URC to medical maximum
$200 copay
URC to medical maximum
$100 copay
URC to medical maximum
$15 copay
URC to medical maximum
$10 copay
URC to medical maximum
$50 copay
URC to medical maximum
$25 copay
Telehealth Consultations or Care
This includes long-distance or remote (i) health-related services and information, (ii)treatment of injury or illness, or (iii) other live consultations, each of which involves an insured person and a physician or nurse practitioner at
different locations using telecommunications technologies including internet, phone, video, audio, and computers.
URC up to medical maximum
$15 copay
URC up to medical maximum
$10 copay
Copay is a stated amount you pay for a service in addition to your deductible.
$150 per 364 days of continuous coverage
$25 per visit60 visits maximum
$50 per visit60 visits maximum
$25 per visit60 visits maximum
$50 per visit60 visits maximum
Local Ambulance Benefit
Inside the United State
Local Ambulance Benefit Outside the United States
Pre-certification Penalty
Required in the United States for specific types of treatment. A 25% reduction in covered expenses applies if you don't obtain pre-certification. Penalty does not apply to a medical emergency. See pre-certification section of the plan document for details.
Required in the United States for specific types of treatment. A 25% reduction in covered expenses applies if you don't obtain pre-certification. Penalty does not apply to a medical emergency. See pre-certification section of the plan document for details.
The following expenses must always be pre-certified in the United States:
- Outpatient Surgeries or procedures;
- Inpatient Surgeries, procedures, or stays including those for rehabilitation;
- Diagnostic procedures including MRI, MRA, CT, and PET scans;
- Chemotherapy;
- Radiation therapy;
- Physiotherapy; or
- Home infusion therapy.
To comply with the pre-certification requirements, you must:
- Contact Seven Corners Assist before the expense is incurred;
- Comply with Seven Corners Assist’s instructions;
- Notify all medical providers of the pre-certification requirements and ask them to cooperate with Seven Corners Assist.
Once we pre-certify your expenses, we will review them to determine if they are covered by the plan.
If you do not comply with the pre-certification requirements:
- Covered expenses will be reduced by 25%; and
- The deductible will be subtracted from the remaining 75%; and
- Coinsurance will be applied.
Pre-certification does not guarantee coverage, payment, or reimbursement.
Contact information for Seven Corners Assist is provided on your ID card.
Extension of Benefits to Home Country
This can cover expenses incurred in your home country (including those following an emergency medical evacuation or repatriation), for conditions first diagnosed and treated outside your home country if you seek treatment within your benefit
period. You receive approximately five days of coverage for each month of coverage purchased, up to 60 days per 364 days of coverage. There is no coverage for pre-existing conditions, and there is no coverage if the illness or injury began while you were in your home country.
Incidental Trips to Home Country
This can cover an illness or injury that occurs on an incidental trip to your home country. You receive approximately five days of coverage for each month of coverage purchased, up to 60 days per 364 days of coverage. There is no coverage: 1) If the illness or injury occurred while you were outside your home country or 2) For pre-existing conditions. Coverage is available if your period of coverage is greater than 30 days.
Acute Onset of
Pre-existing Conditions
$10,000During initial 364 days of coverage
An acute onset of a pre-existing condition is a sudden and unexpected outbreak or recurrence of a pre-existing condition:
- That occurs spontaneously and without advanced warning either in the form of physician recommendations or symptoms and requires urgent care;
- That occurs during your initial 364 days of coverage (Liaison Student Plus); that occurs during your coverage period (Liaison Student Basic); and
- For which treatment is obtained within 24 hours of the sudden and unexpected outbreak or recurrence.
A pre-existing condition is not an acute onset of a pre-existing condition if:
- The condition is chronic, congenital, or gradually becomes worse over time; or
- If, during the 30 days prior to the acute event, you had a change in prescription or treatment for a diagnosis related to the underlying pre-existing condition.
Coverage ends on the earlier of:
- The condition no longer being acute; or
- Your discharge from the hospital.
