Aflac accident plan

How much does Aflac pay for an accident claim?

Accident Emergency Treatment Benefit Aflac will pay $120 for the insured and the spouse, and $70 for children if a covered person receives treatment for injuries sustained in a covered accident. This benefit is payable for X-rays, treatment by a physician, or treatment received in a hospital emergency room.

Does Aflac pay for emergency room visits?

HOSPITAL EMERGENCY ROOM BENEFIT: Aflac will pay $100 when a Covered Person receives treatment for a covered Sickness or Injury in a Hospital Emergency Room , including triage, and a charge is incurred for such treatment . This benefit is payable twice per Calendar Year, per Covered Person.

Does Aflac pay for wellness benefits?

WELLNESS BENEFIT (a preventive benefit ; the Accidental-Death, Dismemberment, or Injury of a Covered Person is not required for this benefit to be payable): Aflac will pay $60 if you or any one Covered Person undergoes routine examinations or other preventive testing during the Calendar Year.

How long do you have to file an accident claim with Aflac?

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

Does Aflac pay for lost wages?

Aflac provides benefits for both total and partial disability. Even if you’re able to work, partial disability benefits may be available to help compensate for lost income. Regardless of any other disability insurance you may have, including Social Security, we will pay you directly.

How much will Aflac pay for surgery?

Surgical Benefit Aflac will pay $100 – $2,000 when a covered person has surgery performed for a covered sickness in a hospital or ambulatory surgical center based upon the Schedule of Operations in the policy.

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How much does Aflac pay per day in hospital?

DAILY HOSPITAL CONFINEMENT BENEFIT: Aflac will pay $100 per day for the Period of Hospital Confinement when a Covered Person requires Hospital Confinement for a covered Sickness or Injury and a room charge is incurred. This benefit is payable in addition to the Hospital Confinement Benefit.

How long does it take for Aflac to kick in?

Aflac will not pay benefits for an illness, disease, infection, or disorder that is diagnosed or treated by a Physician within the first 30 days after the Effective Date of coverage, unless the resulting Disability begins more than 12 months after the Effective Date of coverage.

How much does Aflac pay for pap smear?

MAMMOGRAPHY AND PAP SMEAR BENEFIT: Aflac will pay $100 per calendar year when a charge is incurred for an annual screening by low-dose mammography for the presence of occult breast cancer, and Aflac will pay $30 per calendar year when a charge is incurred for a ThinPrep or an annual Pap smear.

Does Aflac cover colonoscopy?

Aflac will pay $75 per calendar year when a charge is incurred for one of the following: breast ultrasound, biopsy, flexible sigmoidoscopy, hemocult stool specimen, chest X-ray, CEA (blood test for colon cancer), CA 125 (blood test for ovarian cancer), PSA (blood test for prostate cancer), thermography, colonoscopy , or

Does Aflac cover accidental overdose?

Aflac will pay the following benefits as applicable if a Covered Person’s Accidental – Death , Dismemberment, or Accidental Injury is caused by a covered accident that occurs on or off the job. Aflac will pay this benefit up to 365 days per covered accident, per Covered Person.

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Can I have Aflac without health insurance?

Aflac policies are considered HIPAA excepted benefits because they are not major medical health insurance . This means they’re offered separately from major medical coverage and are not an integral part of an individual’s health plan.

Does Aflac accident cover broken tooth?

We will pay for no more than two fractures per covered accident , per covered person. We will pay no more than one benefit for broken teeth per covered accident , per covered person. Coma duration must be at least seven days and must require intubation for respiratory assistance.

Can you get Aflac after diagnosis?

HOSPICE CARE BENEFIT: When a Covered Person is diagnosed with Internal Cancer or an Associated Cancerous Condition and therapeutic intervention directed toward the cure of the disease is medically determined to be no longer appropriate, and if the Covered Person’s medical prognosis is one in which there is a life

Do you have to pay taxes on Aflac payments?

No, generally. The proceeds of an accident and health policy, like AFLAC are not reportable as income so long as you did not deduct the premiums , and so long as this is not an employer provided fringe benefit.

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