Notifications from Aflac

Notifications from Aflac

To help provide relief for California policyholders residing in Los Angeles and Ventura Counties affected by the wildfires, Aflac will provide billing leniency for impacted insureds, an extension of filing deadlines for claims and leniency for any other action required under the policy.  Aflac will provide a replacement copy of the policy upon request by the policyholder. Affected members should contact Aflac at 800-992-3522 for assistance.

For Network Dental and Vision Members:

This also provides an extension of filing deadlines for claims and leniency for any other action required under the certificate. Affected members are not required to obtain prior approval when accessing appropriate out-of-network providers when in-network providers are unavailable. The cost-sharing for out-of-network will be in amount equal to cost-sharing affected members would have paid for the provision of that service in-network. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.


To help provide relief for California policyholders residing in Tuolumne and Calaveras Counties affected by the lightning-ignited fires, Aflac will provide a premium grace period starting Sept. 2, 2025, and ending Nov. 18, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.

For Network Dental and Vision Members:

This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.


To help provide relief for Alaska policyholders and certificate holders residing in Northwest Arctic Borough, North Slope Borough, Kusilvak Census Area, Bethel Census Area, Nome Census Area, and Aleutians West Census Area who are affected by the storm, Aflac will provide an extended premium grace period starting Oct. 9, 2025, and ending Dec. 15, 2025. This grace period also includes an extension of filing deadlines for claims and leniency for any other actions required under the policy or certificate. In addition, Aflac will relax prescription drug benefit guidelines to allow payment of claims when a covered prescription drug is refilled prior to the usual 30-day limit. Policyholders and certificate holders may also request a replacement copy of their policy or certificate.

For Network Dental and Vision Members:

Aflac is providing temporary relaxation of precertification and referral requirements. Members will have access to appropriate out-of-network providers if in-network providers are unavailable or if they have been displaced, and leniency will be provided for any other actions required under the certificate. Affected members should contact Aflac Benefits Solutions (formerly Argus Dental and Vision) at 855-819-1873, option 1, for assistance.


 

To help provide relief for Oregon policyholders residing in Oregon who were affected by the wildfires, Aflac will provide a premium grace period starting Sept. 3, 2025, and ending Nov. 26, 2025. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.

For Network Dental and Vision Members:

This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.


To help provide relief for Arizona policyholders residing in Gila, Mohave and Maricopa counties affected by the heavy rains, Aflac will provide a premium grace period starting Sept. 25, 2025, and ending Jan. 13, 2026. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. Aflac will provide a replacement copy of the policy upon request by the policyholder.

For Network Dental and Vision Members:

This grace period also provides an extension of filing deadlines for claims; relaxation of prior authorization, precertification, and referral requirements; access to appropriate out-of-network providers due to unavailability on in-network providers or the members’ displacement; and leniency for any other action required under the certificate. A replacement copy of the certificate will be provided upon request by the certificate holder. Affected members should contact Aflac Benefit Solutions (formerly Argus Dental and Vision) at 855-819-1873, Option 1, for assistance.

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Aflac Improves Group Offerings this Open Enrollment Season with Enhanced Critical Illness Advantage Product and New Value-Added Services

COLUMBUS, Ga., Nov. 5, 2015 /PRNewswire/ -- Aflac, the leading provider of voluntary insurance at the work site in the United States, announced today the launch of its enhanced group critical illness plan – Group Critical Illness Advantage – as well as the following three new value-added services: Health Advocacy, Medical Bill Saver™ and Telemedicine. Just in time for open enrollment season, these new products and services will help Aflac continue to meet the evolving needs of its group customers.  

"This is the most significant enhancement Aflac has made to its group critical illness plan in more than five years and at the same time the company is providing a very competitive bundle of value-added services," said Dan Lebish, executive vice president, chief operating officer at Aflac Group. "These improvements demonstrate Aflac's dedication to helping customers reduce the financial risk and out-of-pocket costs associated with an unexpected illness or injury."

