7 Corners Insurance

Reside Prime Medical Insurance

Long-Term comprehensive medical plan for individuals and families

Primary Schedule of Benefits << Purchase Now >>

The following is the Schedule of Benefits for the first 36 months of continuous coverage. After 36 months of continuous coverage, the Extended Coverage Schedule of Benefits shall apply.

All amounts listed are in U.S. dollars. Click the titles to see further information.

lifetime maximum benefit $5,000,000 per Insured Person.
policy period deductible options $250; $500; $1,000; $2,500; $5,000
Maximum of three (3) Deductible payments for families enrolling on one Application. Any Eligible Expenses incurred and applied to your Policy Period Deductible in the last thirty (30) days prior to your renewal date will carry over and be applied to the next Policy Period Deductible.
inside of the united states and canada (geographical treatment area a) More Information
After the Deductible, the Policy pays 80% of the next $5,000 of Eligible Expenses, then 100% up to the Policy Maximum. Expenses incurred inside the United States and Canada must be Pre-Notified using Seven Corners’ Pre-Notification Program.
If Services and Treatment eligible for coverage under this Certificate are received directly from an approved PPO Service Provider while the Insured Person is in the United States: (a) the Company will reduce by 50% any part of the Deductible applicable to such Eligible Benefits, and (b) the Company will waive any and all Coinsurance applicable to such Eligible Benefits.
outside of the united states and canada (geographical treatment area b) More Information
After the Deductible, the Policy pays 100% of Eligible Expenses to the Policy Maximum. Hospital Admissions must be Pre-Notified using Seven Corners’ Pre-Notification Program.
inpatient hospital expenses More Information
Average Semi-Private room and board; Usual, Reasonable, and Customary (URC) Physician Charges, Prescription Medications, Durable Medical Equipment, Nursing Services and X-Rays up to the Policy Maximum.
intensive care More Information
Intensive Care room and board; Usual, Reasonable, and Customary (URC) Physician Charges, Prescription Medications, Durable Medical Equipment, Nursing Services and X-rays up to the Policy Maximum.
surgery More Information
Usual, Reasonable, and Customary (URC) Charges for Surgery, Physician and Anesthetics up to the Policy Maximum.
hospital daily indemnity benefit (geographical treatment area b) More Information
$50 per day ($1,000 maximum per Policy Period), for every Medically Necessary night spent in a Hospital (Hospital Admission) outside of the United States and Canada. An additional Daily Indemnity Benefit Rider may be purchased to increase this benefit limit to $200 per day.
outpatient treatment More Information
Usual, Reasonable, and Customary (URC) Charges for Emergency Treatment, Surgery, Physician’s office, Prescription Medication up to the Policy Maximum.
physiotherapy, chiropractic More Information
Up to $75 per visit ($10,000 Lifetime Maximum), when referred in advance by a Physician.
medical supplies More Information
Usual, Reasonable, and Customary (URC) Charges up to Policy Maximum.
ambulance More Information
Usual, Reasonable, and Customary (URC) Charges up to Policy Maximum.
well child care More Information
Up to $200 per Policy Period Maximum for checkups and routine visits after twelve (12)-month waiting period. Up to age eighteen (18). Not subject to Deductible and Coinsurance.
maternity More Information
Usual, Reasonable, and Customary (URC) Charges up to limits below, per Pregnancy, must be Pre-Notified within the first ninety (90) days of Pregnancy. Waiting period of twelve (12)- months before maternity benefit begins.
After 12 months of continuous policy term: $1,000
After 24 months of continuous policy term: $2,000
After 36 months of continuous policy term: $3,000
After 48 months of continuous policy term: $4,000
After 60 months of continuous policy term: $5,000
mental & nervous More Information
Usual, Reasonable, and Customary (URC) Charges up to a Maximum of $10,000 per Policy Period after twelve (12)-month waiting period. Inpatient limited to a maximum of forty-five (45) days per Policy Period. Outpatient limited to a maximum of forty (40) visits per Policy Period at 70% of Eligible Expenses. Lifetime Maximum of $30,000.
newborn benefit More Information
Maximums listed below per eligible pregnancy for the first thirty-one (31) days after birth.
After 12 months of continuous policy term: $1,000
After 24 months of continuous policy term: $2,000
After 36 months of continuous policy term: $3,000
After 48 months of continuous policy term: $4,000
After 60 months of continuous policy term: $5,000
dental More Information
Usual, Reasonable, and Customary (URC) Charges for repair and replacement of sound, natural teeth damaged as a result of an accident, limited to $500 per Policy Period. A Dental Benefit Rider may be purchased to expand Dental Coverage. Please visit www.sevencorners.com/rpdental.
emergency medical evacuation More Information
$250,000 Limit per person per Policy Period – when adequate medical facilities and/or treatment is not available when traveling outside your current Country of Residence. (Preapproval required.)
repatriation of remains More Information
$25,000 Limit per person – when traveling outside your current Country of Residence. (Preapproval required.)
emergency medical reunion More Information
$10,000 Limit per person per Policy Period – when traveling outside your current Country of Residence. (Pre-approval required).
preventive benefits More Information
Females and Males Age nineteen (19) and over up to $175 per Policy Period Maximum for checkups, routine physical exams, female preventative exams and mammograms after twelve (12)-month waiting period. Not subject to Deductible or Coinsurance.
accidental death & dismemberment (ad&d) More Information
Principal Sum:
$10,000 for Insured and Spouse,
$2,000 for Dependent Children.
For Common Carrier, Principal Sum:
$40,000 for Insured and Spouse,
$8,000 for Dependent Children.
lifetime transplant benefit More Information
Up to $1,000,000 per Insured Person.

