Aflac hospital indemnity pdf

The aflac group hospital indemnity high plan is selected. It provides financial assistance to enhance your current coverage. A standard hospital indemnity insurance plan may include coverage for hospital admission, accidentrelated inpatient rehabilitation and hospital stays 1. And even with major medical insurance, your plan may only pay a portion of your entire stay. Aflac accident hospital indemnity wellness benefit claim form. Aflac group hospital indemnity insurance plan 1 hsacompatible even a small trip to the hospital can have a major impact on your finances. The insured has a high fever and goes to the emergency room. This benefit is limited to 30 days for each covered person per period of hospital confinement and is limited to a calendar year maximum of 60 days. Supplemental hospital and medical indemnity claim instructions 1. It also provides coverage for newborn children for 60 days from their date of birth1. Aflac accident hospital indemnity wellness benefit claim. Aflac group hospital indemnity hi g policy form c80100va how it works the plan has limitations and exclusions that may affect benefits payable. Continental american insurance company, a whollyowned subsidiary of aflac incorporated, is the insuring company. I understand that the effective date of the policy will be the date recorded in the policy schedule by aflac new york.

Hospital admission hospital admission benefit per confinement once per covered. Be ready for costs not covered by your medical plan with hospital indemnity insurance. Aflac pays cash benefits directly to you, unless otherwise assigned, for covered hospital expenses. Form a45075ss rc804 hospital confinement sickness indemnity limited benefit policy surgical benefit aflac will pay benefits according to the schedule of operations when a covered person has a surgical operation performed for a covered sickness in a hospital or ambulatory surgical center.

We care about aflacs policyholders affected by recent severe weather. Failure to complete all sections may result in a delay in processing this claim. Aflac hospital indemnity insurance plan is selected. Supporting documentation needed itemized bill if there was a hospital stay ub04 from the hospital or medical facility. Hospital confinement benefit hospital admission benefit hospital intensive. If you are interested in filing your claim online or uploading documentation on an existing claim. The good news is that many people with critical illnesses survive these lifethreatening battles.

Aflac group hospital indemnity sdsu research foundation. The the aflac group hospital indemnity plan a is selected. With metlife, youll have a choice of two comprehensive plans which provide payments in addition to any other insurance payments you may receive. Scope of coverage this policy and any attachments contain the provisions affecting covered persons. Heres a way to help make your visit a little more affordable. In addition to providing you with cash benefits unless otherwise assigned during a covered hospitalization, aflacs group supplemental hospital indemnity plan.

Aflac critical illness, accident, and hospital indemnity plans insurance coverage. Premiums increase as policyholders age and add family members. Please submit medical documentation from your healthcare provider to support yourclaim. No yes o if yes, please provide the physicians names, addresses and phone numbers. Aflac group hospital indemnity kent state university. Refer to your certificate for complete details, definitions, limitations, and exclusions. To prevent delays, please provide documentation from your healthcare. Aflac group hospital indemnity hi g policy series c80000 how it works the plan has limitations and exclusions that may affect benefits payable.

Aflac group hospital indemnity cook county, illinois. Aflac group hospital indemnity insurance plan 1 hi g policy series ca8500mpma understanding the facts can help you decide if the aflac group supplemental hospital indemnity plan makes sense for you. We provide you with financial resources to help you overcome. Benefits provided are supplemental only and are not intended to cover all medical expenses. To prevent delays, please provide documentation from your healthcare provider to support this claim. Guaranteed acceptance for you and other eligible family members 2. Even a minor trip to the hospital can present you with unexpected expenses and medical bills. Hospital indemnity policy of insurance coverage under this policy is provided in consideration of payment of the initial premium and continued payment of premiums when due, and that the answers in your application are correct and complete. Here are just some of the covered benefitsservices, when an accident or illness puts you in the hospital. To help provide relief for north carolinas policyholders affected by hurricane dorian, aflac will implement a grace period on premium payment and proof of loss deadlines. The the aflac group hospital indemnity plan 2 is selected. Aflac group hospital indemnity insurance plan 2 hi g policy series ca8500mpca understanding the facts can help you decide if the aflac group supplemental hospital indemnity plan makes sense for you.

Aflac does not replace your medical insurance, but is designed to complement your current medical insurance coverage and short term disability plan. The aflac group supplemental hospital indemnity plan benefits. Personal sickness indemnity plan policy series a45000 policy a45100fl level 1 policy a45200fl level 2 policy a45300fl level 3 physician visits benefit aflac will pay the amount for the level chosenwhen a covered person incurs a charge for a physician visit. Aflac hospital advantage hospital confinement indemnity insurance policy series a49000 p r eferr ed this brochure is for a hospital confinement indemnity policy providing limited benefits. The supplemental benefits referenced are taken from fixed indemnity direct policy form ch26126ip 10 and hospital confinement direct policy form ch26116ip 0110, or its state variations which are underwritten by the chesapeake life insurance company. Not paid for a newborn childs initial confinement after birth. It provides cash benefits to enhance your current medical coverage so you may be able to avoid dipping.

Thank you for trusting aflac with your hospital indemnity needs. Aflac group hospital indemnity insurance plan 1 hi g policy form series ca8500mppa, ca8500cipa, cai8521pa, ca8500dsr 1pa understanding the facts can help you decide if the aflac group supplemental hospital indemnity plan makes sense for you. Aflac group hospital indemnity plan may be right for you. Benefit specifications see benefit amounts first day hospital confinement payable once for each continuous confinement, with 24 hours between each hospital stay. To avoid delays in processing of your claim form, complete each section attaching documentation below. The authorization will be used in obtaining information needed to process your claim. To prevent processing delays, please have claim form completed in full and return the signed hipaa. Helping you with the medical expenses that major medical doesnt coverand much more. Eligibility regular fulltime or parttime employees scheduled to work 20 hours or more per week are eligible. Aflac choice hc hospital confinement indemnity insurance option 1 policy series b40000 life is full of tough choices, but this isnt one of them. The aflac group hospital indemnity plan is selected. Thats how the aflac group supplemental hospital indemnity insurance plan can help.

And, even with major medical insurance, your plan may only pay a portion of your entire stay. This grace period will be enacted for affected policy holders starting september 1, 2019 and ending. Pdf accidenthospital indemnity wellness benefit claim. Monthly costs for individual hospital indemnity coverage for the young and healthy start at about the cost of buying a sandwich. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. List all hospital indemnity policies you currently have in force, other than aflac new york hospital indemnity policies, and provide the daily benefit amount. Group hospital indemnity issue ages are 18 and over if actively at work. Aflac group hospital indemnity high plan is selected. Hospital indemnity claim form failure to complete all sections may result in a delay in processing this claim. To avoid delays in processing of your claim form, complete each section attaching documentation below when it applies. Aflacs hospital indemnity insurance is intended to enhance your current coverage as it is not affected by current personal coverage. The aflac group hospital indemnity plan benefits include the following. Aflac group hospital indemnity chevron corporation.