How Much Does Aflac Pay For Emergency Room Visit?

by | Last updated on January 24, 2024

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HOSPITAL EMERGENCY ROOM BENEFIT: Aflac will pay $100 when a Covered Person receives treatment for a covered Sickness or Accidental Injury in a Hospital Emergency Room, including triage, and a charge is incurred for such treatment. This benefit is payable twice per Calendar Year, per Covered Person. No lifetime maximum.

Does Aflac accident cover emergency room visits?

Accident Emergency Treatment Benefit Aflac will pay $120 for the insured and the spouse , and $70 for children if a covered person receives treatment for injuries sustained in a covered accident. This benefit is payable for X-rays, treatment by a physician, or treatment received in a hospital emergency room.

How much does Aflac pay for emergency surgery?

No lifetime maximum. Surgical Benefit Aflac will pay $50–$1,000 when a surgical operation is performed, including a vaginal or cesarean delivery, on a covered person for a covered sickness or injury in a hospital or an ambulatory surgical center.

What does Aflac hospital policy pay?

Initial Hospitalization Benefit Aflac will pay $250 per period of hospital confinement** when a covered person is confined to a hospital for at least 24 hours for a covered sickness. This benefit is limited to one payment per calendar year, per covered person.

Does Aflac cover hospital bills?

Major medical pays doctors and hospitals, but Aflac pays policyholders directly , unless otherwise assigned, with cash benefits when they are sick or injured to help protect their financial security and way of life.

How much does Aflac pay for chiropractic visits?

CHIROPRACTIC TREATMENT BENEFIT: Aflac will pay $25 when a Covered Person receives chiropractic treatment for a structural imbalance from Injuries sustained in a covered accident. This benefit is payable for treatment by a Chiropractor in a Chiropractor's office.

How fast does Aflac pay claims?

with a small reimbursement amount), you'll usually get the payment within 24-48 hours if you've set up direct deposit. If you file a claim for a surgery, long term illness, or anything with a substantial payout, EXPECT A WAIT, Along with multiple requests for documents one piece at a time.

Does Aflac pay for ultrasounds?

CANCER SCREENING WELLNESS BENEFIT: Aflac will pay $75 per calendar year when a charge is incurred for one of the following: breast ultrasound, biopsy, flexible sigmoidoscopy, hemocult stool specimen, chest X-ray, CEA (blood test for colon cancer), CA 125 (blood test for ovarian cancer), PSA (blood test for prostate ...

How much does Aflac pay for a dislocated shoulder?

ACCIDENT SPECIFIC-SUM INJURIES BENEFITS: When a Covered Person receives treatment for Injuries sustained in a covered accident, Aflac will pay specified benefits ranging from $20–$7,500 for dislocations, burns, skin grafts, eye injuries, lacerations, fractures, concussion, emergency dental work, coma, paralysis, and ...

Does Aflac pay for anesthesia?

SURGERY/ANESTHESIA BENEFIT: Aflac will pay according to the benefits in the Schedule of Operations in the policy when a Covered Person has a surgical procedure performed for the direct treatment of a covered Internal Cancer or Associated Cancerous Condition and a charge is incurred for such surgical procedure.

How much does Aflac pay for laparoscopic surgery?

$100 per day Aflac will pay $100 per day when a covered person requires one of the following exams, with or without biopsy, and a charge is incurred: arthroscopy, bronchoscopy, colonoscopy, cystoscopy, gastroscopy, laparoscopy, laryngoscopy, sigmoidoscopy, or esophagoscopy.

How much will Aflac pay me for a colonoscopy?

Aflac will pay $75 per calendar year when a charge is incurred for one of the following: breast ultrasound, biopsy, flexible sigmoidoscopy, hemocult stool specimen, chest X-ray, CEA (blood test for colon cancer), CA 125 (blood test for ovarian cancer), PSA (blood test for prostate cancer), thermography, colonoscopy, or ...

What does Aflac ICU pay?

B. STEP-DOWN INTENSIVE CARE UNIT BENEFIT: Aflac will pay $500 per day when a Covered Person incurs a charge for confinement in a Step-Down Intensive Care Unit for a covered Sickness or Injury.

Does Aflac pay copays?

It varies depending on your plan, but most plans do not count copayments as money spent to meet your deductible. ... If you have Aflac, your cash benefits can be used to help pay your deductible, your portion of coinsurance, your copay or any other expenses you may have. It's up to you.

What is a covered sickness for Aflac?

Aflac pays cash benefits directly to you. The Aflac Lump Sum Critical Illness plan is designed to provide you with cash benefits if you experience a serious health event, such as a heart attack or stroke .

Does Aflac cover specialist visits?

