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. It covers injuries and illnesses.
- 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 should carry your personal health insurance card with you at all times. The card is attached to an email from ‘My CISI’ which you received at orientation. Search your email for “email@example.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 emailingClaimhelp@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 while on hold with no music or sound, this is normal.)
Finding a Doctor, Clinic, or Hospital
- The best place to start for any illness or injury is an Urgent Care clinic.
- They 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.
- Check out this blog post for a tutorial on how to locate a participating medical care provider through our insurance website.
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 on 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 (links below) along with your pharmacy receipt to the insurance company. 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
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 our local area should take your insurance.
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”)
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.
- You can visit this website to find testing locations, hours, and whether appoints are required.
- Your medical insurance covers COVID-19 testing if there is a medical reason (known exposure or symptoms).
- Optional testing for purposes such as travel is NOT covered by your insurance.
- The U.S. government is offering free, COVID-19 vaccines. Please visit this website for complete information and clinic locations in Maryland.
- I do not recommend going to an urgent care clinic or doctor’s office for the vaccine. They may charge you an expensive fee to administer the vaccine and your insurance will not cover it.
- Remember you do not have your full protection until 2 weeks after your second shot. Even with the vaccine, you can still contract the virus and pass it on to others. Continue to take precautions (social distancing, mask-wearing, frequent hand washing).
Services That are Not Covered
- High-Risk Sports – Your insurance will not cover ice skating, skiing, snowboarding, or other “high-risk sports” unless you add sports insurance.
- You can add sports insurance any time during your year.
- It takes 48 hours to take effect and will cover you for 12 months from your date of enrollment.
- You can sign up using this form: Sports Insurance Enrollment Form 2021
- 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.)
- Preventative Gynecology Care/Birth Control*
- Vaccines (See info above on COVID vaccine and check THIS blog post for information on the Seasonal Flu vaccine.)
*See below for information on free and 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 them 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 them you do NOT have insurance coverage for that and you are requesting the sliding scale or low-cost services.
- These are three women’s health clinics offering low-cost health services:
- Arlington, Virginia Family Planning Clinic: Human Services Center at Sequoia Plaza, 2100 Washington Blvd. 2nd Floor, Arlington, VA 22204, phone number: 703-228-1200 https://health.arlingtonva.us/public-health/health-clinics-services/family-planning/ You need to take the following documents with you: au pair participation letter from your au pair portal (this letter includes your stipend information), a picture ID, proof of your Maryland address like a bank statement, and your medical insurance card.
- 2. **Gaithersburg Planned Parenthood: 19650 Clubhouse Road #101, Gaithersburg, MD20886, phone number: 301-208-1300, https://www.plannedparenthood.org/health-center/maryland/gaithersburg/20879/gaithersburg-center-2493-90230
- 3. **Suitland Planned Parenthood: 5001 Silver Hill Road Suite #103, Suitland, MD 20746, phone number: 240-563-1220, https://www.plannedparenthood.org/health-center/maryland/suitland/20746/planned-parenthood-prince-georges-county-4198-90230
**For 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” which charges you a cheaper price based on your income level. You should bring your participation letter that includes stipend information.
Please visit the individual link above to make an online appointment for one of these locations.
Low-Cost Options (for services not covered)
Counseling – Discounts are available based on your income. Print your participation letter in your au pair portal for proof of income to show.
Dental Care – 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.
- CCI Dental Services
- Howard University Dental Clinic
- Catholic Charities Dental Clinic
- University of Maryland Dental School
Vision Care – These are some companies known for providing eye exams and replacement glasses or contacts for a reduced price.