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Hospital Intensive Care Claims

To file a hospital intensive care claim, please complete the appropriate claim form and follow the guidelines below:

Please remember to submit a signed and dated authorization with all information provided.

  • Include an authorization signed and dated by the patient with every claim.
  • Send a copy of your hospital bill showing the charges and the number of days you were in intensive care. Your claim cannot be processed without the hospital bill.
  • Have your physician complete and sign Section B: Physician's information.
  • Send a copy of a police accident report if your claim is a result of a motor vehicle accident.

Additional information may be required.

Insurance Claims for Hospital Intensive Care | Aflac Insurance