Aflac wellness claim forms printable 2026

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  1. Click ‘Get Form’ to open the aflac wellness claim form in our editor.
  2. Begin by entering your personal information in the designated fields, including your name, address, and policy number. Ensure all details are accurate for a smooth claims process.
  3. Next, navigate to the section that requires details about the wellness services received. Fill in the date of service, type of service, and provider information as prompted.
  4. If applicable, attach any necessary documentation or receipts by using the upload feature within our platform. This will help substantiate your claim.
  5. Review all entered information for accuracy before submitting. Use our platform’s editing tools to make any necessary adjustments easily.
  6. Finally, sign the form electronically using our signature tool and click ‘Submit’ to complete your claim submission.

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Yes. Pays $25 for visits (including telemedicine) to a physician, psychologist or urgent care center. Limited to 3 visits per calendar year, per policy. Limited to 6 visits per calendar year, per policy.
Schedule and complete your checkup or screening with your doctor. Visit aflac.com/login to log in or register your account using your Social Security Number and Mobile Phone Number. Once logged in, select Submit a new claim. Choose a policy, then select Routine Medical Care and complete the steps to file your claim.
Some examples of wellness claims from non-traditional healthcare providers are: Receipt for a flu shot received at a drug store. Invoice for a smoking cessation program. Invoice from a weight-loss program.
1. Email- groupclaimfiling@aflac.com (Include the policy type, employer name and policyholder name in the subject line) 2. Fax- (866) 849-2970 3. Mail- AFLAC claims- PO Box 84075, Columbus, GA 31993 ***Please allow 5-10 business days for the review of your claim once it is received.

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