Aflac Cancer Screening Wellness Benefit Claim Form
Aflac Printable Claim Forms
Aflac Cancer Screening Wellness Benefit Claim Form. If any of your wellness tests resulted in a diagnosis of cancer, please submit your claim for cancer treatment separately , using the cancer claim form. This form is designed to provide an annual cancer screening (after the first 12 months of insurance), for those who have the cancer screening benefit.
Aflac Printable Claim Forms
Web medical screenings such as physicals, dental exams and eye exams. To receive your wellness benefit, complete the form by following the instructions provided. Web download aflac cancer screening wellness benefit claim form. This form is designed to provide an annual cancer screening (after the first 12 months of insurance), for those who have the cancer screening benefit. If your aflac policy also provides one mammogram benefit per calendar year, please mark the appropriate box and indicate the date the mammogram was performed. • do not include receipts, statements or other claim documentation with this form. Web your aflac policy provides a wellness benefit. • do not write on form except as instructed. Claims for all other benefits covered under your cancer policy must be filed separately , using the cancer claim form. Please check your policy for specific details on this benefit.
How to file a wellness claim • do not write on form except as instructed. Please check your policy for specific details on this benefit. Most aflac accident, hospital indemnity and cancer insurance policies have wellness benefits. • do not include receipts, statements or other claim documentation with this form. Aflac also provides pap smear and mammogram benefits once per year. You can file your wellness claim online at aflac.com/myaflac or via the myaflac® mobile app available for apple and android devices. Web cancer screening wellness benefit: To receive your wellness benefit, complete the form by following the instructions provided. Web american family life assurance company of columbus (aflac) attn: Web download aflac cancer screening wellness benefit claim form.
