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Mark Only Wellness Exam Boxes For Test(S) And/Or Treatment(S) Received.
Web download and print this form to file a claim for wellness exams or treatments covered by your aflac policy. Please review your policy for. Ã benefits of filing your claim online. You can file your wellness claim.
Web Complete Aflac Wellness Claim Form Online With Us Legal Forms.
 if you are interested in. If you are interested in filing your claim online, register using aflac.com/smartclaim. Web critical illness wellness benefit claim form instructions. File a wellness benefit claim.
Please Review Your Policy For Specific Benefits.
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Web Accident/Hospital Indemnity Wellness Benefit Claim Form.
Web download and print the aflac wellness claim form for health screening tests and procedures. Please use black or blue ink only and print legibly when completing this form in its entirety. Web hospital indemnity wellness benefit claim form. Failure to complete all sections may result in a delay in processing this claim.