
Aflac Reviews
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About Aflac
- Quick claims processing
- Financial support during illness
- Frequent claim denials
- Poor communication from agents
Aflac Reviews
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Reviewed May 31, 2016
Having cancer is frightening but trying to deal with Aflac regarding your Cancer Plan is horrific. Having been in treatment since December 2015 including mammograms. biopsies, lumpectomy and a radiation program in the last 5 months I have as of yet received any payment from my plan. I have completed applications, contacted my health care providers with documentation requests, contacted my Aflac rep. David ** who also contacted Linda ** Independent Agent. I have provided every related bill all to no avail. Every contact with Aflac or their representatives is a dead end street. They just do not care. I am so fed up but after paying on this Aflac Cancer Plan for several years I do not intend to give. Why would they take this approach and cause more pain to those already in pain.
Reviewed May 30, 2016
I got a hernia and was told how they word my condition in the ER that I was not covered. Been a customer for 10 years. Now I want to stop my accident policy and was told I had to wait till the end of the year. Never received any explanation of benefits on being denied.
Reviewed May 14, 2016
I've been a customer since 2007 and thought they were great 'til one day a rep came in and said I needed to switch to Aflac group. I've been charged for both policies since, claims unpaid, can't get a hold of anyone. 2 yrs now I've been trying to drop it and get the runaround. Last year, rep came in and said she would get to the bottom of it and in the meantime resubmit my old unpaid claims and she would help submit them. A month goes by I try calling, no answer and left a message. No callback. I call again and this goes on and on, no call back. I call Aflac themselves, they said she was fired and they can't access her info - bs.
So yesterday a rep comes in, I tell her all the stuff that's been going on. She said she will call her supervisor and be back today. Well I get there and she acts like she don't even know what I talking about, says nothing she can do and says there isn't anyone she can call, everyone is off as it's Saturday. "Are you kidding?" I say. "Well then I want it canceled today and I want your supervisor's number". She says, "I will be right back" and goes outside on the phone. My wife hears her on the phone say she don't know what to do so she's leaving and just leaves. About an hour later my employee get a call from this woman's supervisor (the one that she can't get a hold of because it's Saturday) and says I was being threatening. This rep was very unprofessional. She came in wearing a bathing suit top that tells you what kind of company this really is. This company is a joke. They lie and lie some more. Well I guess a news channel would love the story.
Reviewed May 12, 2016
10 weeks ago I had my hand slammed in a door at home, and I had to have emergency hand surgery that put me out of work on short term disability, which I signed up for with Aflac through my employer. My accident was on Friday March 18. I filed my claim that following Monday March 21. Aflac has done nothing but screw with me. I filled all my forms out and faxed them back, as did my employer, and my hand surgeon. I had them turned in within that week. 3-4 weeks later I get a email stating "sorry we can not go on with the review. We need more documents".
I sent these incompetent people every thing I had: surgical report, er report, labs, xray, pathology stating why they could not reattach my finger. I went as far to send rx's, for meds and physical therapy, physical therapy reports, all the short term paperwork from me, my surgeon and my employer, my follow appointment cards with the surgeon. These ** 5 weeks into filing my claim sent all the same paper by mail again to be filled asking for all my hospital reports, which I turned in 5 weeks ago! I get a email stating "sorry there was miscommunication with our corporate office. It should only take about 2 weeks now. Sorry for your inconvenience." Three more weeks go by so I call these **. Now they are telling me "oh well now we need 2015 taxes." (WTF) I go off; "It's been 8 ** weeks. There is nothing else to review. Give me my ** money." I sent that with a lovely picture of my decapitated fingers!!!
I made my hand surgeon release me early to go back to work. I exhausted all my pto/vacation and Aflac was just ** around now. I had wells Fargo on my Ass wanting their money or their vehicle back! ITS now 5/12/2016, 10 weeks since my accident and guess what no Aflac check, but I did get a lovely email at 11 pm last night from Aflac asking me to fill more forms out so they can continue their review!!! I am done with these ** waste of my time, incompetent individuals. I want my ** cancelled and I want my policy cancelled now today.