Waiver of Pre-existing Conditions
Ages 14 days to 59 years old: URC up to medical maximum 60 to 64 years old: $50,000 After initial 364 days of coverage
Liaison Student Plus — After you have been continuously covered for 364 days, we waive the pre-existing condition exclusion so that pre-existing conditions are covered the same as other conditions subject to applicable
copay, deductible, and coinsurance.
Mental Illness including Substance Abuse
Inpatient: $5,000, 45-day limitOutpatient:80% up to $500
Inpatient: $10,000, 45-day limitOutpatient:80% up to $1,000
Motor Vehicle Accident
Inside the United States
Motor Vehicle Accident
Outside the United States
Non-contact Amateur Sports
Medical expenses can be covered if you are injured while participating in these non-contact amateur sports: high school, interscholastic, intercollegiate, intramural or club sports exclusive to the following list of covered sports: tennis,
squash, ultimate frisbee, kickball, volleyball, track & field, water-polo, baseball, basketball, aerobics, dancing, sailing, sea kayaking/canoeing, horseback riding, surfing, snow skiing, snowboarding, roller skating, rollerblading,
and swimming.
Maternity Care
Inside the United States
Failure to notify Seven Corners within first 90 days of pregnancy will result in 25% reduction in covered expenses.
In PPO Network 80% up to $10,000Out of PPO Network60% up to $10,000
This benefit is not available on Liaison Student Basic. The benefit applies for the primary participant or plan participant spouse only. Pregnancies are not covered unless conception occurs at least 180 days after the effective date of
coverage. Also, there is a 25% reduction in benefits if you do not notify Seven Corners within 90 days of the pregnancy.
Maternity Care
Outside the United States
Failure to notify Seven Corners within first 90 days of pregnancy will result in 25% reduction in covered expenses.
This benefit is not available on Liaison Student Basic. The benefit applies for the primary participant or plan participant spouse only. Pregnancies are not covered unless conception occurs at least 180 days after the effective date of coverage. Also, there is a 25% reduction in benefits if you do not notify Seven Corners within 90 days of the pregnancy.
Newborns who are born as a result of a covered pregnancy are automatically covered by the plan for the first 30 days of life. You must add them to the plan no later than the 31st day of life.
Dental
Dental — Sudden Relief of Pain
The plan can pay for emergency treatment for the relief of pain to sound natural teeth. Coverage is available if your period of coverage is greater than 30 days.
The plan can pay for emergency treatment to repair or replace sound natural teeth damaged because of an accidental injury caused by external contact with a foreign object. You are not covered if you break a tooth while eating or biting
into a foreign object.
Emergency Services and Assistance
All emergency services except Natural Disaster Daily Benefit and Terrorist Activity must be coordinated by Seven Corners Assist. Failure to utilize Seven Corners Assist may result in a denial of benefits.
Emergency Medical Evacuation and Repatriation
$100,000
(separate from medical maximum)
$250,000
(separate from medical maximum)
If medically necessary, we will arrange and pay for transportation and related medical expenses during transportation to:
- Transport you to the nearest adequate medical facilities.
- Transport you to your home country for treatment or to recover after an emergency medical evacuation.
This benefit applies regardless of whether your hospitalization is related to a pre-existing condition. These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits. Emergency
Medical Reunion
$200 per day, 10-day limit
$15,000 maximum
$200 per day, 10-day limit
$25,000 maximum
If your physician recommends it, we will pay and arrange for one person of your choice to travel to the hospital where you are located when an emergency medical evacuation is occurring or has occurred or when an emergency medical repatriation
is to occur.
These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist will result in the denial of benefits.
If you are traveling alone with children and are hospitalized because of a covered illness or injury, we will arrange and pay for:
- One-way economy airfare to return the children to their home country; and
- Attendant/escort services to ensure the children’s safety.
These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
We can pay reasonable expenses for embalming, a minimally-necessary container for transportation, shipping costs, and government authorizations to return your remains to your home country if you die while outside your home country. You cannot
use this benefit if you use the Local Cremation or Burial benefit. This benefit applies regardless of whether your death is related to a pre-existing condition. This benefit must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
Local Burial or Cremation
We can pay reasonable expenses for the preparation and either your local burial or cremation if you die while outside your home country. You cannot use this benefit if you use the Return of Mortal Remains benefit. This benefit applies regardless of whether your death is related to a pre-existing condition. This benefit must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
Natural Disaster Evacuation and Repatriation
If you need an emergency evacuation due to a natural disaster, we will arrange and pay for:
- Your natural disaster evacuation;
- Lodging for five days if you are delayed at the safe location; and
- Your return home by means of one-way economy class airfare. Seven Corners security personnel will determine the need for this evacuation in consultation with local governments and security analysts.
