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Physician Visit Benefit – Sickness Policy

Your Sickness policy pays a set number of Physician Office Visit Benefits in a calendar year. These benefits are paid each calendar for any covered family member who has an office visit. Benefits continue to be paid until your maximum number of visits for the year is reached. You are eligible for this benefit every calendar year of your policy beginning on the first day the policy was issued. For example, if your policy was effective June 1^st, you would be eligible for the full number of visits from June 1^st through December 31^st. Every year thereafter your eligibility would be from Jan 1^st to Dec 31^st.

How do I claim this benefit?

When your policy is first received a claim form for that year will be included.

AFLAC will automatically include a bar-coded Physician Office Visit Benefit Claim Form when your policy is first issued. This form will be included with your policy documents. When you receive this bar-coded claim form just wait until after your first office visit, then complete the required information and MAIL it directly to the address on the form. No physician signature or any other documentation is required. Be sure to MAIL this form since faxing the bar-coded forms to our office will DELAY payment of your Office Visit Benefit. AFLAC will then mail your benefit and include a new claim form for your next visit. They will continue to follow this procedure until you reach your maximum number of benefits for the year. The following January you will be mailed a new form for the new year. Please note that only one visit can be claimed with each form. Please do not photocopy these forms since the bar-code makes it unique to the year and the visit for which you are using it.

Every January you will receive a new claim form for that year from AFLAC.

AFLAC will automatically mail you a new bar-coded Physician Office Visit Benefit Claim Form every January. This new form will clearly indicate the year for which it is to be used. Since the bar-code makes it unique to the year and the visit for which you are using it, please do not use this new form for any unclaimed visits for the previous year. When you receive this bar-coded claim form just follow the same procedure as outlined in the paragraph above. Again, be sure to MAIL this form since faxing the bar-coded forms to our office will DELAY payment of your Office Visit Benefit. Please remember that only one visit can be claimed with each form and they should not be photocopied because of the bar-coding system.

If you have misplaced this form or feel that you did not receive it:

If you have misplaced this form or feel that you did not receive it you can of course still claim your benefit. Just call AFLAC Claims Department at 800-992-3522. When you call you should verify that AFLAC have your correct address on file. Also, please have a list of the visits that you have had during the year. The customer service representative will take note of these and mail a form to you for your signature.