Metlife hospital indemnity forms 2026

1. Click ‘Get Form’ to open the MetLife Hospital Indemnity Claim Form in the editor.
2. Begin with Section 1, providing your Certificateholder Information. Fill in your name, certificate number, address, date of birth, gender, and contact details.
3. If applicable, complete Section 2 for Patient Information. If the patient is the same as the certificateholder, check the box to skip this section.
4. In Section 3, detail the hospitalization information including admission and discharge dates, hospital name, and whether you are claiming a lodging benefit.
5. Proceed to Section 4 for Special Payment Instructions. If you prefer direct deposit, provide your bank details and confirm account numbers.
6. Review Sections 5 and 6 for Fraud Warnings and Certification. Sign and date where required.
7. Complete the Authorization to Disclose Health Information and ensure your physician fills out their section before submission.

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