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Click ‘Get Form’ to open the MetLife Hospital Indemnity Claim Form in the editor.
Begin with Section 1, providing your Certificateholder Information. Fill in your name, certificate number, address, date of birth, gender, and contact details.
If applicable, complete Section 2 for Patient Information. If the patient is the same as the certificateholder, check the box to skip this section.
In Section 3, detail the hospitalization information including admission and discharge dates, hospital name, and whether you are claiming a lodging benefit.
Proceed to Section 4 for Special Payment Instructions. If you prefer direct deposit, provide your bank details and confirm account numbers.
Review Sections 5 and 6 for Fraud Warnings and Certification. Sign and date where required.
Complete the Authorization to Disclose Health Information and ensure your physician fills out their section before submission.
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How to file a hospital indemnity claim with MetLife?
At your option, you can submit your claim online and upload supporting information to our website. To submit a claim online, visit mybenefits.metlife.com or download the MetLife Mobile App.
What does the MetLife hospital indemnity plan cover?
In addition to having financial coverage in case of medical emergencies, other reasons you may want hospital indemnity insurance include: Youre pregnant or planning for a baby. Hospital indemnity insurance may provide coverage for extra days spent in the hospital after giving birth.
How do I claim my MetLife hospital indemnity insurance?
When you need to use your hospital indemnity coverage, you can access your benefits by following a few steps. Complete a claim form. Submit the claim form along with any other required information for any covered items. Check your plan details for specific coverage information. Receive a check.
How to submit a hospital indemnity claim?
Claims should be submitted within 90 days of the hospitalization if possible, but no later than one year. Hospital Indemnity insurance from Standard Insurance Company covers hospitalization due to childbirth, injury or illness including COVID-19 and mental health.
What documents are needed for a hospital indemnity claim?
Hospital Indemnity Claims: What to Submit Statement of Insured, completed via online claim filing or paper claim form. Itemized Bills with diagnoses for all inpatient confinement, imaging, and advanced studies claims. Medical Records or Office Notes for treatment related to critical illness or accident claims.
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Feb 21, 2017 Washington National, which markets and distributes supplemental health (including specified disease, accident and hospital indemnity insurance.
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