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Web cancer wellness benefit claim form if you are interested in filing your claim online, register using aflac.com/smartclaim. Web complete if you are replacing/terminating existing aflac coverage that contains cancer benefits. To prevent processing delays, please have claim form completed in full and return the signed hipaa. Physician visit (cancer wellness benefit) of $100, bone marrow biopsy (surgical/anesthesia benefit) of $175, nci evaluation/consultation benefit of $1,000, initial diagnosis benefit of $6,000, venous port (surgical/anesthesia.
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Positive pathology report and itemized bills from facility including diagnosis and/or procedure. Before filing a claim, make sure you register online by creating a myaflac® account. Web please be sure to include the following information along with this claim form: You can also clarify which aflac cancer insurance option is best by determining how much coverage you may desire.
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