Medical & Dental Information

General Information

APIA’s health (medical) insurance plan is administered by Cultural Insurance Service International (CISI) and is part of the Aetna Health Network. It is valid anywhere in the world except your home country.

  • Your Insurance Website & App – Use the myCISI app and the myCISI desktop log-in to obtain information about your insurance coverage, account and reprint your insurance card.
  • Your Insurance Card – You need to take your personal health insurance card with your identification number with you to the doctor. The card is attached to an email from ‘My CISI’ which you received at orientation. Search your email for “enrollments@mycisi.com”.  If you cannot find the email or you lose your insurance card, you can:
      • Go on the myCISI desktop log-in and print a new card.
      • Contact the insurance company by calling 203-399-5130 or emailing Claimhelp@culturalinsurance.com. Please include your au pair ID number in the email along with your host family’s name and address. (If you call you may wait a awhile on hold with no music or sound, this is normal.)

How do I find a Doctor, Clinic, or Hospital?

  • The best place to start for any illness or injury is an Urgent Care clinic. Several local clinics are listed below. (If you have a women’s health issue scroll further down this page.)
  • Urgent Care clinics are typically open daily from 8 am until 10 pm.
  • For most urgent care clinics an appointment is not required.
  • You can just walk in, but for ones who offer appointment booking online or by phone, that can reduce your wait time once you arrive.
  • Search for urgent care clinics who accept your insurance here. Choose “Passport to Healthcare Primary PPO Network”. This video shows you how to find a provider.

Urgent Care Clinics 

  • Medstar PromptCare – Capitol Hill, 228 7th St SE, WASHINGTON, DC 20003-4306, 202-698-0795
  • Medics USA – 1700 17th St. NW, Suite A, Washington, DC 20009, 202-483-4400
  • Medstar PromptCare – Adams Morgan, 1805 Columbia Rd NW, WASHINGTON, DC 20009-2001, 202-797-4960
  • Medstar PromptCare – Chevy Chase, 5454 Wisconsin Ave. Suite 401, Chevy Chase, MD 20815, 301-215-9440
  • Allcare –  With 5 locations across Washington, DC including – Navy Yard, H St NE, Wisconsin Ave NW, Rhode Island Ave NW, and Van Ness area NW. You can book an appointment 24/7 on their website.

Virtual Urgent Care Visits

Doctor Please – Free Tele-Visit Consultation –   If you have a covered medical condition that you would like to discuss over the phone before going to a facility – you can use this free service. They can advise and prescribe simple medicine if need be – or might suggest that you be seen in person should the medical condition require. Have your CISI insurance card in front of you as this tele-clinic will need you to provide certain details to receive care: 855-327-1411.

Locally, Medstar Health offers telemedicine eVisits. Please visit this link to find out how it works, the conditions they treat, and other frequently asked questions.  You will need to enter your medical insurance information. The cost is about the same as a visit to the in-person Urgent Care Clinic.

 Hospital Emergency Room

Only go to the Emergency Room at the hospital for a serious medical issue requiring immediate care. (For example, anything serious enough where you consider calling 911 for an ambulance or asking someone to take you to get care immediately.) For anything less than a true emergency, it is best to be seen by a doctor at an Urgent Care Clinic. If Urgent Care directs you to the Emergency Room, then it should be covered as an emergency.

If you go to the Emergency Room at the hospital for anything less than a true emergency, you will be charged an extra $500 non-emergency deductible by the insurance company

If you truly think you are having a life-threatening emergency, then go directly to the nearest hospital. Any hospital in the DC area will take your insurance.

Prescription Medicine

You will need to pay upfront at the pharmacy. To reduce the amount you have to pay upfront, you need to bring your prescription discount card to the pharmacy  (you can download it by visiting: this website or go to goodrx.com to look for the best price.

    • Present the pharmacist with your prescription discount card or code from GoodRX when you fill your prescription.
    • You will need to pay the full cost for the prescription medication at the pharmacy. Then, you send a completed claim form (link below) along with your pharmacy receipt (the one usually stapled to the bag with your name, name of medicine, and cost) to the insurance company. (Note: The cash register receipt on its own WILL NOT be enough, you must have the detailed one described above.) They will reimburse you for their share of the prescription cost. It will come in the mail as a check payable to you.
    • Click here to get a claim form
    • Make copies (or take photos with your phone) of the receipt and your claim form before sending. Keep those for your records until you receive payment for your claim.

Flu and Covid Vaccines

If you are concerned you may have been exposed to Covid-19 here in the District, a COVID-19 test can help you know if you have the virus.  A Covid-19 test may reduce your risk of severe illness and allow you to take steps to lower your chances of spreading the virus to others. If you are in need of Covid-19 testing kits, they are available free of charge here.  (There is currently a limit of 4 free testing kits per household.)

Getting a low cost Covid-19 vaccine while living in Washington, DC

As the CISI insurance plan covers only services related to illness and injury, the preventative Covid-19 and Flu vaccines are NOT a plan benefit.  Adults without health insurance and adults whose health insurance does not cover all COVID-19 vaccine costs can get updated COVID-19 vaccines at select clinics.  Call the DC Department of Health Immunization Program at 202-576-7130 or visit their site to locate a clinic nearest you.

