aflac schedule of operations
Aflac will pay you according to the benefits in the Schedule of Operations when a surgical. operation is performed on a covered person for a covered sickness or injury in a hospital or an. ambulatory surgical center. Surgical Benefits are not payable for surgery performed in a doctor’s. Physician Visits Benefit. Aflac New York will pay the amount for the level chosenwhen a. covered person incurs a charge for a physician visit. Services. must be under the supervision of a physician. This is a health. maintenance benefit; the sickness of a covered person is not. required for this benefit to be payable. 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. Only one benefit is. payable per 24-hour period for surgery even though more than one surgical procedure may be performed. That’s why we’ve developed the Aflac Personal. Cancer Indemnity insurance policy. The plan pays a cash benefit upon initial diagnosis of a covered cancer, with a variety of other benefits payable throughout cancer treatment. You can use these cash benefits to help. pay out-of-pocket medical expenses, the rent or mortgage, groceries, or utility bills–the choice is yours. MAMMOGRAPHY AND PAP SMEAR BENEFIT: AFLAC will pay $100 (one hundred dollars) per calendar. year when a charge is incurred for an annual screening by low dose mammography for the presence of. occult breast cancer and AFLAC will pay $30 (thirty dollars) per calendar year when a charge is incurred. For individual coverage in New York or coverage for groups sitused in New York, coverage is underwritten by American Family Life Assurance Company of New York. †One Day PaySM available for most properly documented, individual claims submitted online through Aflac SmartClaim® by 3PM ET. Aflac will pay $25 when a covered person incurs a charge for a physician visit. Services must. be under the supervision of a physician. If the type of coverage for the policy is individual, the benefit is limited to three visits per calendar year, per policy. If the type of coverage is. Form A-75225-CA 1 A75225CA.1. AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) Worldwide Headquarters: 1932 WYNNTON ROAD, COLUMBUS, GEORGIA 31999. TOLL-FREE 1-800-99-AFLAC (1-800-992-3522) This is a supplement to health insurance. It is not a substitute for hospital or medical expense. Individuals & Families Learn how Aflac pays you and your family money for the expenses that major medical doesn’t cover. Employers Build a comprehensive health care benefits package without increasing your costs. Brokers Offer your clients better benefit options with Aflac supplemental insurance policies. Aflac New York will pay the amount per dayfor the level chosen. when a covered person requires hospital confinement as an. inpatient for a covered sickness and incurs a charge. Benefits. are not payable for days beyond the 180th day in a period of. hospital confinement.** No lifetime maximum. Level 1 Level 2 Level 3.
When a surgical.