COVID-19 Updates
We Are Here for You.
For over 153 years, MetLife has been committed to protecting the health and well-being of our customers, their families, and our communities.
In these unprecedented and stressful times, we want to assure you that MetLife is prepared, and has taken action to ensure our customers get the service they expect, the coverages they have are maintained, questions are answered, and claims are processed in a timely manner.
Below you will find important updates, how to review your benefit coverage and answers to common questions.
How can we help you?
Employee Benefits Supporting You Through a COVID-19 Diagnosis.
Employee benefits policies are unique for each company, please check with your HR department or Benefits Administrator on the details for your specific policy.
Hospital Indemnity Insurance1: COVID-19 would be considered a Sickness2 as defined in your certificate. Those benefits provided under the certificate for treatment of a Sickness2, including admission to and confinement in3 the hospital, would be payable subject to the terms and conditions of the certificate. Therefore, if you or an eligible family member are admitted to the hospital because of a COVID-19 diagnosis, you will be able to file a claim under your Hospital Indemnity Insurance coverage, provided you meet the plan requirements. This benefit is paid directly to you, regardless of what your medical coverage covers, or pays , as a lump sum with the freedom to use however you feel is necessary.
Disability Insurance: If you are diagnosed with COVID-19 and are unable to perform your job due to the sickness, you may be entitled to MetLife Disability Insurance benefits. Disability Insurance will replace a portion of your income for a given time period, which depends on your policy.
Life Insurance: You or an eligible family member will be covered by Group Life Insurance (Basic, Optional, Dependent, GUL and GVUL) due to a loss of life resulting from COVID-19, provided all requirements of the policy and certificate are met. Your plan may also include MetLife AdvantagesSM which gives you access to additional services like licensed Grief Counselors4 and Will Preparation5
Accident insurance: Generally, our Accident coverage only provides benefits for accidents. However, if your accident plan includes Sickness Hospital Benefits (admission and confinement3), those benefits would be payable if you or an eligible family member is hospitalized for treatment of COVID-19, provided all terms and conditions of the certificate are met, such as pre-existing condition limitation, benefit maximums, etc.
PlanSmart Financial Wellness6: You can get financial education and guidance with MetLife’s Financial Wellness program that may be helpful in managing finances during times of increased market volatility.
MetLife’s Employee Assistance Program7: You may have access to MetLife Employee Assistance Program (EAP) that provides 24/7 confidential access to professional support to help you manage stress, anxiety, grief, financial concerns, and much more. You can connect to support by phone, video, or chat anytime, anywhere, and have access to a vast library of online resources for coping with trauma, building resiliency, self-care, and managing change.
Travel Assistance coverage8,9: MetLife AXA Travel Assistance program provides medical evacuation/repatriation if you or an eligible family member are traveling more than 100 miles from home for 180 days or less, become ill and do not have access to medical facilities capable of providing needed care. AXA will coordinate transportation to the nearest appropriate medical facility or home, if medically necessary.
MetLife Legal Plans: If you and your eligible family members are enrolled in the Legal plan, you have access to Will Preparation services, including telephone or in-person consultations with an attorney in the MetLife Legal Plan attorney network. Covered services include preparing important planning documents like a power of attorney, which is a document that allows someone to conduct transactions on your behalf, and a health care proxy, where you can appoint another person to make medical decisions on your behalf.
Health Screening Benefit: If the Health Screening Benefit10 is included in your Critical Illness, Accident or Hospital Indemnity Insurance certificate, the Health Screening Benefit would be payable for a COVID-19 laboratory screening test (regardless of the test result) and/or the COVID-19 vaccine, subject to the requirements for payment of that benefit and the other terms and conditions of the certificate.
Keeping You Informed - General FAQs
If I am diagnosed with COVID-19 and need to be admitted to a hospital, how will MetLife employee benefits help me?
If you or an eligible family member have Hospital Indemnity Insurance1 or Accident Insurance that includes Sickness Hospital Benefits2, and you are admitted to the hospital for treatment of COVID-19, you will be able to file a claim under your coverage provided you meet the plan requirements.
Can I use my employee benefits to be tested for COVID-19?
If the Health Screening Benefit10 is included in a Critical Illness, Accident or Hospital Indemnity Insurance certificate, the Health Screening Benefit would be payable for a COVID-19 laboratory screening test (regardless of the test result) and/or the COVID-19 vaccine, subject to the requirements for payment of that benefit and the other terms and conditions of the certificate. Please check with your employer or sign into MyBenefits for plan details.
What is MetLife doing to ensure questions can be answered and claims are filed quickly?
MetLife remains committed to ensuring employees get the service they expect and the timely handling of claims. At this time, we are confident in our abilities to service our employees.
