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Aflac hospital indemnity claim form

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The document provides a claim form and detailed instructions for filing a Hospital Indemnity (SHOP) claim with American Heritage Life Insurance Company. It outlines the necessary information required from policyholders and patients, including personal details, medical documentation, and submission methods. The document also includes important notices regarding fraud and legal implications related to false claims.

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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 long do you have to file a hospital indemnity claim with Aflac?

To receive this benefit for injuries received in a Covered Accident, the Covered Person must be admitted to a hospital intensive care unit within six months of the date of the Covered Accident.

What is hospital indemnity used for?

Hospital indemnity insurance supplements your existing health insurance coverage by helping pay expenses for hospital stays. Depending on the plan, hospital indemnity insurance gives you cash payments to help you pay for the added expenses that may come while you recover.

How do I file an Aflac hospital indemnity claim?

Send to: Phone:(800) 433-3036. Fax:(866) 849-2970. Email: groupclaimfiling@aflac.com.

What is a UB 04 form for Aflac?

Itemized hospital bill (IHB). UB04 (itemized hospital bill). ER visit. (Please obtain the supporting documents for the corresponding benefit.)

How much does Aflac pay out for hospital stay?

Hospital Intensive Care Unit Confinement Benefit: Pays $500 per day, per covered person, for up to 30 days. Daily Hospital Confinement Benefit: Pays $100 per day, per covered person, for up to 365 days.

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How do I make a claim with Aflac?

To file a claim, simply select the appropriate claim form for your specific product and mail or fax it to us at the address on the form. Download the form. Fill it out. Send it in to: PO Box 60676, Worcester, MA 01606.

How long does it take Aflac to process a claim?

Aflac Aflac cannot process claims until they have the employee's statement, physician's statement, employer statement and the authorization page. Claims approval process takes 5 days to process and pay out claims.

What documents does Aflac need to submit a claim?

Accidental death - Certified death certificate & beneficiary statement claim form. Police report - Required for MVA and any other occurrence investigated by the police. Physician's office notes. Emergency room - ER or urgent care report.

What is proof of loss for Aflac?

Proof of Loss: Written proof that is required to be furnished to the insurer about a loss to help determine the extent of insurer liability. Provider: A facility, licensed as such, that provides health services for an individual.

How do I file an Aflac hospital indemnity claim?

Send to: Phone:(800) 433-3036. Fax:(866) 849-2970. Email: groupclaimfiling@aflac.com.

Get the up-to-date HOSPITAL INDEMNITY CLAIM FORM.pdf 2025 now

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Got questions?

How long do you have to file a hospital indemnity claim with Aflac?

What is hospital indemnity used for?

How do I file an Aflac hospital indemnity claim?

What is a UB 04 form for Aflac?

How much does Aflac pay out for hospital stay?

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How do I make a claim with Aflac?

How long does it take Aflac to process a claim?

What documents does Aflac need to submit a claim?

What is proof of loss for Aflac?

How do I file an Aflac hospital indemnity claim?

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