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AFLAC Support Ticket - Non payment of claim

AFLAC Support Ticket

Non payment of claim

Created By: general365's Picture general365 Last Reply: 's Picture
Priority Level: [High] Status: [Open]
Created: 4 years ago Last Updated: 4 years ago
Department: N/A Replies: 2

2 weeks ago I submitted a valid claim for $1000.00 against my Hospitalization policy. After 1 1/2 weeks they sent me $75.00 for three doctor visits, and denied my overnight hospital stay claim.The kicker is that the reason they gave for denial was that my claim fell within the first 30 days of my policy start date. This is false, but if that mattered, why did they give me anything? I resubmitted documentation pointing out in unmistakable detail where they were wrong in denying my claim. Now, 4 days later, I notice when I sign in to my account that "portions of this claim are still being reviewed". Yay! They are taking another look at it! Not so fast. Upon closer inspection I notice that they are "reviewing" a claim for my accident policy. The problem with that is I have not filed a claim under that policy. I wrote to them that from my vantage point, it appears that the person(s) reviewing my claim are either inept or deliberately impeding my claim, and that is unacceptable. I suppose I will get an auto response sometime tomorrow, apologies etc. Meanwhile bills are not getting paid.


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AgentET says: (4 years ago)
What does your agent have to say? Disturbing!

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