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Annual care benefit claim form

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Please use black or blue ink only and print legibly when completing this form in its entirety. Failure to complete all sections may result in a delay in processing this claim* Please keep a copy of this completed form for your records. Please print a separate form for each additional family member or call 1-800-99-AFLAC 1-800-992-3522 to request additional forms. Claims for all other benefits covered under this policy must be filed separately using the claim forms available at aflac*com or by c ...

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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 do I get an Aflac claim form?

Please print a separate form for each additional family member or call 1-800-99-AFLAC (1-800-992-3522) to request additional forms. Claims for all other benefits covered under this policy must be filed separately using the claim forms available at aflac.com or by calling 1-800-99-AFLAC (1-800-992-3522).

What is a HCFA 1500 form for Aflac?

HCFA 1500 (non-hospital bill). Operative report (surgical report). Authorization to obtain information (AU). (This allows Aflac to request additional documentation on your behalf.)

How do I submit an Aflac cancer claim?

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

How do I get HCFA 1500?

In order to purchase claim forms, you should contact the U.S. Government Printing Office at 1-866-512-1800, local printing companies in your area, and/or office supply stores. Each of the vendors above sells the CMS-1500 claim form in its various configurations (single part, multi-part, continuous feed, laser, etc).

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.

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