What is considered a covered accident for aflac

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.

What is covered under Aflac cancer policy?

Limitations and Exclusions Aflac pays only for treatment of cancer , including direct extension, metastatic spread, or recurrence, and other diseases and conditions caused, complicated, or aggravated by or resulting from cancer or cancer treatment.

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 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.

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What does Aflac pay you for?

ACCIDENT SPECIFIC-SUM INJURIES BENEFITS: When a Covered Person receives treatment under the care of a Physician for Injuries sustained in a covered accident, Aflac will pay specified benefits ranging from $35– $12,500 for dislocations, burns, skin grafts, eye injuries, lacerations, fractures, concussion, emergency

Does Aflac pay for dental work?

Dental Wellness Benefit Aflac will pay $50 per visit to you or any covered person for any one treatment listed below. This benefit is payable once per visit, regardless of the number of treatments received. For benefits to be payable, dental wellness visits must be separated by 150 days or more.

What is the waiting period for Aflac cancer policy?

The rider contains a 30-day waiting period . If a Covered Person has Internal Cancer or an Associated Cancerous Condition diagnosed before coverage has been in force 30 days from the Effective Date, you may, at your option, elect to void the rider from its beginning and receive a full refund of premium.

Can I get Aflac after a cancer 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

What does Aflac consider a pre existing condition?

PRE – EXISTINg CONDITIONS LIMITATION Pre – existing Condition means a sickness or physical condition which, within the 6-month period prior to the Effective Date resulted in an insured receiving medical advice or treatment.

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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.

How much does Aflac pay for a 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.

How do you file a claim with Aflac?

File your claim with Aflac SmartClaim®: Access Aflac SmartClaim from MyAflac or the MyAflac Mobile app. Aflac SmartClaim guides you every step of the way. Upload required documents. Submit your claim before 3 p.m. ET, Monday-Friday.

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