Insurance Explained
How Does the Insurance Work?
This insurance policy, which IENA (American Summers) has arranged with eSecutive, is designed to meet the needs of J-1 participants. It exceeds the minimum coverage levels required by the US Department of State.
However, it doesn’t work unless you call the Customer Service Hotline to verify benefits and ensure the accuracy of your information before you seek treatment. Please contact Customer Service at: 1 800 817 4345 Select the telephone prompts available for after hours emergency assistance. Provide the Customer Service Helpline reference number: (Ref# 01SESSUM08123)
Medical Insurance ID Card
To access your complete insurance information including your Insurance ID-Card and Claims Instructions, please login to your personal MyInsurance area.
To create your account, you will need:
- Your Last Name
- Your First Name
- Certificate / Policy Number
- Your Date of Birth
You can also use Facebook connect and log-in to MyInsurance with your Facebook account!
Print your insurance ID Card and Always carry it with you so you can show it to any medical provider, if necessary.
Important – check the dates of your policy. These are the dates as provided by you to your recruiter or IENA and they should match exactly with your flight/travel dates to/from America. If not, please contact your recruiter or IENA immediately.
If you wish to extend your insurance, simply log in to your personal MyInsurance area. Please note that there will be an extra cost if you will exceed 123 days.
How do I find a doctor?
In the US you should only go to an Emergency Room in case of a serious or life-threatening accident or illness. The emergency room situation in the US is different from emergency room treatments in other countries. The costs for an emergency room visit in the US are significantly higher than treatments at a walk-in clinic, urgent care center or physician’s office.
Please note: You should only go to an Emergency Room in case of a serious or life-threatening accident or illness, for example: head injuries, chest pain, loss of consciousness, life-threatening situations, difficulty breathing, seizures.
In all other cases, as for example: sports injuries, sore throats, minor cuts, cold/flu, sprains and strains, urinary tract infections, earaches, simple fractures, minor burns, please use a Convenience Care, Walk-in or Urgent Care Clinic.
Search for a doctor, Urgent Care or Walk-in Clinic (Select Passport to Healthcare Primary PPO Network).
1 800 817 4345 from 6:00 a.m. – 5 p.m. PT, Monday – Thursday and 6:00 a.m. – 4 p.m. PT Fridays.
If you visit the emergency room for an illness that does not result in direct hospitalization you have to pay a copayment of USD 350.
If you are going to be hospitalized for any reason, contact Personal Insurance Administrators, Inc. (PIA), to verify coverage at least 3 days prior to planned hospitalization. If you are hospitalized due to an emergency medical condition, please contact PIA within 24 hours of admission, or as soon as you are reasonably able to. You will need to complete a claim form once you receive the hospital bill. Call 1 800 817 4345 to find a provider or verify coverage prior to hospitalization. However, it doesn’t work unless you call the Customer Service Hotline at 1 800 817 4345 to verify benefits and ensure the accuracy of your information before you seek treatment. They are available 24 hours per day/7 days per week.
Please note, the insurance provided via your American Summers program does not cover pre-existing conditions or applicants aged 65 or older. If you think these parameters may affect your eligibility for insurance coverage, please contact American Summers as soon as possible.