I will make sure my employer stops payment to Aflac my next paycheck, or I will be driving my pissed off ass to their Troy, MI headquarters and I will take out every individual in that building!!! Aflac is the biggest scam. They just mess with you, stress you and they do not pay you, but will continue to take your money from you for the cost of their policy. This company is full of False advertising. It needs to be shut down and sued.
Reviewed May 2, 2016
I filed a claim after I had hernia surgery on April 8th. It is now May 2nd. I don't think I have ever been so disillusioned or regretted a purchase as much as I have from Aflac insurance. I felt when I bought the insurance that I was adding financial protection for my family. It hits home with us because we did not have coverage as my wife went through cancer. So when I injured myself working on my car I was very relieved that I would have extra income to stay home and recover. Instead I have went back to work a week early, made numerous calls, miles of driving for documents and no claim has been paid. I'm starting to think this is a huge scam. And to make matters worse I tried to drop the insurance and I'm forced to continue to pay for six more months for a bogus insurance policy.
Reviewed April 29, 2016
Do not waste your money. Worst experience. They are lies and crooks. Too many loopholes to all businesses. Do not use Aflac. Our lives were turned upside down due to empty promises. We dropped the policy. They are a joke.
Reviewed April 28, 2016
I have had an Aflac Short Disability for approximately six years and I have never had the need to use said policy. I had surgery on March 25, 2016 and I am not released to go back to work until May 4, 2016. My whole process has been a nightmare. First Aflac claimed that I was not out 31 days because my employer put on the school board agenda the date of April 13 which is when my leave without pay started. Then my employer changed the date to April 1, 2016 since that was the issue. Still not payment. Then AFLAC said that my Dr. had to refill out the third form AFLAC asked for because my next follow-up appointment is on May 25 and he is releasing me back to work on May 4. It's a follow-up appointment.
Today it is April 28, I believe that means I have been out of work past the 31-day rider. They have still denied me. If anyone knows who I can complain to I would appreciate it. I understand that I can sue Aflac for breach of contract and request all of my paid premiums from previous years. I am going to check into this and if so I am going to do all that I can to be a thorn in Aflac's side!
Reviewed April 20, 2016
I knew I needed surgery and was not able to take the time off from work. Aflac was one of the benefits being offered at my job so I got the service. I talked with the sales agent personally and he assured me that I would be covered so long as my surgery had something to do with a condition that had already been well established and not something new. (By the way this is a lie, they don't cover pre-existing conditions at all even if you just talked to someone about something). It took forever to jump through all arbitrary hoops to get them to finally get me an answer on the claim and they denied it because the surgeon who filled out my paperwork talked to me a few days before my first 30 days which rendered the claim non-payable, even though my surgery was well within the time frame of what they wanted. That is the most ridiculous thing I have ever heard and definitely not made clear by anyone at the time of sign up.
This doesn't really matter because they never paid me anything but they denied me the amount of my full income based off of my tax return from last year (a document they demanded for payment) even though I haven't been with this company for a full year. They asked my employer to fill out a page with my income on it and they completely disregard that amount and used my old tax return's amount as the figure for how much they would pay me going forward. Why would my employer lie about my income... The whole experience was not cool and I immediately cancelled and demanded my money back. It's a good thing I was only with them 2 months. I will never do business with this company again and strongly recommend that whoever does has a monetary backup plan because you're probably going to need it.
Reviewed April 20, 2016
I joined Aflac Hospital Indemnity and regret my choice from day one. I have discovered the key to ripping customers off is to advertise how easy getting payback on your policy takes within 24 hours, which is not true! For the client that claims their experience with Aflac was great must be related to someone within the agency because my experience and many others views are mutual to mine. I refuse to waste another year with this company. I refuse to allow Aflac to take from my payroll and deny each claim I present to them in a timely manner. I shouldn't lose money to hospital stays and non reliable insurance companies such as Aflac. Please save your money and personal info.
Reviewed April 19, 2016
I have a Short-term Disability policy and a Group Hospitalization Policy with Aflac. In March of 2016 I became very sick and ended up going to the emergency room via our city's EMT's. I ended up being in the hospital for six days and being off work for three weeks. I had no sick time available and the company I worked for advised me that since I had insurance through Aflac I did not qualify for the "time donation" benefit they offered. The first thing I did when released from the hospital was contact my Aflac agent. He email me the forms to submit a claim on both policy. First I emailed the forms and paperwork back to him the very same day.