PHYSICIAN VISIT BENEFIT: Aflac will pay $25 when a Covered Person incurs a charge for a visit (including a Telemedicine Visit) to a Physician, Psychologist, or Urgent Care Center. Services must be under the supervision of a Physician or Psychologist.

Does Aflac cover vision?

EYE EXAMINATION BENEFIT: Aflac will pay $45 (forty-five dollars) when a charge is incurred for an eye examination for a covered person. This benefit is limited to one examination per covered person, per Policy Year. The eye examination must be performed by an Optometrist or Ophthalmologist.

What percentage does Aflac pay?

Partial Disability – The Partial Disability Benefit helps you transition back into full-time work after suffering a disability. If, after being Totally Disabled, you remain partially disabled and only able to work 4 hours per day, this plan will pay you 50% of your selected monthly benefit for up to 3 months.

Is PTSD covered by Aflac?

Post-traumatic Stress Disorder (PTSD) is a mental health condition triggered by a covered accident . We will pay the amount shown if you are diagnosed with post-traumatic stress disorder.

Does Aflac pay for car accidents?

Aflac pays cash benefits for covered accidental injuries directly to you, unless assigned . Your own peace of mind and the assurance that your family will have help financially are powerful reasons to consider Aflac. The financial impact of an accident is often surprising.

Is Aflac still doing one day pay?

If you are paying for an individual policy, you can make a one-time payment on MyAflac . This excludes life insurance policies. Phone payments for life insurance policies. If you'd like to submit a one-time payment for individual policies in all lines of business, contact the Customer Service Center at 1-800-992-3522.

Does Aflac still offer one day pay?

Get your claim to us before 3 PM ET Monday – Friday, and we' ll have it processed and paid within one business day . To get started today, be sure to enroll in Claims Direct Deposit at aflac.com/mypolicy.

What does Aflac pay for an xray?

X-RAY BENEFIT: Aflac will pay $25 when a Covered Person requires an X-ray while receiving emergency treatment in a Hospital or a Hospital emergency room for Injuries sustained in a covered accident. This benefit is not payable for X-rays received in a Physician's office.

What does Aflac pay for having a baby?

If you have a policy plan in place ten months to a year prior to the birth of your child, you can turn to Aflac. With the rising cost of raising a child and the lack of days off, the best option is to start an Income Protection Program with Aflac. The average pay for those covered is $3000 to $6000 .

How much does Aflac pay for broken bone?

If a doctor diagnoses the fracture as a chip fracture, we will pay 25% of the amount shown for the affected bone . The maximum amount payable for the Fracture Benefit per covered accident is 150% the benefit amount for the fractured bone that has the higher dollar amount.

Does Aflac pay for work related injuries?

If your covered On-the-Job Injury causes your Total Disability within 90 days of your last treatment for your covered On-the-Job Injury, we will pay you the Daily Disability Benefit for the On-the-Job Injury Disability Rider for each day of your Total Disability .

Does Aflac pay rehab?

$100 per day Aflac will pay $100 per day when a covered person is confined in a hospital and is transferred to a bed in a rehabilitation facility for a covered sickness or injury and a charge is incurred.

Does Aflac cover pacemakers?

Benefits are also paid for specific heart surgeries, such as heart valve surgery, coronary angioplasty, coronary stent implantation, and pacemaker placement.

Does Aflac pay diabetes?

With the Aflac Plus Rider, policyholders will be able to reduce out-of- pocket expenses associated with serious accidents and illnesses such as heart attacks, strokes, diabetes, traumatic brain injury, sustained multiple sclerosis, advanced Alzheimer's disease, advanced Parkinson's disease and many more.

How much does Aflac pay for open heart surgery?

SUBSEQUENT TIER ONE SPECIFIED HEART SURGERY BENEFIT: If benefits have been paid for a Tier One Specified Heart Surgery, Aflac will pay $1,000 if such Covered Person has a subsequent Tier One Specified Heart Surgery.

How much does Aflac pay for hospital confinement?

DAILY HOSPITAL CONFINEMENT BENEFIT: Aflac will pay $100 per day for the Period of Hospital Confinement when a Covered Person requires Hospital Confinement for a covered Sickness or Injury and a room charge is incurred.

Does Aflac cover asthma?

If you count the hospital stay we had the one year, you will know that another stress with asthma is the unexpected hospital bills! Aflac Insurance offers Hospital Indemnity Insurance , which can help give you some relief with all of these extra hospital costs.

Is Aflac a duck?

When a little white duck with a lot of personality stormed upon the scene, Aflac made advertising history and became an international powerhouse. Since then, the Aflac Duck has appeared in more than 75 commercials and has helped catapult Aflac into a household name.

James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.