Getting a free flu vaccine in DC

Your au pair medical insurance does NOT cover the cost of a flu shot. BUT you can get free flu shot at this clinic:
Kaiser Permanente
700 2nd St. NE (ground floor)
Washington, DC 20002
(202) 346-3000
You do not need an appointment for the shot, and you do not need to be a member of Kaiser Permanente. Free flu shots are offered between the hours of 8:30am and 3:30pm MONDAY-FRIDAY. If you go after this time, you can still TRY to get a flu shot by going to their 24/7Advanced Urgent Care Center and asking for a free flu shot. If anyone denies you, please ask to speak to a supervisor.  Bring a photo ID with you (passport or driver’s license).
After Arrival in the United States the CDC recommends that all travelers:

Medical Specialists

If you need to see a specialist please search this database for a doctor who takes your insurance: click here.  After you enter your zip code, you will be asked to Select a Plan, choose “Passport to Healthcare Primary PPO Network”). You do not need a referral to see specialist, other than for physical therapy.

Tell the doctor/care provider that you have Aetna Health Insurance when you call to make your appointment or check-in at the office. Always confirm that they still take your insurance. Immediately call or email the insurance company if a listed provider states that they do not take your insurance.

Outpatient Mental Health Counseling 

Counseling services are covered with a limit of $500.  If you have the basic plan, you would need to pay your $50 deductible, then 20% co-pay and the insurance pays 80% (up to a maximum of $500).

To find a counselor who accepts your insurance, search this database: After you enter your zip code, you will be asked to Select a Plan, choose “Passport to Healthcare Primary PPO Network”. Under “Find what you need by category”, select “Behavioral Health”.

Tell the doctor/care provider that you have Aetna Health Insurance when you call to make your appointment or check-in at the office. Always confirm that they still take your insurance. Immediately call or email the insurance company if a listed provider states that they do not take your insurance.

Another option is through this low cost online counseling service: Open Path Psychotherapy Collective.

If you use up your counseling benefit and would like to continue seeing someone – Below is a clinic that provides discounted services based on your income. Print your participation letter in your au pair portal for proof of income to show.

Services That are Not Covered 

  • High-Risk Sports – For au pairs who arrived in the US prior to 2025, your insurance will not cover ice skating, skiing, snowboarding, or other “high-risk sports” unless you add sports insurance. (Snow tubing does not require insurance.)
  • For au pairs who arrived to the US in 2025, your insurance will not cover skiing, snowboarding, or other “high-risk sports” unless you add sports insurance. However, no sports insurance is required for ice skating.
  • You can add sports insurance any time during your year and the cost is $110 for the 12 months.
  • It takes 48 hours to take effect and will cover you for 12 months from your date of enrollment.
  • To enroll in sports insurance, use the link found in the email sent to you with the subject “Au Pair in America Sports Insurance Upgrade Option”.  Ask your community counselor if you are having trouble finding the sports insurance enrollment link.
  • Preventive Care – Your health insurance does NOT cover preventive care, like the following:
  • Dental Care* (CISI medical upgrade plan includes some emergency dental coverage. Basic plan does not include dental.)
  • Physicals/Check-ups
  • Preventative Gynecology Care/Birth Control*
  • Vision Care (glasses and contacts)*
  • Vaccines (See info above on COVID vaccine and check THIS blog post for information on the Seasonal Flu vaccine.)

*See below for information on low-cost options for some of these services.

Women’s Health Issues 

  • Your medical insurance DOES cover medical problems (testing for a suspected STD, infections, and other gynecological conditions) as long as they are not pre-existing conditions. For gynecology problems, you will give the clinic your insurance card and it will be handled like any other injury or illness.
  • Your insurance DOES NOT cover preventive care (annual gynecology exam, preventive screening tests or birth control*). For preventative care, you should tell the clinic you do NOT have insurance coverage for this and you are requesting the sliding scale or low-cost services.

These are three women’s health clinics offering low-cost health services:

**For general birth control and other preventive care (annual exam, pap smear, breast exam, birth control of any kind), you will need to pay for the care you receive at Planned Parenthood, but you can ask for the “Sliding Scale” fee which charges you a cheaper price based on your income level. You should bring your participation letter that includes stipend information.

*IF your birth control medication is prescribed to treat a covered medical complaint the cost of the prescription will be covered by your insurance.

Please visit the individual link above to make an online appointment for one of these locations.

Dental Care 

Au pairs with the medical upgrade insurance have $500 emergency dental coverage. This would include services like filling a cavity or repairing a chipped tooth, as long as the tooth was in good health at the time of her arrival to the U.S. Au pairs with the dental upgrade can visit any dentist; they do not need to look for an in-network dental provider.

For preventive dental care (cleaning) and/or au pairs with basic insurance needing any dental care, these are some affordable options. The following clinics offer a variety of dental care including preventive care and treatment for issues. Services vary from clinic to clinic. Discounts are available based on your income. Print your participation letter in your au pair portal for proof of income to show.

Vision Care 

These are some companies known for providing eye exams and glasses or contacts for a reasonable price.

Other Important Information

  • Do not panic if you receive a crazy high bill.  It often takes a month for the doctor to correctly bill the health insurance.  If you do receive a crazy bill, please contact CISI support at (800) 303-8120, prompt 5 or 203-399-5130.
  • Take care of yourself.  Don’t delay going to the doctor if you are sick.  I know this is intimidating, but you can figure it out. Perhaps ask a friend to come with you.