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DUCK Cancer Screening Wellness Benefit Claim Form Please read all instructions. Failure to follow these instructions will delay the processing of your claim. Do not include receipts statements or other documentation with this form. Your Aflac policy provides one Wellness Benefit per covered person per calendar year and this form is designed specifically for this benefit. Please check your policy for a list of covered wellness procedures or call 1-800-99-AFLAC 1-800-992-3522 for a Wellness Form specifically tailored for your policy. 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. 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. Please check your policy for specific....

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A. PHYSICIAN VISIT BENEFIT: Aflac will pay $25 when a Covered Person incurs a charge for a visit (including a Telemedicine Visit) to a Physician, Psychologist, or Urgent Care Center. ... The Sickness or Injury of a Covered Person is not required for the Physician Visit Benefit to be payable.

How long do I have to file a claim? A. There is a one-year timely filing provision in your certificate. Please review the provision and call us with any questions.

Your Aflac wellness claim pays you money for staying on top of your health by getting yearly checkups and medical screenings such as physicals, dental exams and eye tests. ... You can file your wellness claim online at aflac.com/MyAflac or through the MyAflac® mobile app. ... How to file a.

Wellness Benefit After the policy has been in force for 12 months, Aflac will pay $60 if you or any one family member undergoes routine examinations or other preventive testing during the following policy year.

Mail To: Continental American Insurance Company. PO Box 84075, Columbus, GA 31993. Phone: 800.433.3036 Fax: 866.849.2970. Email: groupclaimfiling@aflac.com.

Your Aflac wellness claim pays you money for staying on top of your health by getting yearly checkups and medical screenings such as physicals, dental exams and eye tests. ... You can file your wellness claim online at aflac.com/MyAflac or through the MyAflac® mobile app. ... How to file a.

Benefits will be paid only once for any covered accident. ... Wellness Benefit After the policy has been in force for 12 months, Aflac will pay $60 if you or any one family member undergoes routine examinations or other preventive testing during the following policy year.

How long do I have to file a claim? A. There is a one-year timely filing provision in your certificate.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232