Benefit Options

Seven Corners offers additional benefit options for your review and possible selection. These are in addition to the standard Reside Prime program benefits and cannot be purchased independently.
ad&d principal sum rider Option Information
Reside Prime includes a standard Accidental Death & Dismemberment (AD&D) Principal Sum as mentioned above. Additional amounts are available to provide further protection should something happen to you or your family during your Policy Period. For the primary insured, additional amounts of $100,000; $200,000; $300,000; $400,000 or $500,000 are available. Additional amounts may not exceed seven (7) times your annual income.
dental rider Option Information
Reside Prime offers an option for a Dental Rider. Whether you are at home or abroad, you now have access to a dental package that will provide protection worldwide. Please visit our website at www.sevencorners.com/rpdental to see full benefit description.
sports rider Option Information
Your time spent abroad could include a few adventurous activities. The Sports Rider removes the hazardous sport exclusion from Reside Prime. The optional Sports Rider provides coverage for mountaineering where ropes or guides are normally used, hang gliding, parachuting and bungee jumping.
hospital daily indemnity rider Option Information
The Hospital Daily Indemnity Rider protects you against unforeseen expenses worldwide should you or a covered member of your family find yourself in the unfortunate position of a hospital admission. This option pays $150 (additional to standard benefit, if applicable) per night, should a covered Insured Person be admitted to a hospital for a covered condition in Geographical Treatment Area B under Reside Prime.

Extended Coverage Schedule of Benefits

After 36 months of continued coverage under Reside Prime, the following Extended Coverage Schedule of Benefits shall apply to eligible expenses beginning on the 1st day of the 37th month. All other conditions of the policy shall continue to apply.

All amounts listed are in U.S. dollars. Click the titles to see further information.

