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The document is a claim form for Aflac's Specified Event/Lump Sum Critical Illness benefits. It provides instructions for filing a claim, including the necessity of submitting supporting medical documentation from healthcare providers. The form requires detailed information about the policyholder and patient, as well as specific conditions for which claims can be made, such as heart attacks, strokes, and various types of cancer. It emphasizes the importance of completing all sections to avoid processing delays and includes contact information for further assistance.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How much does Aflac pay per claim?

ACCIDENT SPECIFIC-SUM INJURIES BENEFITS: When a Covered Person receives treatment under the care of a Physician for Accidental Injuries sustained in a covered accident, Aflac will pay specified benefits ranging from $25 $10,000 for dislocations, burns, skin grafts, eye injuries, lacerations, fractures, concussion,

What does an Aflac specified event pay for?

The Specified Health Event Protection insurance policy: Pays a lump-sum benefit upon diagnosis of having had a primary specified health event, which increases for dependent children. Pays benefits for hospital confinement, continuing care, transportation, and lodging.

How much does Aflac pay for a specified event?

SPECIFIED HEALTH EVENT RECOVERY BENEFIT: Aflac will pay $500 per month while a Covered Person remains in Specified Health Event Recovery upon receipt of written proof of Loss from that persons Physician. Lifetime maximum of six months per Covered Person.

Does Aflac pay for pre existing conditions?

Disability caused by a Pre-existing Condition or reinjuries to a Pre-existing Condition will not be covered unless it begins more than 12 months after the Effective Date of coverage.

How much does Aflac pay for wellness visit?

Each calendar year (Jan-Dec), you and your covered dependents have access to a $50 payout for having any of these testsyou just need to submit a claim.

What is a specified event for Aflac?

Primary Specified Health Events are: Heart Attack, Stroke, Coronary Artery Bypass Surgery, End-Stage Renal Failure, Major Human Organ Transplant, Major Third-Degree Burns, Persistent Vegetative State, Coma, Paralysis, or Sudden Cardiac Arrest occurring after the Effective Date of coverage.

Where do I get Aflac claim forms?

A UB04 document includes all information required to get your claim expedited the fastest. ACCIDENT/INJURY CLAIM instructions. Accident Claim Form Authorization to Obtain Information. SHORT-TERM DISABILITY CLAIM.

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