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Hospital Indemnity Claim Form
Send to Guardian Life Insurance, Hospital Indemnity Claims, PO Box 14752, Lexington, KY 40512
Customer Service: 18002682525 Fax: (920) 7496417
Documents can be returned
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How to fill out hospital indemnity claim form

How to fill out hospital indemnity claim form
01
To fill out a hospital indemnity claim form, follow these steps:
02
Start by gathering all the necessary documentation, including your policy details, medical bills, and any other relevant medical records.
03
Fill in your personal information accurately, including your name, address, contact details, and policy number.
04
Provide details about the hospitalization, such as the date of admission, the reason for hospitalization, and the attending physician's name.
05
Fill in the details of the medical expenses, including the amount billed by the hospital, any co-pays or deductibles you have already paid, and any other related expenses.
06
Attach copies of the medical bills and any supporting documents that validate your claim, such as receipts for medications or medical supplies.
07
Review the form thoroughly to ensure all information is accurate and complete.
08
Sign and date the form, certifying that the information provided is true and accurate.
09
Submit the completed form along with the required documentation to the insurance company through the designated channels, such as mail or online submission.
10
Keep a copy of the completed form and all supporting documents for your records.
11
Follow up with the insurance company to track the progress of your claim and address any further requirements or inquiries they may have.
Who needs hospital indemnity claim form?
01
Any individual who has purchased a hospital indemnity insurance policy and has incurred medical expenses due to hospitalization may need to fill out a hospital indemnity claim form. This includes policyholders who want to submit a claim for reimbursement of their hospitalization expenses as covered by the policy. It is recommended to review the insurance policy terms and conditions to determine eligibility for filing a hospital indemnity claim.
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