lifetime maximum benefit $2,500,000 per Insured Person.
policy period deductible options $500; $750; $1,250; $2,750; $5,250
Maximum of three (3) deductible payments for families enrolling on one application. Any eligible charges incurred and applied to your Policy Period deductible in the last thirty (30) days prior to your renewal date will carry over and be applied to the next Policy Period Deductible.
inside of the united states and canada (geographical treatment area a) More Information
After the Deductible, the Policy pays 80% of the next $5,000 of eligible expenses, then 100% up to the Policy Maximum. Expenses incurred inside the United States and Canada must be Pre-Notified using Seven Corners’ Pre-Notification Program.
If Services and Treatment eligible for coverage under this Certificate are received directly from an approved PPO Service Provider while the Insured Person is in the United States: (a) the Company will reduce by 50% any part of the Deductible applicable to such Eligible Benefits, and (b) the Company will waive any and all Coinsurance applicable to such Eligible Benefits.
outside of the united states and canada (geographical treatment area b) More Information
After the Deductible, the Policy pays 90% of eligible expenses to the Policy Maximum. Hospital Admissions must be Pre-Notified using Seven Corners’ Pre-Notification Program.
inpatient hospital expenses More Information
Average Semi-Private room and board; Usual, Reasonable, and Customary (URC) Physician Charges, Prescription Medications, Durable Medical Equipment, Nursing Services and X-Rays, up to a limit of $2,000 per day, up to the Policy Maximum.
intensive care More Information
Intensive Care room and board; Usual, Reasonable, and Customary (URC) Physician Charges, Prescription Medications, Durable Medical Equipment, Nursing Services and X-rays, up to a limit of $4,000 per day, up to the Policy Maximum.
surgery More Information
Usual, Reasonable, and Customary (URC) Charges for Surgery and Physician up to the Policy Maximum. Anesthetics limited to one provider for a maximum benefit of 20% of the amount billed and eligible primary surgeons charge.
hospital daily indemnity benefit (geographical treatment area b) More Information
$50 per day ($1,000 maximum per Policy Period), for every Medically Necessary night spent in a Hospital (Hospital Admission) outside of the United States and Canada. An additional Daily Indemnity Benefit Rider may be purchased to increase this benefit limit to $200 per day.
outpatient treatment More Information
Usual, Reasonable, and Customary (URC) Charges for Emergency Treatment, Surgery, Physician’s office, Prescription Medication up to the Policy Maximum.
- Physician Charges, limit of $150 per visit
- Hospital Charge, $100 co-pay unless admitted, then waived
- Urgent Care Facility, $25 co-pay
- Diagnostic Lab and X-Rays limited to $5,000 per Policy Period
physiotherapy, chiropractic More Information
Up to $75 per visit, $1,000 maximum per Policy Period ($10,000 Lifetime Maximum), when referred in advance by a Physician.
medical supplies More Information
Usual, Reasonable, and Customary (URC) Charges up to Policy Maximum.
ambulance More Information
$100 per incident.
well child care More Information
Up to $200 per Policy Period Maximum for checkups and routine visits after twelve (12)-month waiting period. Up to age eighteen (18). Not subject to Deductible and Coinsurance.
maternity More Information
Usual, Reasonable, and Customary (URC) Charges up to limits below, per Pregnancy, must be Pre-Notified within the first ninety (90) days of Pregnancy. Waiting period of twelve (12) months before maternity benefit begins.
After 12 months of continuous policy term: $1,000
After 24 months of continuous policy term: $2,000
After 36 months of continuous policy term: $3,000
After 48 months of continuous policy term: $4,000
After 60 months of continuous policy term: $5,000
mental & nervous More Information
$2,000 maximum per Policy Period. Inpatient limited to a maximum of twenty-five (25) days per Policy Period. Outpatient limited to a maximum of twenty (20) visits per Policy Period, at 70% of eligible expenses, up to $75 maximum per visit. Lifetime maximum of $30,000.
newborn benefit More Information
Maximums listed below per eligible pregnancy for the first thirty-one (31) days after birth.
After 12 months of continuous policy term: $1,000
After 24 months of continuous policy term: $2,000
After 36 months of continuous policy term: $3,000
After 48 months of continuous policy term: $4,000
After 60 months of continuous policy term: $5,000
dental More Information
Usual, Reasonable, and Customary (URC) Charges for repair and replacement of sound, natural teeth damaged as a result of an accident, limited to $500 per Policy Period. A Dental Benefit Rider may be purchased to expand Dental Coverage. Please visit www.sevencorners.com/rpdental.
emergency medical evacuation More Information
$250,000 Limit per person per Policy Period – when adequate medical facilities and/or treatment is not available and when traveling outside your current Country of Residence. (Pre-approval required.)
repatriation of remains More Information
$15,000 Limit per person – when traveling outside your current Country of Residence. (Pre-approval required.)
emergency medical reunion More Information
$10,000 Limit per person per Policy Period – when traveling outside your current Country of Residence. (Pre-approval required.)
preventive benefits More Information
Females and Males Age nineteen (19) and over up to $175 per Policy Period Maximum for checkups, routine physical exams, female preventative exams and mammograms after twelve (12)-month waiting period. Not subject to Deductible or Coinsurance.
accidental death & dismemberment (ad&d) More Information
Principal Sum:
$10,000 for Insured and Spouse,
$2,000 for Dependent Children.
For Common Carrier, Principal Sum:
$40,000 for Insured and Spouse,
$8,000 for Dependent Children.
lifetime transplant benefit More Information
Up to $500,000 per Insured Person.
chemotherapy or radiation therapy More Information
Up to $10,000 per year, Lifetime Maximum of $50,000.
prescription medications More Information
Limit of $5,000 per Policy Period for each Insured Person, outpatient only.

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