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Health Insurance

Hospital Indemnity Insurance

Cash benefits when a hospital stay happens.

Hospital indemnity plans pay you cash directly for covered hospital stays, helping with deductibles, lost income, travel, and everyday bills while you focus on recovery.

  • Cash paid directly to you
  • Use benefits however you need
  • Works alongside your health plan
  • Daily benefit options available
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Hospital Indemnity Information & Needs Assessment

Takes about 3 minutes. No obligation, no cost.

1

Your information

Required

2

Health history

Optional. Have you had any of the following medical conditions?

Heart attack (last 2 years)
Stroke
Cancer (last 2 years)
A-Fib
Congestive heart failure
Insulin-dependent diabetes
Arthritis
COPD
Chronic lung disease
AIDS / HIV

Hospital Indemnity Quote Information Disclaimer

The information provided on this form is being collected solely for the purpose of evaluating hospital indemnity insurance options and preparing a quote. Providing this information does not constitute an application for insurance, guarantee eligibility, or guarantee coverage or rates.

By submitting this information, you authorize Seguro Advisory Group and its licensed insurance representatives to contact you regarding hospital indemnity insurance options and related insurance products. Your information may be used to obtain quotes and evaluate available coverage options with applicable insurance companies and will be handled in accordance with applicable privacy and insurance requirements.

Rates, eligibility, underwriting requirements, coverage amounts, policy features, and availability may vary by insurance company, state, age, health history, and other applicable factors. Final rates, coverage, and policy terms are subject to the insurance company's underwriting guidelines and approval.

Important: Please do not provide your Social Security number, Medicare Beneficiary Identifier (MBI), bank account information, credit card information, or other highly sensitive financial information on this form unless specifically requested through a secure application process.

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