You cannot buy Green Cover® if you are eligible for Medicare. If you have been a legal resident of the United States for five
years, you are eligible to purchase Medicare, and you should not complete this application. This plan is not available to U.S.
citizens. If you become a U.S. citizen, this coverage will automatically end.
A separate application must be completed for each person who wishes to purchase coverage. Each applicant will receive his
or her own policy.
You may choose Part A, Part B, or both.
Hospitalization Benefits include: Semi-private room & board, general nursing, miscellaneous hospital services & supplies, drugs, x-rays, lab
tests, operating room expenses. Treatment is covered at these facilities:
- Hospitals — standard hospitalization and emergency treatment
- Hospice Facilities — both inpatient and outpatient
- Skilled Nursing Facilities — 30 day limit per coverage period
- Must follow a hospital confinement of 3 or more days
- Admission must be within 30 days of hospital confinement
- Home Health Care Services — 30 days limit per coverage period
- Physician and Surgeon Benefits for inpatient and outpatient Care
- Supplies, Therapy, and Ambulance Services
Coverage Period — 5 to 364 days. Your coverage
must begin within 5 years of your arrival in the U.S.
Continuing Coverage — If you initially buy less
than 364 days, you may purchase additional days
to a total of 364 days. We will send you a renewal
notice, which allows you to extend your coverage.
Your initial coverage start date is used for deductible
and coinsurance calculations and to determine preexisting
Coverage Start and End Date — Your coverage
begins on the latter of: the date you request or the
date we receive and approve your payment and
application. Your ID card will state the start and end
dates for you coverage.
Our Money Back Guarantee
If you buy Green Cover® and decide
you don’t need it, simply notify Seven
Corners before your coverage start date
to receive a full refund. If we receive
your request after your coverage begins,
the unused portion of your plan cost is
refunded minus a cancellation fee if you
have not submitted any claims.
Our Extensive Provider Network
We have a large network of providers within the United States and worldwide. You can contact Seven Corners Assist for help finding a
medical provider. You may also visit sevencorners.com/ppo
You must pre-certify the following expenses by contacting Seven Corners Assist at the phone number on your ID card: Inpatient Care,
any Surgery or Surgical Procedure; CAT scan; MRI (magnetic resonance imaging). If you have an emergency hospital admission, you must
pre-certify within 48 hours of your admission or as soon as reasonably possible.
Failure to pre-certify could result in a 50% reduction in benefits. Pre-certification does not guarantee benefits.
Filing A Claim
Filing a claim is easy! Complete and submit a claim form within 90 days of the date you receive medical treatment. If you have any
questions, contact us at the phone numbers or email address shown on your ID card.
Visit our claims page.
About Your Insurance Company
Seven Corners* will handle your policy needs from start to finish. Since 1993, we have been providing insurance products and serving the
needs of hundreds of thousands of policyholders worldwide. We are here to help! Our multilingual Seven Corners Assist team is available
24/7 to answer your questions.
Your policy is backed by Certain Underwriters at Lloyd’s, London, with an AM Best Rating of “A” (Excellent), so you know your coverage will
be there when you need it.
*In California, Seven Corners operates under the name Seven Corners Insurance Services.
Please be aware that this is not a general health insurance plan, but an interim, limited benefit period, travel medical program intended for use while away from your home country.
This website is intended as a brief summary of benefits and services. It is
not your plan document. If there is any difference between this website and your plan document, the provisions of the plan document will prevail. Benefits and premiums are subject to change.
It is your responsibility to maintain all records regarding travel history, age, and provide necessary documents to Seven corner to verify your eligibility
Patient Protection and Affordable Care Act: This insurance is not subject to, and does not provide certain insurance benefits required by the United States Patient Protection and Affordable Care Act (“PPACA”). The insurance benefits provided by insurance under the Plan Document are stated in your plan documents and do not include additional benefits required by PPACA. The PPACA requires certain U.S. residents and citizens to obtain PPACA compliant insurance coverage. The Plan Document and Evidence of Coverage are not subject to guaranteed issuance or renewal. In certain circumstances penalties may be imposed on U.S. residents and citizens who do not maintain PPACA compliant insurance coverage. You should consult your attorney, insurance agent or tax professional to determine if the PPACA’s requirements are applicable to you.