Disability FAQs
If I have been diagnosed with COVID-19 and I am unable to work, will MetLife Disability Insurance pay benefits?
If you have MetLife Disability Insurance, are diagnosed with COVID-19 and are unable to perform your job due to the sickness, you may be entitled to MetLife Disability Insurance benefits. Disability Insurance will replace a portion of your income for a given time period, which depends on your policy.
If I am quarantined, but not diagnosed with COVID-19 or can still work, am I eligible for a Disability Insurance claim?
Being quarantined most likely does not meet the requirements for a disability and would not be covered by MetLife Disability Insurance. However, if you develop COVID-19, or another qualifying sickness while quarantined, and you meet the definition of disability within the policy, benefits would be reviewed for payment.
If I am quarantined because of exposure to COVID-19 but not diagnosed with the illness, will I qualify for disability benefits?
Being exposed most likely does not meet the requirements for a disability and would not be covered by MetLife Disability Insurance. However, if you develop COVID-19, or another qualifying sickness while quarantined, and you meet the definition of disability within the policy, benefits would be reviewed for payment.
If I am quarantined because of exposure to COVID-19 but not diagnosed with the illness, will I qualify for FMLA?
We will review each leave request on a case-by-case basis. However, in order to qualify for FMLA, quarantined employees would need to satisfy the definition of a “serious health condition” or be caring for a child if the school or place of care has closed or childcare provider is unavailable due to a public emergency regarding COVID-19, among the other FMLA eligibility requirements. If you are unsure if the claim will be approved, we encourage the claim to be submitted for review.
Life Insurance FAQs
I submitted a life insurance application which requires medical evidence of insurability (MEOI), or Statement of Health (SOH). What happens to my life insurance application if I cannot complete the MEOI/SOH form immediately?
MetLife offers group life insurance policies through employers. If you select additional life insurance coverage, medical evidence of insurability (MEOI), or a Statement of Health (SOH), may be required based on your employer’s plan. Each individual applicant’s medical history must be reviewed before a coverage decision is made. If you are unable to go to the post office, or mail the paper form via the US Postal Service, there are two additional ways to submit your MEOI/SOH form for processing, including email and fax submission options. You can find the email and fax information in the Instructions section on your MEOI/SOH form.
In instances where additional medical evidence of insurability is required (for example, a paramedical exam) you will be given 6 months to complete this requirement. Once this additional information is received, MetLife will inform you of a coverage decision in writing.
I purchased a life insurance policy directly from an agent, not through my employer. How can I get help with my policy?
Self-service forms, answers to frequently asked questions, contact information, and performance information can be found on our website for those individuals who have purchased their policy through an agent (Life Insurance Policyholders site). You can also contact your financial professional for assistance.
Dental Insurance FAQs
Does MetLife provide benefit coverage for dental services delivered through tele-dentistry?
MetLife dental plans provide coverage for dental services delivered through tele-dentistry. The coverage is handled the same as if the patient was receiving the dental services in a dental office. Dental services that can be delivered through tele-dentistry typically include problem focused exams and re-evaluations. The coverage is subject to the plan terms and conditions. Dentists can verify benefit coverage using MetLife’s web portal, www.MetDental.com as well as MetLife’s interactive voice response (IVR) capabilities. To the extent a state has enacted mandates regarding tele-dentistry due to the COVID-19 pandemic, MetLife will fully comply.
Are employees going to be charged for additional personal protective equipment (PPE) costs from dental providers?
Currently, members who have services performed by a network provider should not incur any additional costs for infection control, including PPE, per our network contracts with our providers. These costs are not considered a separate billable dental procedure and cannot be billed to a participant or to MetLife. If a member is surcharged by a network provider for PPE upfront, they should report this charge to MetLife by calling us at 1-800-GETMET8 (1-800-438-6388). MetLife has an established grievance process to fully resolve these charges and track these types of issues which allows us to educate providers accordingly.
If a member receives services from an out-of-network provider, they may be responsible for any additional PPE charges billed by the provider.
Legal Plan FAQs
Will there be any disruption of service due to the pandemic?
Our Client Service Center is open during its regular hours Monday through Friday, 8 am – 8pm ET, and we are operationally prepared to handle all calls and claims. You can reach out to us at 800-821-6400 with any questions or concerns.
Can I access attorneys during this time?
Our attorneys can provide consultations over the telephone, and many can consult via virtual meetings. While our attorneys will do their best to handle all inquiries in a timely manner, our e-panel attorneys are also available to answer general questions online. You can submit questions and a Network Attorney will respond to within 24 to 48 hours.
U.S. Brokers
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