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How To File An STD Claim Phone Only Cigna

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112 views

How To File An STD Claim Phone Only Cigna

Uploaded by

Prakash Classic Jp
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Short-Term Disability

Disability and Absence Management

Call MetLife to file a Short-Term Disability (STD) claim


Follow the steps below to start your disability claim leave request. These instructions also provide
information on what to expect during the process – we’re here to help.

Step 1: Notify your supervisor within 30 days of your leave


Discuss the reason for your leave including:
• The length of your leave and your estimated return-to-work date.
• If you will need to take leave all at one time (continuous) or for shorter periods (intermittent) and if your
serious health condition requires a reduced work schedule.
• If you have any potential employer-paid leave benefits such as PTO, vacation, sick leave, other forms of
insurance such as Workers Compensation or state paid leave benefits.
Please read through all the steps in this guide before starting your claim submission.

Step 2: File a Claim via Phone


1. To start your claim, call MetLife at 855-229-7304.

2. Speak with a MetLife customer care advocate and provide the following:
• Your name, address, e-mail address, telephone number and employee ID.
• Your employer's name, address, and telephone number.
• Reason you are opening a claim, including medical condition which may impact your ability to work
your normal schedule.
• Your health care provider(s) contact information.
• Absence details, such as your first day absent and your anticipated return to work date.

MetLife will create your claim and provide you with a reference number by the end of the call. Please keep
this reference number for future use.

Step 3: What happens after I file a claim?


Within 2-4 business days of filing your claim with MetLife, MetLife will send an Acknowledgement Package with
important information regarding your claim(s).

The package will include important forms:

Download Medical Download


Authorization Attending Physician Statement

For your convenience, download the Medical Authorization and Attending Physician Statement (APS) to fast
track your claim prior to the acknowledgement package arriving.

1. Please ask you healthcare provide to complete the Attending Physician Statement (APS) if required.

2. Please complete the Medical Authorization form. You’ll need to sign a consent to allow MetLife to gather
information to support your claim.

Please note: When your leave qualifies for more than one benefit administered by MetLife (such as Short-
Term Disability, state paid leave, and/or FMLA), you should complete only one claim form and submit
authorizations and certifications once to support all your claims.
Disability and Absence Management

Step 3: What happens after I file a claim? (continued)

1. Please mail, fax, or upload the completed forms to us at:

Mail: Upload:
MetLife Disability • Log into: mybenefits.metlife.com
PO Box 14590. Lexington KY 40512-4590 • Locate your claim under My Accounts
• Click on “You can add a comment or
Fax: document to your claim”
1-800-230-9531

2. A MetLife claims specialist may contact you for additional details about you, your job, your condition, your
treatment plan, and health care provider(s).
• If you already have an open claim with MetLife, please let the claims specialist know so they
can link your claims.
• Your claims specialist will also discuss your anticipated return to work date.

3. Your employer will be contacted to confirm employment and coordinate other eligible benefits.

4. We’ll follow up with a letter detailing any missing information to complete your claim if needed.

5. MetLife will make a decision about your claim.


• Once a decision is made on your claim(s), you’ll receive a call from a MetLife claim specialist and a
letter. If approved, the letter will include your benefit amount and instructions on how to contact
MetLife if you require further assistance.

Step 4: Communication with MetLife when on leave


• Your claims specialist will periodically contact you and your health care provider(s) to check-in
on you and your health.
• If there’s a change in claim status, your claims specialist will contact you by phone and send a letter to
outline the change such as an extension or closure.
• If you’re taking a leave on an intermittent basis, please continue to enter your intermittent FMLA absences
through your appropriate time reporting system.

Returning to work after leave If your claim has been


• You may be contacted by your claims specialist, a nurse denied
clinician, PCS, and/or a vocational rehabilitation consultant to • You have the right to appeal the
discuss your return-to-work options. decision on your claim.
• If you return to work earlier or need to be out longer, call your • The decision letter will provide
claims specialist to create a new return to work plan. Also,
important information about
please call your employer to keep them informed of any
how to file an appeal and the
changes to your return-to-work date.
required timeframe.

Metropolitan Life Insurance Company | 200 Park Avenue | New York, NY 10166
© 2023 MetLife Services and Solutions, LLC

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