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Aflac cancer claim form forms printable 2025

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4.8 out of 5

240 votes

The document is a Cancer Claim Form from Aflac, providing instructions for filing a claim related to cancer treatment. It outlines the necessary documentation required, including healthcare provider information and specific forms needed for processing claims. The form also includes sections for policyholder and patient information, a cancer checklist, and details regarding treatments received. Additionally, it warns that incomplete submissions may delay processing and highlights the importance of accurate information to avoid fraudulent claims.

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Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (240 Votes)
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Got questions?

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

Where do I get Aflac claim forms?

✓ Email form to groupclaimfiling@aflac.com or fax to 1.866. 849.2970. Please review your policy for specific benefits covered under your plan. To prevent processing delays, please have claim form completed in full and return the signed HIPAA.

How do I make an Aflac cancer claim?

HCFA 1500 (non-hospital bill). Motor vehicle accident (MVA). Authorization to obtain information (AU). (This allows Aflac to request additional documentation on your behalf.)

What is a HCFA 1500 form for Aflac?

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.

How far back will Aflac pay?

We will pay the amount shown when, because of a covered accident, you are injured and those injuries cause confinement to a hospital for at least 24 hours within 90 days after the accident date. The maximum period for which you can collect the Hospital Confinement Benefit for the same injury is 365 days.

Is there a deadline to file a claim with Aflac?

Q. How long do I have to file a claim? A. There is a one-year timely filing provision in your certificate.

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What is needed for an Aflac cancer claim?

Please submit the pathology report used in the diagnosis of a malignant cancer, the claimants birth certificate, and any itemized medical bills with the diagnosis and procedure codes, as well as a signed and dated Authorization for Disclosure of Health Information (HIPAA form).

How long do I have to have Aflac before I can file a claim?

Aflac will not pay benefits for an illness, disease, infection, or disorder that is diagnosed or treated by a Physician within the first 30 days after the Effective Date of coverage, unless the resulting disability begins more than 12 months after the Effective Date of coverage.