Aflac specified health event claim form 2025

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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.
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,
Filing a claim is easy: Simply log in to aflac.com/login or download the MyAflac mobile app and follow the instructions to file a claim. Dont want to wait for a check? Signing up for direct deposit will help you get your money faster.
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.
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.
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HCFA 1500 (non-hospital bill). Motor vehicle accident (MVA). Authorization to obtain information (AU). (This allows Aflac to request additional documentation on your behalf.)
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.
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 does aflac specified event cover