Notifications from Aflac

Notifications from Aflac

To provide relief for New Mexico policy/certificate holders residing in Lincoln County and the Mescalero Apache Reservation and affected by the wildfires, Aflac will provide the following protections for policy/certificate holders:

  • Provide an extended premium grace period from Tuesday, June 17, 2024, through Monday, Dec. 2, 2024.
  • Postpone cancelations and non-renewals from Tuesday, June 17, 2024, through Monday, Dec. 2, 2024.
  • Offer a payment plan of at least six (6) months if unable to pay the delinquency after the extended grace period. This applies to all coverages except life. The policy/certificate holder should contact Aflac to make arrangement for repayment.
  • Waive late fees and penalties.
  • Provide an extension of filing deadlines for claims and leniency for any other action required under the policy/certificate.
  • Allow additional time for actions required under the policy/certificate and the submission of documents due to limited access to service and mobility.
  • Provide a copy of the policy/certificate to the policyholder/certificate holder upon request.

In addition to the above, Aflac through Aflac Benefits Solutions will provide the following protections for Network Dental and Vision members and providers:

  • Waive referrals and prior authorization requirements for use of out-of-network providers for medically necessary services, whether emergent or not.
  • Waive cost-sharing and deductibles through Monday, Dec. 2, 2024.
  • Permit one eyeglass or contact lens replacement and one hearing aid replacement during the pendency of this Order, waiving frequency limitations.
  • Permit one replacement for dentures or other prosthodontic devices during the pendency of this Order, waiving frequency limits.
  • Extend medical providers’ reporting requirements for claims submissions and for additional information relating to claims through Monday, Dec. 2, 2024.

Affected members should contact Aflac Benefits Solutions at 855-819-1873, option 1, for assistance.


To help provide relief for Oregon policyholders residing in the state that have been affected by the wildfires, Aflac will provide a premium grace period starting July 12, 2024, and ending Nov. 11, 2024. 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 California policyholders residing in Los Angeles, Orange, Riverside, and San Bernardino counties affected by wildfires, Aflac will provide a premium grace period starting Sept. 5, 2024, and ending Nov. 11, 2024. 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 California policyholders residing in Lake County affected by wildfires, Aflac will provide a premium grace period starting Sept. 8, 2024, and ending Dec. 2, 2024. 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 Tennessee policyholders Aflac will provide a premium grace period starting Sept. 26, 2024, and ending Nov. 25, 2024. This grace period also provides an extension of filing deadlines for claims and leniency for any other action required under the policy. As further protection, insurance professionals licensed in other states, but not holding Tennessee licenses will be permitted to assist Aflac policyholders. Agents must contact Tennessee Department of Insurance for permission on a case-by-case basis for this accommodation. Aflac will provide a replacement copy of the policy upon request by the policyholder.


To help provide relief for North Carolina policyholders Aflac will provide a premium grace period starting Sept. 27, 2024, and ending Nov. 26, 2024. 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 Florida policyholders Aflac will provide a premium grace period starting Sept. 26, 2024, and ending Nov. 26, 2024. 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 Georgia policyholders Aflac will provide a premium grace period starting Sept. 24, 2024, and ending Nov. 25, 2024. 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 South Carolina policyholders Aflac will provide a premium grace period starting Sept. 25, 2024, and ending Nov. 25, 2024. 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 Florida policyholders Aflac will provide a premium grace period starting Oct. 5, 2024, and ending Dec. 10, 2024. 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 provide relief for New Mexico policy/certificate holders residing in Chavez County and affected by the severe flooding, Aflac will provide the following protections for policy/certificate holders:

  • Provide an extended premium grace period from Saturday, Oct. 19, 2024, through Tuesday, Feb. 18, 2025.
  • Postpone cancelations and non-renewals from Saturday, Oct. 19, 2024, through Tuesday, Feb. 18, 2025.
  • Offer a payment plan of at least six (6) months if unable to pay the delinquency after the extended grace period. This applies to all coverages except life. The policy/certificate holder should contact Aflac to make arrangement for repayment.
  • Waive late fees and penalties.
  • Provide an extension of filing deadlines for claims and leniency for any other action required under the policy/certificate.
  • Allow additional time for actions required under the policy/certificate and the submission of documents due to limited access to service and mobility.
  • Provide a copy of the policy/certificate to the policyholder/certificate holder upon request.

In addition to the above, Aflac through Aflac Benefits Solutions will provide the following protections for Network Dental and Vision members and providers:

  • Waive referrals and prior authorization requirements for use of out-of-network providers for medically necessary services, whether emergent or not.
  • Waive cost-sharing and deductibles through Tuesday, Feb. 18, 2025.
  • Permit one eyeglass or contact lens replacement and one hearing aid replacement during the pendency of this Order, waiving frequency limitations.
  • Permit one replacement for dentures or other prosthodontic devices during the pendency of this Order, waiving frequency limits.
  • Extend medical providers’ reporting requirements for claims submissions and for additional information relating to claims through Tuesday, Feb. 18, 2025.

Affected members should contact Aflac Benefits Solutions at 855-819-1873, option 1, for assistance.


To help provide relief for California policyholders residing in Siskiyou County affected by wildfires, Aflac will provide a premium grace period starting July 3, 2024, and ending Dec. 31, 2024. 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 California policyholders residing in Sierra County affected by wildfires, Aflac will provide a premium grace period starting Sept. 2, 2024, and ending Dec. 31, 2024. 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 California policyholders residing in Ventura County affected by wildfires, Aflac will provide a premium grace period starting Nov. 6, 2024, and ending Jan. 07, 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.

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Press Releases

Muchos adultos estadounidenses no acuden a chequeos médicos preventivos que pueden ayudar a salvarles la vida

Un tercio de los hispanos indica que el idioma es una barrera para sus necesidades médicas y para comprender sus pólizas de seguro.

COLUMBUS, Ga., 28 de junio de 2023 — Según un estudio publicado por Aflac Incorporated, un proveedor líder en seguros de salud suplementarios en los Estados Unidos, los estadounidenses no parecen estar en camino a vivir vidas más saludables y largas.1 La Encuesta de Bienestar (Wellness Matters) 2023, realizada entre 2,001 adultos empleados en los Estados Unidos, examina actitudes, hábitos y opiniones sobre la salud y cuidado preventivo.

La encuesta representativa a nivel nacional descubrió que el 25% de los hispanos opta por no hacerse chequeos regulares y posponerlos porque se sienten sanos. Otros motivos mencionados incluyen la falta de seguro médico o costos no cubiertos (25%), y conflictos de horario con las horas de trabajo, especialmente entre los hombres (24%).2

Según la encuesta, alrededor de la mitad de los adultos ha evitado por lo menos una evaluación médica común, incluidos exámenes para ciertas enfermedades y otras pruebas.2

El manejo de la salud y el bienestar no es fácil para la población hispana en Estados Unidos.

Entre los encuestados hispanos, el 31% indica que el idioma es una barrera para acceder a recursos de atención preventiva. Como resultado, el 72% ha evitado hacerse exámenes de bienestar, en comparación con el 46% que no considera que sea una barrera. Muchos de los encuestados hispanos también están de acuerdo (61%) en que los proveedores de atención médica y las organizaciones deben hacer esfuerzos para promover la participación y educar mejor a la comunidad latina sobre los beneficios de ser proactivos con su salud y bienestar general.2

Hombres y mujeres no tienen la misma perspectiva sobre su salud actual y futura.

Los resultados de la encuesta en la población general muestran que la mayoría de los hombres tiene una perspectiva positiva en relación con todos los aspectos de su salud actual, incluida su capacidad para controlarla en el futuro. La misma tendencia se mantiene también entre los hispanos. Los hombres hispanos tienen una perspectiva mucho más positiva que las mujeres sobre su peso/IMC actual (64% versus el 45%); salud financiera (57% versus el 44%); salud mental (71% versus el 62%); y salud física (77% versus el 63%). De manera similar, los hombres hispanos son significativamente más optimistas que la población estadounidense en general y que las mujeres hispanas con respecto a su capacidad para controlar su peso/IMC, su salud financiera y su salud física.2

Los exámenes de detección funcionan y conducen a mejores resultados, sin embargo, los reclamos de bienestar han disminuido.

Un número significativo (72%) de los encuestados hispanos diagnosticados con cáncer recibieron su diagnóstico durante un examen médico de rutina o durante un examen de detección anual programado regularmente, en comparación con el 46% de la población general.2

Un análisis de datos internos de Aflac revela que los reclamos de beneficios de bienestar por cáncer disminuyeron en 2022 en comparación con 2019, especialmente entre las generaciones más jóvenes. Por cada 1,000 asegurados de Aflac, los reclamos de beneficios de bienestar por pólizas de cáncer disminuyeron un 11% para aquellos en sus 20 años y un 9% para aquellos en sus 30 años.3

"Los resultados de la encuesta Wellness Matters ponen de relieve la necesidad de que las personas tengan un enfoque más proactivo con respecto al cuidado de su salud," dijo Ines Rodriguez Gutzmer, vicepresidente ejecutivo superior y oficial jefe de comunicaciones de Aflac Incorporated. “Por eso Aflac alienta a los asegurados y a otras personas a tomar el control de su salud creando buenos hábitos de salud desde el principio, haciendo preguntas a los proveedores de salud y seguros y dando prioridad a los exámenes de bienestar rutinarios.”

El gran impacto de los seres queridos en promover el cuidado de la salud, especialmente entre la población hispana de EE. UU.

