22 CORPORATE WOODS, SUITE 2, ALBANY, NEW YORK -- On 5/23/2009 I was scheduled and had surgery on my wrist. I am an RN supervisor and have two daughters that I support entirely on my own. I took out the Aflac insurance because a friend of mine had cancer and I was concerned about my children and their future, should this ever happen to me. I took out every policy Aflac offered through my work, disability, cancer, accident, life insurance. Needless to say, this costs quite a bit of money each pay period; I had thought this a small price to pay for mine and my children's piece of mind.
I had verified prior to my surgery with Aflac that all was covered for my surgery for disability. My surgery could have waited, which I would have done had I known that they would hold up my payment as they had. I filled out all of my paperwork as requested, followed up a week after doing so to give them adequate time to process them. I was told at this time that they would be requesting further information from my surgeon to establish that this was not a pre-existing condition. I completely understood the need to verify so and was not concerned. They also stated at that time that I would be receiving a copy of this request as well, I did not.
After allowing them another week to send out, am my surgeon's office to receive this request; I called my surgeon's office to verify that it was being processed, or would be shortly. They informed me that they had never received such request for additional information. I as well had not received the copy of this request as stated I would. I notified Aflac of this and was told that a request had not in fact gone out when I was told, but rather just the day prior to this phone call. Patiently, I waited again...
Yet again, no request had been received by either myself or my surgeon's office. I called after another five days to yet again allow them sufficient time to process this request. Upon speaking to the Aflac representative I was informed that the request had not gone out on either prior dates specified, but rather had been faxed - on an entirely different date than I had been given previously.
Again the waiting game, I am now at this point three weeks into my disability and have not received a single piece of paper, let alone a check from Aflac. I at this point make an attempt for some assistance and place, not one, but two phone calls to the insurance representative that had sold me the Aflac policies through my work. These two calls were over a three day period. I did not receive a return phone call from this agent.
I then contacted this agent's supervisor who stated she would look into it and get back to me. Meanwhile, my doctor's office was kind enough to fax to Aflac the requested information that they had verbalized to me that they needed. This was done on two different occasions, both showing fax transmittal forms that verified they had been received at the correct number. Of course, Aflac said that they never received this paperwork on either occasion that it had been faxed.
At this point in my very stressful recovery, I am now at six weeks with no check from Aflac and not much hope of seeing one. My doctor's appointment was scheduled for two weeks from that point. I was now forced to go to my surgeon and request that he remove the cast from my arm earlier than expected and practically beg to go back to work. I am extremely fortunate that I as a supervisor have a different workload than that of many other people. He reluctantly agreed with some stipulations.
My first day back was on a Saturday, last day of a pay period. I hadn't been thinking and should never had returned then, Aflac removed their premium from my check off on days work - after taxes and insurance leaving me $14.00!! Not enough for a tank of gas.
I found that on my first day back to work, Aflac cut me a check for one week! Not the remaining five, just one. Upon return to work I let all employees know via email and bulletins what Aflac had done to me. Next thing I know I have the district manager in telling me he will clear up this issue. Apparently, out of the 450 employees; numerous ones chose to cancel or not take out their policies as planned.
Needless to say, I have now been back to work for two weeks and have still not seen another check for the remaining funds owed to me. They of course have removed all of their fees for their insurance. The district manager has told me that they have all of my information and that they will process it within 14 days with a mailing time of 7 days.
So the bottom line is this, I will have received my disability payments five weeks after returning to work. GOOD THING I HAD DISABILITY INSURANCE!!! Words cannot describe my disappointment and sheer amazement at Aflac's irresponsibility. I truly felt a piece of mind when taking out the policy, that I am my children would be covered should something happen. This was so very untrue! Please be a wise consumer and consider this before signing up for this insurance service. I did the right thing and should not have had to suffer through this nightmare!
I've had Aflac for about 9 years. Teachers don't get disability from the state. I pay about $200 for disability and cancer (had to get a separate policy for cancer cause I guess it's not a disability). For 9 years I've paid about $18,000! I put in a claim last month for my surgery. I only received $66 a day. If I would've saved that $200 a month into my own account I would have had over $18,000 in my account plus interest. I canceled AFLAC today.
EL DORADO HILLS, CALIFORNIA -- Every week, sometimes twice a week, another new face representing Aflac comes to waste our time trying to sell us door to door insurance. Each time we ask them not to return. They keep coming, a new person, normally 2, each time. I hate this company now, and by proxy, the people representing them. Each time I get more irritated, and next time I just might put the next solicitor's head through the glass door. If you work for Aflac selling insurance of all things door to door, you should really take a look at your life and be sad about the events that led you to work for Aflac. 1 star and I'm not a customer, nor will I ever be a customer now.
