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HOSPITAL CONFINEMENT INDEMNITY (GAP) CLAIM FORMAL TO: Fidelity Security Life Insurance Company 3130 Broadway PO Box 418131 Kansas City, MO 641418131 Phone: 8006488624 Fax: 8169680575 Email: Claims
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How to fill out hospital confinement indemnity gap

01
Gather all necessary documents such as medical records, insurance policy information, and any other relevant paperwork.
02
Contact the hospital confinement indemnity gap provider and provide them with your personal information and policy details.
03
Explain the reason for the hospital confinement and provide any supporting documentation if required.
04
Fill out the hospital confinement indemnity gap form accurately, providing all the necessary details about the confinement period, medical expenses, and any additional expenses incurred.
05
Review the completed form to ensure all information is accurate and complete.
06
Submit the filled-out form along with any required documents to the hospital confinement indemnity gap provider either via mail, email, or through their online portal.
07
Keep a copy of the submitted form and documents for your records.
08
Follow up with the provider to ensure they have received your submission and inquire about the processing time for your claim.
09
If there are any additional steps or requirements specified by the provider, fulfill them accordingly.
10
Once the claim is processed and approved, you will receive the reimbursement for the hospital confinement indemnity gap coverage.

Who needs hospital confinement indemnity gap?

01
Anyone who is concerned about potential gaps in their health insurance coverage during a hospital confinement.
02
Individuals who have a high deductible health plan or limited insurance coverage.
03
People who want financial protection against unexpected medical expenses not covered by their primary health insurance policy.
04
Those who frequently require hospitalization or have a higher risk of medical emergencies.
05
Individuals who want to minimize out-of-pocket expenses and apply for additional coverage during a hospital confinement.
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Hospital confinement indemnity gap refers to the difference between the cost of hospitalization and the amount covered by insurance.
Insurance policyholders are typically required to file hospital confinement indemnity gap claims.
To fill out hospital confinement indemnity gap, policyholders need to provide details of their hospitalization expenses and insurance coverage.
The purpose of hospital confinement indemnity gap is to ensure that policyholders are adequately compensated for their hospitalization expenses.
Policyholders must report details of their hospitalization expenses, insurance coverage, and any other relevant information.
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