Plan Administrator: Seven Corners | AM Best Rating: A "Excellent" | Underwriter: Lloyd's
Complete details are given in certificate of insurance.
Acute Onset of a Pre-existing Condition (during the initial 364 days of coverage) | Medical covered expenses up to $25,000 |
This coverage is provided during your first 364 days of coverage.
We pay up to the amount shown in the Schedule of Benefits for an acute onset of a pre-existing condition if it occurs during the initial 364 days of your coverage period and if you receive treatment within 24 hours of the sudden and unexpected recurrence. We pay for one acute onset per pre-existing condition. Coverage is available for eligible medical expenses until the condition is no longer acute or you are discharged from the hospital.
This benefit does not include coverage for known, scheduled, required, or expected medical care, drugs or treatments existent or necessary prior to the date your coverage began.
Network providers can be located at: sevencorners.com/help/find-a-doctor or by contacting Seven Corners Assist.
Inside the United States – We offer an extensive network of providers with special network pricing and potential savings for you.
Outside of the United States – Seven Corners has a large international network of providers, and many of them have agreed to bill us direct for treatment they provide. We recommend you contact us for a referral, but you may seek treatment at any facility.
Utilizing the network does not guarantee benefits or that the treating facility will bill Seven Corners direct. We do not guarantee payment to a facility or individual until we determine the expense is covered by the plan.
You can extend coverage as long as the primary participant is eligible for the plan. If you initially buy less than 364 days of coverage, you may buy additional time, from a minimum of 5 days to a total of 364 days.
We will email you a renewal notice before your coverage expires, giving you the option to renew your plan. A $5 administrative fee is charged for each renewal.
When we receive your payment for the extension, we will extend your plan’s expiration date. A new coinsurance will apply beginning the 365th day of continuous coverage and beginning each additional 365th day thereafter.
Your original effective date is used to determine if the lifetime medical maximum amount has been reached and to determine pre-existing conditions.
We will refund your payment if we receive your written request for a refund before your effective date of coverage. If your request is received after your effective date, the unused portion of the plan cost may be refunded minus a $25 cancellation fee, if you have not submitted any claims to Seven Corners. Please send your written request for cancellation to policy@sevencorners.com.
For a claim to be payable, it must meet the terms and conditions in the Liaison Student Certificate of Insurance. In addition, you must submit a complete claim form to us within 90 days of the date of service. Claims are paid two ways:
we need an itemized receipt (showing you paid the expenses) along with a claim form completed by you.