I wanted to get my claim filed as soon as possible since I would not have any money coming in from work. When I contacted him the next day to verify he had everything he needed, he informed me that he did receive everything but I should not send them to him but to the company directly. He should have mentioned that when he sent the forms. I then went to the Aflac website to file my claims. There I tried to do the "quick claim" to be paid in 24 hours. I was told this cannot be done with a disability claim. I then faxed every to the number I was given. I then had to go to Aflac Group to file for the Hospitalization claim. It seems that this is a different company under the Aflac umbrella.
For this claim I had to email all the forms and documentation. After waiting 2 days I contacted them about my claims. I was told that all the paperwork had been received and will be reviewed. That was 8 days ago. I am still waiting to hear from anyone for either policy. So much for the 24 hour claim service. I would discourage anyone from getting insurance from Aflac, especially those people working for my University. I am losing benefits from them because I have Aflac and I have Aflac that seems not to care for their customers at all. Meanwhile, the electric and gas companies still want paid and the kids still would like to eat. I have had a policy with them since 2011.
Updated on 04/29/2016: This is a follow up to the review I wrote and submitted about Aflac on 4/19/2016. Aflac Administration responded to my review on 4/24 asking for information. I sent it to them the next day (4/25). On the 26th I received this back: "Due to higher than planned customer submissions, it is taking longer than what we would like to process your documents. Once completed, you will receive an email update. No further action needed at this time." That was three days ago. I have not heard a thing since. If there is truth in advertising and "no one pays faster than Aflac" I would sure hate to do business with some of the others. Customer of Aflac for 5 years, first claim.
Reviewed April 14, 2016
In June of 2015 I took out a short term disability policy with Aflac. At the end of June, I was having some shoulder pain, went to my primary and she sent a specialist to have my shoulder looked at. Dr thought it was a frozen shoulder. I was treated with therapy for 9 months hoping that the therapy would work and cortisone injections. Therapy did not work so we need surgery, 10 months into paying for Aflac. They deny my claim. Because I went to the Dr.s within the 30 days of my policy being taking out they will not cover my short term disability. Nowhere does it say I cannot see a doctor within the first 30 days of taking out my policy. My surgery was 10 months after taking out the policy. Total ripoff!!! So disgusted!!! They take people's money then don't want to pay out. Frauds!!!
Reviewed April 13, 2016
I had a car accident and they never answered the phone to help me with my claim. The website is a waste of time. Never loads up to get the forms and the agent was so so unhelpful. I would never recommend this insurance to anyone at all. 4 yrs paying for nothing. The very first time I claimed and needed the help they never helped but they were very good at getting the money from my account. For that they are always on time. TERRIBLE TERRIBLE SERVICE. Who is going to pay me my money back for those four years I paid you Aflac?
Reviewed April 8, 2016
Received 2 head injuries in December 2015. One left big scar on forehead. Claims denied because I didn't go to emergency room. Dental claim was sent to Dentist office per instructions and went into oblivion. Paid probably over $25k in premiums over 25 years, no return call from agent. Cancelled all Aflac policies. What a rip!
Reviewed April 6, 2016
This all started on 2/10/16 when I got into a motor vehicle "ACCIDENT" which I want to point out that I have the accident coverage through Aflac for myself and my family. I had to deliver my baby via c section due to the accident. I had to stay in the hospital for extra days and the compensation is nowhere near what they claim to pay!! I am very upset and am not sure where to go from here? I did write an email last night and am waiting for a response but I am upset because I have everything they have asked and for a payment of $460!!! I don't think so, me and my newborn almost died if it was not for the ambulance getting there so fast and the OB Dr. making his very quick decision to do an ER c section so me and my baby could live. I'm not sure what to do from here but this is ridiculous. I have been a loyal customer since 2014 all I ask is I get compensated for what is mine!
