Health Screening Benefit
Health screenings are an important part of managing your health. That's why your insurance coverage from MetLife provides an additional Health Screening Benefit (HSB) for covered screenings and tests.
How to file a claim:
To submit a claim, call 800-GET-MET8 (1-800-438-6388) to request a paper form or visit mybenefits.metlife.com or our mobile app to access and submit your forms electronically.
Have your helathcare provider's name, address, phone number, and testing information details available.
Check the mail! You will receive your benefit payment within 10 days or less.
Discover your Health Screening Benefit
The MetLife Health Screening Benefit (HSB)1 provides you with a benefits for taking care of your health. This benefit is available with your [Accident2], [Critical Illness], [Hospital Indemnity] plan[s].
You and each of your covered dependents will receive [$50] each calendar year for taking one of the covered screeings or tests. This benefit is in addition to any additional benefits you may qualify for under your coverage. Even better, we recently enhanced our HSB to include more than 50 screening tests3 including a routine health check-up, [coronavirus testing], immunizations, hearing test as well as dental & vision exams.
Health Screening Benefit
Health Screening Benefit |
Payable if an eligible covered person takes one of the screening/prevention measures listed below. Benefit Amount
Times Payable per Calendar Year
Eligible Screening/Prevention Measures
|
Here's how it works:
Susan goes for her annual dental exam. Afterwards, she contacts MetLife by calling the telephone number below or going online to submit her Health Screening Benefit claim. Susan will need to have availble her dentist's name, phone number, treatment dates and details. Susan receives her benefit payment with in 10 days or less4. It's that easy!
| The screening/prevention measures for which a Health Screening Benefit (HSB) may be paid are: | |
|---|---|
| Annual physical exam (routine health check-up) | Fasting blood glucose test |
| Biopsies for cancer | Fasting plasma glucose test |
| Blood Chemistry Panel | Flexible sigmoidoscopy |
| Blood test to determine total cholesterol | Hearing Test |
| Blood test to determine triglycerides | Hemoccult stool specimen |
| Bone marrow testing | Hemoglobin A1C |
| Breast Magnetic Resonance Imaging (MRI) | [a human papillomavirus test that is approved by the Federal Food and Drug Administration]3 |
| Breast ultrasound | Human papillomavirus (HPV) vaccination |
| Breast sonogram | Immunization |
| Cancer antigen 15-3 blood test for breast cancer (CA 15-3) | Lipid panel |
| Cancer antigen 125 blood test for ovarian cancer (CA 125) | Mammogram1 |
| Carcinoembryonic antigen blood test for colon cancer (CEA) | Oral cancer screening |
| Carotid doppler | Pap smears or thin prep pap test |
| [any cervical cancer screening test approved by the Federal Food and Drug Administration upon approval by the Covered Person’s Physician]3 | Prostate-specific antigen (PSA) test |
| Chest x-rays | Serum cholesterol test to determine LDL or HDL levels |
| Clinical testicular exam | Serum protein electrophoresis |
| Colonoscopy | Skin cancer biopsy |
| Complete Blood Count | Skin cancer screening |
| Coronavirus Testing (Diagnostic or Antibody) | Skin exam |
| Dental exam | Stress test on bicycle or treadmill |
| Digital rectal exam (DRE) | Successful completion of smoking cessation program |
| Doppler screening for cancer | Tests for sexually transmitted infections (STIs) |
| Doppler screening for peripheral vascular disease | Thermography |
| Echocardiogram | Two hour post-load plasma glucose test |
| Electrocardiogram (EKG) | Ultrasounds for cancer detection |
| Electroencephalogram (EEG) | Ultrasound screening of the abdominal aorta for abdominal aortic aneurysms |
| Endoscopy | Virtual colonoscopy |
| Eye exam | any generally medically accepted cancer screening tests approved by the Federal Food and Drug Administration3 |
Health Screening Benefit Video
1 The Health Screening Benefit is not available in all states. In some states, there is a separate mammogram benefit. Please review your Disclosure Statement or Outline of Coverage/Disclosure Document for specific state variations and exclusions around this benefit. See your certificate for any applicable waiting periods.