This benefit does not apply when you are in the U.S. and if the natural disaster precedes your
arrival at the affected location. See plan
document for additional details. These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
Natural Disaster Daily Benefit
We can reimburse you for replacement accommodations for up to five days if you are displaced from planned, paid accommodations due to an evacuation from a forecasted natural disaster or following a natural disaster. You must provide proof
of payment for the accommodations from which you were displaced.
Political Evacuation and Repatriation
We can arrange and pay for your political evacuation and/or return to your home country via one-way economy airfare if:
- A formal recommendation is made for you to leave your host country; or
- You are expelled or declared persona non-grata by the host country.
This benefit will not apply if you did not follow a Level 3 Terrorism, Level 3 Civil Unrest, or any Level 4 Travel Advisory from the U.S. Department of State or similar warnings from authorities of your host country or home country.
These benefits must be arranged by Seven Corners Assist. Failure to use Seven Corners Assist may result in the denial of benefits.
If you are injured as a result of terrorist activity, we will reimburse you for medical expenses if the following conditions are met:
- You have no direct or indirect involvement.
- The terrorist activity is not in a country or location where the U.S. government issued a Level 3 Terrorism, Level 3 Civil Unrest, or any Level 4 Travel Advisory or the authorities of your host country or home country issued similar warnings,
any of which were in effect within six months of your arrival.
- You departed the country or location following the date a warning to leave was issued by the U.S. government or appropriate authorities of your host country or home country.
24/7 Travel Assistance Services
Seven Corners has a 24/7 multilingual team available to help with travel emergencies and general assistance including medical evacuations, escorts for unaccompanied children, medical record transfers and second opinions, and help locating
medical care. They can also help provide interpreter referrals, help with passport recovery, hotel and flight re-bookings, and many other services.
Other Coverages
Accidental Death and Dismemberment (AD&D)
Primary Participant Principal Sum – $25,000Plan Participant Spouse Principal Sum – $10,000 Plan Participant Child(ren) Principal Sum – $5,000 (aggregate limit of $250,000 for total
number of insureds on the plan)
Primary Participant Principal Sum – $25,000Plan Participant Spouse Principal Sum – $10,000 Plan Participant Child(ren) Principal Sum – $5,000 (aggregate limit of $250,000 for total
number of insureds on the plan)
This can pay benefits for death, loss of limbs, quadriplegia, paraplegia, hemiplegia, and uniplegia due to an accident occurring while on your trip. If benefits are payable under Common Carrier Accidental Death, this benefit will not be paid.
We will pay for eligible court-entered judgments or settlements approved by Seven Corners that are related to the personal liability you incur for acts, omissions, and other occurrences for losses or damages caused by your negligent acts or
omissions that result in:
- Injury to a third person;
- Damage or loss to a third person’s personal property;
- Damage or loss to a relative’s personal property.
Optional Coverage
*URC means Usual, Reasonable, and Customary. It is the maximum amount we will pay for covered expenses based on several factors. See the definition in the plan document for more details.
We cover typical vacation activities. If you plan to participate in more adventurous activities when you travel, consider buying this optional coverage that includes: Bungee jumping; caving; hang gliding; jet skiing; motorcycle, motor scooter
or electric scooter riding whether as a passenger or a driver; parachuting; paragliding; parasailing; scuba diving only to a depth of 10 meters with a breathing apparatus provided that you are SSI, PADI or NAUI certified; snowmobiling;
spelunking; wakeboard riding; water skiing; windsurfing; or zip lining. You must purchase this optional coverage if you wish to be covered while riding a motorcycle, motor scooter, electric scooter, or similar transportation when such transportation is an established and accepted routine means of public transportation for hire in the specific geographic area where you are located in the host country.