Reviewed April 5, 2016
Good luck submitting a claim correctly for Aflac. Their "24-hour" turnaround smoke-blowing is assuming that you can navigate their incomprehensible claim forms, which all leave out imperative information needed to be submitted, which later requires you to resubmit more information and read .PDF messages on their secure server which don't open in Chrome, Safari OR Firefox. Not to mention the fact that it doesn't save any of your work while you are editing a claim, so if you have to pause or close out a browser (or if your browser is out-of-date) it will deleted everything you have worked on.
Then, due to minute policy details, they deny your claim anyways because their form left no room to explain or report the true nature of the claim in the first place. Hoping that you give up and allow them to retain your funds is the main goal of this absolutely inefficient, and archaic internet web client account system. Good luck. Tried politely to call to get help; got voicemail every time. No returned calls.
Reviewed April 2, 2016
I wouldn't suggest this insurance company to anyone. They lie and are misleading. My husband took out hospital insurance thru his job. He got sick and went into the HOSPITAL on May 4th and he passed away in the HOSPITAL on June 29th. We started fighting with Aflac when he was alive and they still have not gave him a dime to help with the HOSPITAL bills. They say they never should have insured him and would return to me all the money they took from his paychecks. Well his year mark is quickly approaching and I still have not heard from them. I think Aflac is a complete joke. By the way my husband doctor bills are over 2 million dollar and they are complaining about the little bit they owe him. Never will I say anything nice about this company.
Reviewed April 1, 2016
I am writing this review because of my experience with AFLAC but also because of the negative reviews I have seen on here about AFLAC. One very important fact to remember is most people only write reviews when they are dissatisfied about their experience. Most people that are happy with their policies often do not take the time to write their positive experience.
I have been a dedicated AFLAC policyholder since April 1, 2004. I have had a number of surgeries, 11 to be exact. I have had left shoulder surgery 3 times, knee surgeries twice on each leg, lower back surgery and most recently, I tripped over my dog in the middle of the night when I got out of bed to go to the bathroom. That fall broke my ankle which has as of 3-31-2016, required 4 surgeries. Each one of my surgeries required more than 6 months recovery time for each one. My policy has a 6-month maximum payout for each event and pays a fixed amount for x-rays, follow-up visits, etc. I have never had a claim denied or even delayed.
The next day pay program for claims only applies for certain types of claims, not all. A vast majority of my claims were paid within a week. I also have a disability policy with TransAmerica. That insurance company is an example of a company that does not care about its policyholders. I had several claims that took over a year to resolve and finally required the NC Department of Insurance getting involved to finally receive payment. When you have something else as a comparison, AFLAC by far is one of the best out there.
Reviewed March 23, 2016
I have been faithful customer for two years paying this ins. policy. This is the way they have treated me. Since Feb. until now March 23rd I place a claim with them. It has been a nightmare believe me. Several CALLS and I tried four times to fax my information to claims department. The right hand doesn't know what the left hand is doing. My agent and the main office has been useless to me. I finally got this person named Ashley she was very knowledgeable, who took the time step by step. I scan the documents and E-mail and everything fine for now. I hope. I do not recommend buying this insurance. They advertise on TV one-day pay. Direct Deposit is very difficult doing online. Very dissatisfied customer.
Reviewed March 11, 2016
When my father passed away, I contacted AFLAC to determine what type of policy my father held with them. I was told to fax the death certificate and a copy of the will to prove that I am the executor of his estate. I did so and received a premium refund check with no other information two weeks later. I called to determine the policy type as that would determine how to proceed, but was told that the will never got sent to their legal department for review because "that isn't the normal process". I was told to call back 24-48 hours later so they could review it, which I did, but was then told that I needed to provide proof that the will was submitted to probate.
Not only could the agent not tell what that proof entails, he rattled off multiple affidavit types without any knowledge as to what they were, then concluded by telling me to call back 24 hours after I sent the documents in so they don't get stalled in the process (apparently it is a common thing there?). Here it is, almost six weeks since my father's death, and I am no closer to understanding the policy type or the process. What a terrible way to handle someone who lost a loved one and is simply trying to get information on an account that was, by all indications, in good standing.
