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Home > Long Term Care > Claiming Benefits
Claiming Benefits Once You Are Authorized |
  
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To be reimbursed for your authorized covered services, you must file a claim with the insurance company within 180 days after the end of the calendar year in which you receive the covered services. Here’s how to file a claim:
- You will receive a claim form with your authorization letter.
- When you have received covered services, complete the form and mail it to the insurance company at the address printed on the form.
- You will receive payments after the waiting period from the insurance company, unless you have asked for your provider to be paid directly by filling out an area of the claim form for assigning benefits to your provider.
- You will receive each benefit payment.
Once the waiting period has been satisfied, as you submit claims, benefit payments will be made within 10 working days of the receipt of all necessary information by the insurance company.
If any premiums are owed to the insurance company at the time you submit your claim, the amount you owe will be subtracted from the benefit payment for which you are eligible.
If a claim is denied, you have 60 days to appeal the decision by writing to MetLife at the following address:
MetLife Long Term Care
PO Box 937
Westport, CT 06880
To File a Claim
- You will receive a claim form with your authorization letter.
- When you have received covered services, complete the form and mail it to the insurance company at the address printed on the form.
- You will receive payments after the waiting period from the insurance company, unless you have asked for your provider to be paid directly by filling out an area of the claim form for assigning benefits to your provider.
- You will receive each benefit payment.
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Last updated: Thursday April 21 2005
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