Aflac Cancer Screening Wellness Benefit Claim Form

AFLAC Cancer Screening Benefit Claim Form Fill out & sign online DocHub

Aflac Cancer Screening Wellness Benefit Claim Form. Most aflac accident, hospital indemnity and cancer insurance policies have wellness benefits. 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.

To receive your wellness benefit, complete the form by following the instructions provided. • do not write on form except as instructed. 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. 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 cancer screening wellness benefit: 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. Claims for all other benefits covered under your cancer policy must be filed separately , using the cancer claim form. Web medical screenings such as physicals, dental exams and eye exams.

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. Claims for all other benefits covered under your cancer policy must be filed 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. To receive your wellness benefit, complete the form by following the instructions provided. How to file a wellness claim • do not include receipts, statements or other claim documentation with this form. Please check your policy for specific details on this benefit. Web to receive your wellness benefit, complete the form by following the instructions provided. 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. Aflac also provides pap smear and mammogram benefits once per year.