MEDICAL PROVIDER NETWORK
Choose Your Location:
Inside the United States
Outside the United States
OUTSIDE THE UNITED STATES
To locate a provider or hospital in the USDoS Non-US Medical Network:
Call toll free: 1.800.461.0430 or collect: +01.317.818.2867 outside the US.
Or visit www.wellabroad.com to search through a network of health care providers outside the United States.
To access this site, you may sign-in by using your ASPE ID card# (certificate#) and your date of birth.
Exchange participants on grants outside the US may go to any provider they want. Seven Corners offers a Medical Network outside of the US but the non-US Medical Network
work slightly different than the US Medical Networks.
Non US doctors and hospitals are contracted to provide access to USDoS participants based on payment of Usual
and Customary Rates for Local Nationals. Seven Corners has built Usual and Customary Rate tables for specific regions outside of the United States.
There are two types of Non US Medical Network Providers which are defined below:
DIRECT PAY PROVIDERS
Direct Pay Contracted Providers are defined as providers that Seven Corners has reviewed and determined that the provider meets all the necessary requirements for quality care based
on their country licensing authority. Additionally, these providers have agreed to a payment fee schedule which is not more than the rates local nationals pay
and they have agreed to accept payment directly from Seven Corners without billing the participant first. Participants may not be required to pay out of pocket
when accessing these providers for covered services. Seven Corners wire transfers payment to provider's bank account in the currency of the providers' choice or can mail
the provider a check.
REFERRAL PROVIDERS
Referral Providers are defined as providers that Seven Corners has reviewed and has determined the provider meets all the necessary requirements for quality care based on their country
licensing authority. Seven Corners has loaded these providers in a database, and has sent them information on joining the Seven Corners Direct Pay Network, but they have not yet agreed
to join the Direct Pay usually due to lack of large numbers of participants in their area. As participant numbers in the area grow or providers are accessed,
Seven Corners continues negotiations
with those providers in an attempt to move them into our Direct Pay Contracted Provider list. If a provider has not agreed to participate in the Seven Corners network,
Seven Corners will still attempt to negotiate a direct pay or guarantee of payment agreement with the provider so you will not have to incur all of the out-of-pocket
expenses at the time care is received.
EMERGENCY
In the case of an emergency during which the member is outside the United States our Assistance Department should be contacted immediately. We ask that
you gather as many details as possible for our Assistance staff during this call. Our office can be reached 24/7/365 days a year by calling 1.800.461.0430 or collect
+01.317.818.2867. You may dial this number direct or you may contact your local operator and request to make a collect call to this line. The caller may also visit:
www.usa.att.com/traveler/access_numbers/index.jsp
to determine the AT&T toll-free access code for your specific country. This code should be dialed followed by our toll-free
number, 1.800.461.0430.
Emergency care overseas is defined by Seven Corners as a need for hospitalization, trauma (i.e., broken bones, accidents), acute and spontaneous non-controllable pain,
blurry vision, intense headache, chest pain, shortness of breath, unmanageable high fever, open wounds, or any life-threatening situation.
Seven Corners is available to support you with an emergency
number and guide you to a Direct Pay or Referral Provider, but clearly we want you to seek immediate care at the nearest facility. In emergency situations where care is needed immediately,
you are not required to call Seven Corners. If you have a life-threatening emergency, please call your local emergency service or go to the nearest hospital.
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