File a Hospital Indemnity Insurance Claim
American Fidelity’s AF™ Limited Benefit Hospital Indemnity Insurance, or AF Hospital Assist™, is a supplemental policy designed to help pay out-of-pocket medical expenses related to inpatient treatment.
When filing a hospital indemnity insurance claim, you will need to provide the following documentation:
- Statement of Insured, completed via online claim filing or paper claim form
- Itemized Bills with diagnoses for all inpatient confinement, imaging, and advanced studies claims
- Medical Records or Office Notes for treatment related to critical illness or accident claims
We may also need:
- Authorization to Disclose Information Including PHI: This form gives us authorization to get records from your medical provider(s) and others who may hold information necessary for us to review your claim. Upload the form via your online account, or mail or fax it.
If you have questions about your policy, log in to your online account or AFmobile to download your policy, or visit the hospital indemnity insurance support page.
To file a paper claim, download and print a claim form here.
NOTE: Paper claim filing is not the fastest option. File a claim online or through AFmobile to get your money faster.