2 [For Accident Insurance, the Health Screening Benefit is not available in all states. For Texas sitused policies and Texas residents covered under policies sitused in other states, when the Health Screening Benefit is included in an Accident-only plan, the covered screening measures are: physical exam, blood chemistry panel, complete blood count (CBC), chest x-rays, electrocardiogram (EKG), and electroencephalogram (EEG).]
3 All screening tests may not be included with your plan. See your certificate for a complete list of screening tests covered under your plan
4 Applies only to "clean" claims. A clean claim is a claim submitted with all the required information necessary to process the claim; no missing information requiring additional follow up with the subscriber. It generally takes 10 business days to process "clean" claims.
[METLIFE’S ACCIDENT INSURANCE IS A LIMITED BENEFIT GROUP INSURANCE POLICY].
The policy is not intended to be a substitute for medical coverage and certain states may require the insured to have medical coverage to enroll for the coverage. The policy or its provisions may vary or be unavailable in some states. There are benefit reductions that begin at age 65, if applicable. Like most group accident and health insurance policies, policies offered by MetLife may include waiting periods and contain certain exclusions, limitations and terms for keeping them in force. For complete details of coverage and availability, please refer to the group policy form GPNP16-AX or contact MetLife. Benefits are underwritten by Metropolitan Life Insurance Company, New York, NY. Hospital does not include certain facilities such as nursing homes, convalescent care or extended care facilities. See MetLife’s Disclosure Statement or Outline of Coverage/Disclosure Document for full details. Hospital does not include certain facilities such as nursing homes, convalescent care or extended care facilities. See MetLife's Disclosure Statement or Outline of Coverage/Disclosure Document for full details.
[METLIFE CRITICAL ILLNESS INSURANCE (CII) IS A LIMITED BENEFIT GROUP INSURANCE POLICY.]
Like most group accident and health insurance policies, MetLife’s CII policies contain certain exclusions, limitations and terms for keeping them in force. Product features and availability may vary by state. In most plans, there is a pre-existing condition exclusion. After a covered condition occurs, there is a benefit suspension period during which most plans do not pay recurrence benefits, except in the case of insureds covered under a New York certificate. MetLife offers CII on both an Attained Age and an Issue Age basis. Attained Age rates are based on 5-year age bands and will increase when a Covered Person reaches a new age band. MetLife’s Issue Age CII is guaranteed renewable, and may be subject to benefit reductions that begin at age 65. Premium rates for MetLife’s Issue Age CII are based on age at the time of the initial coverage effective date and will not increase due to age; premium rates for increases in coverage, including the addition of dependents’ coverage, if applicable, will be based on the covered person’s age at the time of the initial coverage effective date. Rates are subject to change for MetLife’s Issue Age CII on a class-wide basis. A more detailed description of the benefits, limitations, and exclusions applicable to both Attained Age and Issue Age CII can be found in the applicable Disclosure Statement or Outline of Coverage/Disclosure Document available at time of enrollment. For complete details of coverage and availability, please refer to the group policy form GPNP07-CI, GPNP09-CI or GPNP14-CI, or contact MetLife for more information. Benefits are underwritten by Metropolitan Life Insurance Company, New York, New York MetLife's Critical Illness Insurance is not intended to be a substitute for Medical Coverage providing benefits for medical treatment, including hospital, surgical and medical expenses. MetLife's Critical Illness Insurance does not provide reimbursement for such expenses.]
[METLIFE'S HOSPITAL INDEMNITY INSURANCE IS A LIMITED BENEFIT GROUP INSURANCE POLICY.]
The policy is not intended to be a substitute for medical coverage and certain states may require the insured to have medical coverage to enroll for the coverage. The policy or its provisions may vary or be unavailable in some states. There is a preexisting condition limitation for hospital sickness benefits. There are benefit reductions that begin at age 65. Like most group accident and health insurance policies, policies offered by MetLife may contain certain exclusions, limitations and terms for keeping them in force. For complete details of coverage and availability, please refer to the group policy form GPNP16-AX, or GPNP16-HI, or contact MetLife. Benefits are underwritten by Metropolitan Life Insurance Company, New York, New York. In certain states, availability of MetLife’s Group Hospital Indemnity Insurance is pending regulatory approval. Hospital does not include certain facilities such as nursing homes, convalescent care or extended care facilities. See MetLife's Disclosure Statement or Outline of Coverage/Disclosure Document for full details.