FAQs

The ASPE is a self-funded, limited health care benefit plan designed to pay covered medical expenses for eligible Exchange Participants. Covered medical expenses are subject to limitations. The ASPE is secondary to any primary insurance that you may carry, and covers you alone during your exchange program. This plan is NOT an insurance policy.

IMPORTANT:
In the US, when you call a doctor’s office for an appointment or present your ID card to a provider, it is important for you to say: “My healthcare coverage utilizes the First Health International PPO Network. Are you a First Health International provider?”

DO NOT SAY:
“I have Seven Corners’ Insurance” or “I use Seven Corners’ Network” or “I have ASPE insurance.” Providers WILL NOT recognize this language and your coverage might not be accepted.

REMEMBER:
You have health care coverage through the U.S. Department of State ASPE Health Benefits Plan. It is administered by Seven Corners. If you or your doctor have any questions, please call Seven Corners toll free at 1-800-461-0430 or 317-818-2867.

Yes. It is optional coverage provided and administered by Seven Corners for J Visa dependent(s) and those J Visa members that are staying in their host country beyond their grant.* Click here for more information.

*This program is not affiliated with the United States Department of State.

Yes, your medical information is protected. Information is obtained for the purpose of determining coverage and is used to pay for your medical care. Additional information is available here: USDOS Privacy Policy

ASPE requires all Exchange Participants to pay copays. The provider will require the copay at the time of visit. As a reminder, the copay amounts are printed on your ASPE ID card.

• $25.00 copay for office visits and telemedicine consultations.
• $75.00 copay for Emergency Room (ER), hospitalizations and urgent care.
• $15.00 copay for all brand name drugs with a generic equivalent available.

Pre-certification required

• The ASPE Health Benefits Plan requires pre-certification in the U.S. for all Inpatient Hospital admissions, skilled nursing, Outpatient chemo and radiation therapy, Outpatient surgeries and procedures, pregnancies, physical or occupational therapy, dialysis, plasmapheresis, MRI, PET scan, CT, home health care and home infusion therapy. Pre-certification is not a guarantee of coverage. A $300 penalty will be applied if pre-certification is not obtained.

Seven Corners must be contacted at 1-800-461-0430 when:

• You need to confirm coverage and benefits
• As soon as non-emergency hospitalization is recommended
• Within 48 hours of the first working day following an emergency admission
• Your physician recommends any surgery including outpatient
• Prior to any treatment for dental pain

ASPE requires all Exchange Participants to pay copays. The provider will require the co-pay at the time of visit. As a reminder, the copay amounts are printed on your ASPE ID card.

• $25.00 copay for office visits and telemedicine consultations.
• $75.00 copay for Emergency Room (ER), hospitalizations and urgent care.
• $15.00 copay for all brand name drugs with a generic equivalent available.

Seven Corners must be contacted at 317-818-2867 when:

• You need to confirm coverage and benefits
• As soon as non-emergency hospitalization is recommended
• Within 48 hours of the first working day following an emergency admission
• Your physician recommends any surgery including outpatient
• Prior to any treatment for dental pain