Aflac's Group Critical Illness Advantage plan has more covered conditions and benefits, no pre-existing conditions limitation, no maximum issue age, no reduction in benefits at age 70 and no 30-day waiting period. The plan also includes a Waiver of Premium Benefit as well as additional and reoccurrence benefits payable with six months between diagnosis dates. Plus, all coverage is HSA compatible.

New to the Group Critical Illness Advantage plan – and an industry first – is a feature known as the Building Benefit option, which automatically increases the benefit amount at each anniversary, with no change in premium or additional underwriting. This feature was developed as a way to reward customers for their long-term commitment to the company. 

Value-Added Services help address key health care challenges
Effective Jan. 1, 2016, any individual who is enrolled in an Aflac Group Critical Illness, Accident or Hospital Indemnity product will automatically be eligible for Aflac's bundle of new value-added services: Health Advocacy, Medical Bill Saver™ and Telemedicine. These programs are available at no additional cost and provide group certificate holders the following valuable services from the first day of coverage – even if the individual never files a claim:

  • Health Advocacy from Health Advocate: This 24-hour-a-day resource offers free access to a team of personal health advocates who provide expert assistance with navigating the complex health care and insurance systems. Services include but are not limited to: Helping individuals understand their coverage and costs of care, locating leading providers for second opinions, clarifying complex conditions, and researching available treatment options and assistance in resolving insurance claims.
  • Medical Bill Saver™ from Health Advocate: This service provides insureds access to a specialized negotiation team with the skills and resources to motivate providers to lower employees' uncovered medical bills. They leverage industry pricing data that could save employees hundreds, while also ensuring that providers are paid quickly.
  • Telemedicine from MeMD: This service connects certificate holders with a board-certified, U.S.-licensed medical provider online to receive personalized treatment, while offering a low-cost option to receiving medical care. When medically appropriate, MeMD's providers can submit an e-prescription to local pharmacies.

Health Advocacy and Medical Bill Saver™ are available to certificate holders as well as their spouses, children, parents and parents-in-law. Telemedicine is available to certificate holders as well as their spouses and children.

"Even if a customer is lucky enough to never file a claim, Aflac is still able to deliver value from day one by helping customers navigate the complex and ever-changing health care landscape we all face on a regular basis," added Lebish.

Protection designed to help minimize financial risk for employers and employees
Aflac understands that employers want to help protect their employees, while attracting and retaining talent – and keeping an eye on their bottom line. By offering three new services embedded in select Aflac group plans, employers can add more value to their benefits without adding to their budget — and do it all while helping their employees address key challenges they face today in health care, such as:

  • Navigating the complexity of the health care environment.
  • Reducing out-of-pocket expenses resulting from unexpected illnesses and injuries.
  • Finding low-cost options to combat rising medical costs and high-deductible health care plans, which also helps keep costs down for employers who self-fund their medical plans.

For more information, visit aflacgroupinsurance.com.

About Aflac
When a policyholder gets sick or hurt, Aflac pays cash benefits fast. For nearly six decades, Aflac insurance policies have given policyholders the opportunity to focus on recovery, not financial stress. In the United States, Aflac is the leading provider of voluntary insurance at the work site. Through its trailblazing One Day Pay℠ initiative, Aflac U.S. can receive, process, approve and disburse payment for eligible claims in one business day. In Japan, Aflac is the leading provider of medical and cancer insurance and insures 1 in 4 households. Aflac individual and group insurance products help provide protection to more than 50 million people worldwide. For nine consecutive years, Aflac has been recognized by Ethisphere magazine as one of the World's Most Ethical Companies. In 2015, Fortune magazine recognized Aflac as one of the 100 Best Companies to Work For in America for the 17th consecutive year. Also, in 2015, Fortune magazine included Aflac on its list of Most Admired Companies for the 14th time, ranking the company No. 1 in innovation for the insurance, life and health category. Aflac Incorporated is a Fortune 500 company listed on the New York Stock Exchange under the symbol AFL. To find out more about Aflac and One Day Pay℠, visit aflac.com or espanol.aflac.com.

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Media contactKristen Fraser, 706.243.5543 or mediarelations@aflac.com

SOURCE Aflac