REDDING, CALIFORNIA -- I purchased AFLAC specifically for orthodontic supplemental coverage for my son. I was told I would pay into this for one year and at that time would be eligible for braces for my son. I was told this by my representative Mark ** in the Redding area. After we had X-rays done and a consult, the dentist office states we aren't eligible because I hadn't paid into it for two years. Now I'm on the hook for X-rays and consult visit. I was completely lied to. To top it off, the representative doesn't return calls and has essentially disappeared.
HOUGHTON, MICHIGAN -- No need to get into a long story. The bottom line is, I was lied to and given false information just so they could take my money for 10 years. Now, I need my benefits and they refuse to pay what I am entitled to! They should be investigated for what they are doing to people!!
LEVITTOWN, PENNSYLVANIA -- Very frustrated about what information to submit??? I have Invasive Metaplastic Breast Cancer. I have had a mastectomy, reconstruction surgery has begun, home nurse visits, I will be getting chemo. What do I submit for the hospital, surgery, anesthesiologist, plastic surgeon, surgeon? I don't know what to submit but they sure know how to turn down a claim for not submitting proper paperwork. WHAT DO YOU WANT FOR EACH SUBMISSION AFLAC?
WASHINGTON, DC, DISTRICT OF COLUMBIA -- I'm a member for 4 years and knew I had to get dental work done. My insurance took care of my gum surgery and I was informed by my dentist that AFLAC is a waste of money. He asked me if AFLAC Dental was helpful for me. I told him, "No. In fact, trying to cancel is harder than joining." AFLAC dental is a joke! Who pays for a dentist out of pocket?
COLUMBUS, GEORGIA -- 3 years ago I took out 2 Aflac policies. After never using them I decided not to renew the policies. I checked w/ my representative, & filled out the forms she provided me with, signed, had my employer sign, date the request & turn it into the agency. I was assured it was taken care of. The next month my employer received a chastising notice from Aflac about being late with the payment - which he did not owe since the policies were cancelled. The representative claimed they never received a request to cancel. I faxed in the original request & was again assured it would be handled n a timely manner.
The next month, the same thing happened. This time I spoke to a "manager" who was insulting, condescending and just plain rude. She advised me that a "proper signed request" was never received, even though I had a copy of it in my hand. I faxed it over yet again and filed a complaint w/ the Better Business Bureau. A couple of weeks later I received a call from the manager stating both policies were cancelled. I received a letter stating both policies were cancelled & how sorry they were about the way I had been treated.
The next week I received an unsigned letter from the "client services department" threatening me, my coworkers, & my employer with "unfortunate IRS tax situations" if I try to cancel my policy again - they have decided it was in my best interest to "reinstate" my policy?!?! What do you have to do to get a policy cancelled? This is ridiculous! I have properly filled out & signed every single form they have given me. I & my employer have repeatedly requested a cancellation and they reply to these requests with threats of financial ruin?!?!
COLUMBUS, GEORGIA -- As an agent for almost ten years, there are two problems here. One is individuals not understanding their initial waiting periods. To solve this I created a label that I put on the front of my brochures that states Effective date plus 30 day wait = This date for new diagnosis. Pre Existing wait is either six months or one year depending on the plan. This is on all plans that have sickness benefits. The accident plan does not have a wait and the Dental has a different type of waiting period.
I explain to my clients that if you go to a Dr before the 30 day wait and they test for symptoms, even if those test results come back after your waiting period is up, you were still tested for a new condition prior and it will be denied. I do not tell people not to go to the doctor, I tell them they are not covered until after the 30 day wait or pre ex wait.
And the problem with pended claims is pretty simple to fix also. AFLAC requires a basic claim form with your information, and a release form. Then you need to provide proof of treatment for your situation. It is cut and dry and one trip to the hospital Medical Records Dept will yield the needed papers.
A hospital overnight stay requires an Itemized Hospital Bill, an MRI requires an MRI report, a surgery requires the surgery report, etc. AND ALL CLAIMS NEED TO INCLUDE THE DISCHARGE SUMMARY REPORT WITH DIAGNOSIS CODE. Otherwise, you have to get a Dr's signature to verify the diagnosis. This form is available from Medical Records. This means the ONLY form that now must have a Dr's signature is your Short Term Disability form.
Most pended claims are because of insufficient information. HIPPA regulations require you to obtain this info for faster claims processing. If you were hospitalized and have surgery, please submit an itemized hospital bill, surgery report and the Discharge Summary Report with diagnosis code and the claim form and release form and you will find your claim will be quickly paid.
AFLAC also has an claims appeals board that I have had approval through for those unusual situations. Finally, remember your Health Insurance company does not pay YOU cash. AFLAC does and my clients are very happy with their AFLAC experience because I stress the effective dates when they purchase. I hope this post helps someone to know how to file their claims now.