardless of age,” says Searle.

“We want Kiwis to be informed when it comes to the procedures they’re likely to need. The last thing anyone would want is to need treatment and be unable to access or afford it.”


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