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. To receive your wellness benefit, complete the form by following the instructions provided. Web american family life assurance company of columbus (aflac) attn:

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

Web your aflac policy provides a wellness benefit. Web to receive your wellness benefit, complete the form by following the instructions provided. How to file a wellness claim 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. Web american family life assurance company of columbus (aflac) attn: • do not write on form except as instructed. Web medical screenings such as physicals, dental exams and eye exams. You can file your wellness claim online at aflac.com/myaflac or via the myaflac® mobile app available for apple and android devices. Please check your policy for specific details on this 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.

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. You can file your wellness claim online at aflac.com/myaflac or via the myaflac® mobile app available for apple and android devices. Web american family life assurance company of columbus (aflac) attn: 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. • do not write on form except as instructed. Please check your policy for specific details on this benefit. Web to receive your wellness benefit, complete the form by following the instructions provided. To receive your wellness benefit, complete the form by following the instructions provided. 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: