Get Aflac Intensive Care Claim Form

Completing the Aflac Intensive Care Claim Form online can help streamline your claims process. This guide provides clear, step-by-step instructions to ensure that you provide all necessary information accurately and efficiently.

Follow the steps to fill out the Aflac Intensive Care Claim Form online.

1. Press the ‘Get Form’ button to access the Aflac Intensive Care Claim Form and open it in your preferred document editor.
2. Complete Section A, which includes the policyholder's and patient's information. Input your last name, first name, mailing address, city, state, and ZIP code. If your address is new, remember to check the box indicating that it is a new permanent address.
3. Ask the treating physician to fill out Section B: Physician's Statement. This section must include the physician's name, address, and contact information, as well as the necessary dates related to the patient's symptoms and diagnosis.
4. Compile all related medical bills, including those from the hospital and surgery. Ensure that the documents include detailed information such as diagnoses, services rendered, and charges.
5. Review the completed form for accuracy. Ensure that all sections are fully filled out and that any required signatures are obtained.
6. Once the form is completed, save your changes and download the document. You may then choose to print it for mailing or share it electronically as needed.

Complete your Aflac Intensive Care Claim Form online today to ensure a smooth claims process.