Flavce cancer annual care benefit claim form 2025

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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).
Aflac promised to be here when you need us most and a big part of that promise is making the claims process easy. We built our online claims process to save you time and to help give you peace of mind. And the best part? We pay claims fast.
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,
Cancer Insurance provides added financial protection to help cover cancer related expenses. This coverage also pays a wellness benefit of $75 onetime per year for each insured when they provide proof of a routine cancer screening test such as: mammography, pap smear, colonoscopy, or chest X-ray.
HCFA 1500 (non-hospital bill). Motor vehicle accident (MVA). Authorization to obtain information (AU). (This allows Aflac to request additional documentation on your behalf.)
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