Get the free FSL Hospital Indemnity Claim Form - REV 02-02-2018.doc

HOSPITAL INDEMNITY BENEFIT CLAIM FORM Underwritten by: Fidelity Security Life Insurance CompanyMAIL TO:Kansas City, Member Service Center P.O. Box 9988, Austin, TX 78766 Fax: 844.473.8084 QUESTIONS?

How to fill out fsl hospital indemnity claim

How to fill out fsl hospital indemnity claim

1. To fill out the FSL Hospital Indemnity Claim, follow these steps:
2. Obtain the claim form from FSL or download it from their website.
3. Fill in your personal information, such as your name, address, and contact details.
4. Provide your policy information, including the policy number and effective date.
5. Describe the reason for the claim, including the date of hospitalization and the type of treatment received.
6. Attach any required documents, such as medical records or itemized bills.
7. Sign and date the claim form.
8. Review the completed form to ensure all information is accurate and complete.
9. Submit the claim form and supporting documents to FSL via mail or electronic submission as per their instructions.
10. Keep a copy of the claim form and supporting documents for your records.
11. Follow up with FSL to track the progress of your claim and address any additional requirements or queries.

Who needs fsl hospital indemnity claim?

1. FSL Hospital Indemnity Claim is needed by individuals who have purchased a hospital indemnity insurance policy from FSL.
2. This type of insurance provides additional financial protection by paying a fixed daily amount for each day of hospitalization.
3. People who want to claim reimbursement for their hospital expenses can submit an FSL Hospital Indemnity Claim to receive the indemnity benefit.
4. It is particularly useful for those who might face financial hardships due to hospitalization and want to cover their medical costs.
5. Anyone who holds an FSL Hospital Indemnity policy and requires reimbursement for hospital expenses can make use of this claim form.

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What is fsl hospital indemnity claim?

FSL hospital indemnity claim is a form or request for reimbursement submitted by a policyholder to their insurance company to cover medical expenses incurred during a hospital stay.

Who is required to file fsl hospital indemnity claim?

The policyholder or their designated representative is required to file the fsl hospital indemnity claim.

How to fill out fsl hospital indemnity claim?

To fill out the fsl hospital indemnity claim, the policyholder must provide personal information, details of the hospital stay, and any relevant medical records and bills.

What is the purpose of fsl hospital indemnity claim?

The purpose of fsl hospital indemnity claim is to request reimbursement for medical expenses incurred during a hospital stay that are covered by the insurance policy.

What information must be reported on fsl hospital indemnity claim?

The fsl hospital indemnity claim must include details such as the policyholder's name, policy number, date of hospital admission and discharge, reason for hospitalization, and itemized medical expenses.