Aflac Claim Forms Printable. Please fully complete the claim form for the wellness benefit. Get filing requirements, supporting documentation details, and more.

File a wellness benefit via fax or mail. Learn which items are required to use aflac’s smartclaim system to file a claim. Review your policy for specific benefits covered under your plan.
Get Filing Requirements, Supporting Documentation Details, And More.
To file your claim via fax or mail, simply download the appropriate forms below, and send to us with all necessary supporting documentation. To get started, select your state and download a claim form. Aflac provides supplemental insurance for individuals and groups to.
File A Critical Illness Claim.
Log in to to your account or chat with us. File a wellness benefit via fax or mail. File a claim checklist for our policyholders.
Learn Which Items Are Required To Use Aflac's Smartclaim System To File A Claim.
Connect whenever you need us. Please be sure to include the following information along with this claim form: Positive pathology report and itemized bills from facility including diagnosis and/or procedure codes and charge amounts (itemized bills may include but are not limited to the following:
File Your Claim Via Fax Or Mail.
Register your account at aflac.com/login to access and manage your coverage, submit and track claims and more. Page 1 of 2 02/14. Aflac provides supplemental insurance for individuals and groups to help pay benefits major medical doesn't cover.
Review Your Policy For Specific Benefits Covered Under Your Plan.
Wellness and health screening claim form. Filing your wellness benefit claim has never been easier. Failure to complete all sections may result in delayed processing of this claim.