Aflac Cancer Screening Wellness Benefit Claim Form
Aflac Claim Forms Printable Customize and Print
Aflac Cancer Screening Wellness Benefit Claim Form. Web american family life assurance company of columbus (aflac) attn: 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 Claim Forms Printable Customize and Print
To receive your wellness benefit, complete the form by following the instructions provided. Web your aflac policy provides a wellness benefit. Aflac also provides pap smear and mammogram benefits once per year. How to file a wellness claim 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. Web cancer screening wellness benefit: Web download aflac cancer screening wellness benefit claim form. Claims for all other benefits covered under your cancer policy must be filed separately , using the cancer 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. Web medical screenings such as physicals, dental exams and eye exams.
• do not write on form except as instructed. To receive your wellness benefit, complete the form by following the instructions provided. Aflac also provides pap smear and mammogram benefits once per year. Web download aflac cancer screening wellness benefit claim form. Web cancer screening wellness 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. Most aflac accident, hospital indemnity and cancer insurance policies have wellness benefits. Web to receive your wellness benefit, complete the form by following the instructions provided. Claims for all other benefits covered under your cancer policy must be filed separately , using the cancer claim form. • do not write on form except as instructed.
