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Individuals & Families
Individuals & Families
Request a Quote

File a Claim via Fax or Mail

You can also submit your claim via fax or mail. To get started, select your type of policy and follow the instructions below.

To file your claim via fax or mail, simply pick from the options below, complete your claim forms and send to us with all necessary supporting documentation.

For Aflac Dental & Vision Plans and Tier One Individual Plans

Use the options below to file claims on:

Dental, Vision, Hearing (DVH): Policy Series T80000 | Aflac Dental: Policy Series QN81000 | Aflac Vision: Policy Series QNV1000

Dental Members

Download and complete our Member Reimbursement Form.

Mailing to:
Aflac Pay Member Claims
PO Box 45
Milwaukee, WI 53201

Dental Providers

Submit claims by:
Accessing the Aflac Provider Portal

Electronic submission through Clearninghouse using:
Payor ID: AFLAC & NEA Number: 451001

Mailing to:
Aflac Claims
PO Box 2015
Milwaukee, WI 53201

Vision Members

Davis Vision Members: Access the Davis Vision Member Portal

EyeMed Members: Access the EyeMed Vision Member Portal

Vision Providers

Davis Vision: Access the Davis Vision Provider Portal

EyeMed: Access the EyeMed Vision Provider Portal

Hearing Members

Nations Hearing Members: Access the Nations Hearing Member Portal

Hearing Providers

Nations Hearing: Access the Nations Hearing Provider Portal

For Aflac Individual Supplemental Plans

Use the options below to file claims on:

Accident Policy Series: A35000, A36000, A38000 | Aflac Plus Riders Series: 57600 | Cancer Policy Series: A78000, A75000, B70000 | Critical Illness/Specified Health Event Policy Series: A74000, B71000 | Hospital Policy Series B40000 | Life (Juvenile) Policy Series: B61000 | Life (Whole & Term ) Policy Series: B60000 | Short-Term Disability Policy Series: A57600 | Supplemental Dental Policy Series: A81000 | Supplemental Vision Policy Series VSN100

Download a Claim Form

Claim forms are state specific. Choose the policyholder’s state of residence and select the appropriate form(s).

Select a State

Submit

    To submit your Aflac supplemental plan claim via fax or mail.

    Fax: 877.442.3522

    Mail: Aflac, 1932 Wynnton Road, Columbus, GA 31999

    Please read carefully. If you have a question about how your Aflac claim was processed or disagree with a claims decision, you may submit an appeal, citing supporting policy provisions. If your appeal is for a claim through Aflac Life, Absence and Disability Solutions, different procedures apply.

    Aflac Policy Claims Appeals:

    Fax: 888.659.1023

    Mail: Aflac Claims Appeals, PO Box 84065, Columbus, GA 31908-9998

    Please use the claim appeal form to organize your request. Please be sure to explain why you disagree with Aflac's decision, and include any additional supporting documentation.

    You have the right to appeal a decision up to a maximum of three times per claim.
    All appeals must be submitted within 180 days of the original claim decision.

    Aflac Life, Absence and Disability Solutions Claims Appeals:

    Please review the decision letter that was sent to you for your appeal instructions and guidelines, or contact your Case Manager for that information.

    You have the following options for submitting your appeal:

    Fax: 800.206.9186

    Email: Send it to us at myPLADSappeal@aflac.com Include your case number in the subject line.

    Claims App: Take a photo or scan your appeal into the case at https://mygrouplifedisability.aflac.com/personal/s/login.

    Mail: Appeals Administrative Office, PO Box 8308, Columbus, GA 31908-8308

    Please include your Case # in all appeal communications.

    Disclaimer

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