Según la encuesta, las personas son más propensas a programar sus chequeos de rutina y dar prioridad a las pruebas de bienestar en la edad adulta si sus padres o cuidadores demostraron buenos hábitos, como la programación de citas de bienestar infantil, durante sus primeros años de vida. Muchos hispanos (67%) se benefician de amigos y familiares que los animan a ir al médico para las visitas rutinarias. La mayoría (83%) son más propensos a ir a una cita de chequeo de rutina si se les ofreciera un incentivo en efectivo para ayudar con los gastos.2

SOBRE EL ESTUDIO
La Encuesta Wellness Matters de 2023 se llevó a cabo entre una muestra representativa a nivel nacional de 2,001 adultos empleados en Estados Unidos, de edades comprendidas entre 18 y 65 años, en junio de 2023, por Kantar Profiles en nombre de Aflac. Como parte del informe de la población hispana, se agregaron 200 encuestados de habla hispana, lo que resultó en un total de 580 encuestados para asegurar la comprensión sólida por parte de esta población. Los 200 adicionales no se incluyen en el informe de la población general, con el fin de mantener una muestra representativa a nivel nacional. Obtén más información en Aflac.com/WellnessMatters.

SOBRE AFLAC INCORPORATED
Aflac Incorporated (NYSE: AFL), una empresa incluida en la lista Fortune 500, ha ayudado a proporcionar protección financiera y tranquilidad durante más de 67 años a millones de asegurados y clientes a través de sus subsidiarias en Estados Unidos y Japón. En Estados Unidos, Aflac es el proveedor número uno de productos de seguros de salud suplementarios.1 En Japón, Aflac Life Insurance Japan es el principal proveedor de pólizas de seguros médicos y de cáncer vigentes. En 2021, la compañía se convirtió en signataria de los Principios de Inversión Responsable (PRI). En 2022, la compañía fue incluida en el Dow Jones Sustainability North America Index por noveno año consecutivo, en la lista de las Empresas Más Éticas del Mundo de Ethisphere durante 17 años consecutivos, en la lista de las Compañías más Admiradas del Mundo de Fortune por vigésima segunda vez y en el Índice de Igualdad de Género de Bloomberg por cuarto año consecutivo. Para obtener información sobre cómo obtener ayuda con los gastos que el seguro médico no cubre, visítenos en aflac.com o aflac.com/espanol. Los inversores pueden obtener más información sobre Aflac Incorporated y su compromiso con ESG y la responsabilidad social en investors.aflac.com en la sección "Sostenibilidad".

Contacto de prensa: Darcy Brito, 706-505-9762 o dbrito@aflac.com
Contacto para analistas e inversores: David A. Young, 706-596-3264, 800-235-2667 o dyoung@aflac.com

1 LIMRA 2021 Supplemental Health Insurance Total Market Report (Reporte del Mercado Total de Seguros de Salud Suplementarios en EE. UU).
2 Aflac Wellness Matters Survey, 2023.
3 Fuentes internas de Aflac.

Esto es un breve resumen del producto solamente. La cobertura puede no estar disponible en todos los estados y las tarifas de los beneficios/primas pueden variar según el plan seleccionado. Las Cláusulas adicionales opcionales puede que estén disponibles por un costo adicional. Los Planes y las Cláusulas Adicionales pueden tener un período de espera. Consulte los planes y cláusulas adicionales exactos para conocer los detalles, las definiciones, las limitaciones y las exclusiones de los beneficios. Para conocer la disponibilidad y los costos, comuníquese con su agente/productor de seguros local de Aflac. Para conocer la disponibilidad y los costos, visite www.aflac.com. En Arkansas, Pólizas B70100AR, B70200AR, B70300AR, B7010EPAR, B7020EPAR. En Delaware, Pólizas B70100DE, B70200DE & B70300DE. En Idaho, Pólizas B70100ID, B70200ID, B70300ID, B7010EPID, B7020EPID. En New York, Pólizas, NY78100–NY78400. En Oklahoma, Pólizas B70100OK, B70200OK, B70300OK, B7010EPOK, B7020EPOK. En Oregon, Pólizas B70100OR, B70200OR, B70300OR, B7010EPOR, B7020EPOR. En Pennsylvania, Pólizas B70100PA, B70200PA, B70300PA. En Texas, Pólizas B70100TX, B70200TX, B70300TX, B7010EPTX, B7020EPTX. En Virginia, Pólizas A75100VA–A75300VA.
La cobertura está suscrita por American Family Life Assurance Company of Columbus. En New York, la cobertura está suscrita por Continental American Life Insurance Company.
La familia de aseguradoras de Aflac incluye American Family Life Assurance Company of Columbus, American Family Life Assurance Company New York, Continental American Insurance Company y Tier One Insurance Company.

Aflac | Sede Mundial | 1932 Wynnton Road | Columbus, GA  31999
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