Aflac Wellness Claim Form 2024

Aflac Wellness Claim Form 2024 - File a Wellness Benefit Claim Aflac is here to help If you are filing for a health screening on your Hospital Indemnity Accident or Critical Illness plan for Coronavirus COVID 19 testing select Biometric Screening as your exam Claims are subject to policy terms and conditions File a Wellness Benefit Claim Online

How to file a wellness claim Aflac wellness claims pay you money for staying on top of your health by getting yearly checkups and medical screenings such as physicals dental exams and eye exams Most accident hospital indemnity and cancer insurance policies have wellness benefits

Aflac Wellness Claim Form 2024

Aflac Wellness Claim Form 2024

Accident/Hospital Indemnity Wellness Benefit Claim Form If you are interested in filing your claim online, register using aflac.com/smartclaim. Benefits of filing your claim online include faster claim processing time and receiving claim communications by email. Please read all instructions.

WELLNESS AND HEALTH SCREENING CLAIM FORM Failure to complete all sections may result in delayed processing of this claim Review your policy for specific benefits covered under your plan

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File your claim via fax or mail Consider filing online for faster claims payment Download form Have questions Connect whenever you need us Log in to to your account or Chat with us For step by step tutorials on filing an online claim please see our claims checklists

Aflac Wellness Claim Form Printable

Download a Claim Form Choose your state of residence and select the appropriate form s Select a State Submit To submit your claim via fax or mail Fax 877 442 3522 Mail Aflac 1932 Wynnton Road Columbus GA 31999

Filing Claims Aflac Group

DATE American Family Life Assurance Company of Columbus Aflac ATTN Claims Department 1932 Wynnton Road Columbus GA 31999 For information or to check claim status visit aflac or call 1 800 99 AFLAC 1 800 992 3522 Claims may be faxed to 1 877 44 AFLAC 1 877 442 3522 S00220 Page 2 of 2 02 14

Aflac Wellness Claim Forms Printable

Use black or blue ink only and print legibly when completing this form in its entirety Mark only wellness exam boxes for test s and or treatment s received Failure to complete all sections may result in a delay in processing this claim Some types of tests and or treatment listed may not be covered by your policy

Fax: 888.659.1023. Mail: Aflac Claims Appeals, PO Box 84065, Columbus, GA 31908-9998. Please use the claim appeal form to organize your request. Please be sure to explain why you disagree with Aflac's decision, and include any additional supporting documentation. You have the right to appeal a decision up to a maximum of three times per claim.

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If you complete the online Authorization to Obtain Information form at the beginning of the claims process Aflac can assist in gathering required documentation by contacting your health care providers directly If you have questions or need help filing a claim call Aflac customer service toll free at 800 433 3036 Monday through Friday 6

Aflac Wellness Claim Form 2024

Use black or blue ink only and print legibly when completing this form in its entirety Mark only wellness exam boxes for test s and or treatment s received Failure to complete all sections may result in a delay in processing this claim Some types of tests and or treatment listed may not be covered by your policy

How to file a wellness claim Aflac wellness claims pay you money for staying on top of your health by getting yearly checkups and medical screenings such as physicals dental exams and eye exams Most accident hospital indemnity and cancer insurance policies have wellness benefits

Aflac Claim Forms Printable