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Web Download And Print The Aflac Wellness Claim Form For Health Screening Tests And Procedures.
Web accident/hospital indemnity wellness benefit claim form. Web use black or blue ink only and print legibly when completing this form in its entirety. Web to receive your wellness benefit, complete the form by following the instructions provided. Save or instantly send your ready documents.
Failure To Complete All Sections May Result In A Delay In Processing This Claim.
Mark only wellness exam boxes for test(s) and/or treatment(s) received. Fill in your personal and claim information, authorize the release of health. Web accident wellness benefit claim form. If you are interested in filing your claim online, register using aflac.com/smartclaim.
Web Learn How To Get Paid For Your Yearly Checkups And Medical Screenings With Aflac Wellness Benefits.
 if you are interested in. Web accident wellness benefit claim form instructions. Web most aflac accident, hospital indemnity and cancer insurance policies have a wellness benefit to pay you for staying on top of your health. Web critical illness wellness benefit claim form instructions.
You Can File Your Wellness Claim.
Web download and print this form to claim benefits for health screenings under your aflac policy. Some of the tests listed may not be covered under the wellness benefit of your policy. Please check your policy for a list of. Please use black or blue ink only and print legibly when completing this form in its entirety.