Hospital confinement indemnity (gap) claim form - Assurant ... 2025

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The document is a Hospital Confinement Indemnity (GAP) Claim Form from Fidelity Security Life Insurance Company. It provides instructions for submitting a claim, including completing the Statement of Insured, attaching necessary documents like the Explanation of Benefits and itemized bills, and returning the form via mail, fax, or email. It also includes an authorization for the release of health-related information and outlines fraud notices specific to various states.

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What does a hospital indemnity plan cover?

Payments from a hospital indemnity plan can cover costs from an extended hospital stay, transportation to and from follow-up appointments, and more. Here are a few expenses you might want to use it for: Deductibles and co-payments. Out-of-network care and treatment.

What is hospital indemnity hospital confinement policy?

What is Hospital Confinement Indemnity Insurance? Hospital Confinement Indemnity Insurance pays a daily benefit if you have a covered stay in a hospital* or critical care unit. The benefit amount is determined based on the type of facility and the number of days you stay.

What is considered hospital confinement?

Hospital Confinement means a stay of a covered person confined to a bed in a hospital for which a room charge is made. The Hospital Confinement must be on the advice of a physician and medically necessary.

Does hospital indemnity cover birth guardians?

The majority of Americans may not have enough savings to cover unplanned medical bills. Hospital indemnity insurance is designed to help provide financial support for periods of hospitalization by paying benefits that can be used to cover unexpected costs that can occur with pregnancy and childbirth.

What does a hospital confinement indemnity policy pay for?

Hospital indemnity insurance supplements your existing health insurance coverage by helping pay expenses for hospital stays. Depending on the plan, hospital indemnity insurance gives you cash payments to help you pay for the added expenses that may come while you recover.