Reviewed March 8, 2016
I got very sick in January, my family found me in a coma. I was in the hospital from January 16th to January 25th. I stayed home till February 5th. I am still recovering. I contacted my agent, gave him all needed paperwork. He always gave me the runaround. To this day I did not receive any money. He won't answer your calls. He wants you to text him, even then you still have to wait for him to respond. I should be focusing on my recovery and not be stressed about paying bills, if my light will be turned off or if we have enough food. I just found out I am pregnant. I am beyond stressed. They are quick to take money out of your check every week but then you have to fight to get your money you are paying for. They tell you on tv about you getting your money in one day or very quickly. That is false advertising. I am going to contact a lawyer and take them to court. This is unacceptable.
Reviewed March 5, 2016
I purchased Aflac with the understanding that if I were to get hurt they would help with the financial stress of needing hospital care. I broke my arm skiing 7 weeks ago and had to have surgery and admitted to the hospital for two days. I have made numerous phone calls and everyone seems to be clueless. I faxed over all my hospital records as soon as I got home knowing I wouldn't be able to work for at least 6 weeks. They have denied even getting a fax which is strange since my Aflac rep also faxed them all my information and they still claimed not to have received anything. Every time I call I go down the road. This has been 100% frustrating.
Reviewed March 1, 2016
I took out policies with a District Sales Coordinator and all I can say is if you're going to be a professional, you need to be one. When you are asked questions about your customers policies, you should respond to those request/questions. Ignoring them isn't what a good agent does. I ended up cancelling my policies due to poor customer service. I wouldn't recommend going through Aflac for any type of insurance.
Reviewed Feb. 26, 2016
I'm 38 yrs old and recently was diagnosed with two heart conditions that required open heart surgery. I had the Aflac plan for over 2 yrs through work. Many others didn't buy into the policies. I'm lucky I did. My plan paid out 2100.00 a month for 6 months. Although it was less than half of my salary, it did help with the bills. Also it was paid in cash, no taxes. The only thing that kept me from giving 5 stars was that they were always behind in processing claims. My representative was extremely helpful and kept me in the loop and also told me to have my continuation Forms faxed in 2-3 weeks prior to when they needed to be turned in, every 60 days. All the negative reviews shock me. I highly recommend Aflac and to keep a good relationship with the Representative.
Reviewed Feb. 24, 2016
My wife before we were married purchased Short Term Disability and a Hospital Indemnity policy with the intentions of one day having kids. While she was pregnant we were trying to plan out finances while she would be out of work for 6 weeks. Her response was that we had AFLAC. As promised after filing our claims on Friday we were paid by the following Thursday for her time out of work from her short term, and we were paid for the hospital admission, days in the hospital, and for the C-Section delivery. Our agent was great and that is why we still have those policies and now have more.
Reviewed Feb. 23, 2016
We have had an AFLAC policy for over 22 years. When my wife had cancer 20 years ago, we had NO PROBLEMS. AFLAC was great, and punctual in payments. Now she has another cancer, and is using basically the same doctors in the same locations. AFLAC has been very slow with everything, in spite of all kinds of publicity about their one day pay. When I call them, the representatives are very nice, promising to do what they can. However, not much is happening. Though they have new technology to upload claims, many of their older customers like myself do not, and so we are left out. They are not processing our claims in any sort of a timely fashion. Much worse than before. Hate to see it.
Reviewed Feb. 22, 2016
I got hurt on the job and ended up in the hospital for 7 days. Thank goodness I didn't end up needing surgery, but I did fracture my pelvis in 5 places. AFLAC was great and I got a check immediately upon submitting my forms when I got out of the hospital. We also have a dental plan and every time my daughter's Dad took her to the dentist I submitted a claim form and got a check. They are also very good about sending the checks once a year for our health checkups. I really like this company and have never had a problem.
Reviewed Feb. 19, 2016
I recently filed a claim with AFLAC. I received a message through the message center requesting information needed to process the claim, January 19, 2016. I sent the required documents and after 8 days I still had not heard anything (even though the company claims a 1 Day Pay). I was told that since I faxed some of the documents and scanned some of the documents, it would take longer.
On February 5, I called inquiring as to the status of the claim. The customer service was professional and very helpful. He took the time to look at the documents that had been requested that I sent in. However, he said it was a note stating a police report was needed. I told him I had not been contacted about any additional documents and the letter said ER or police report. So, I sent the ER report because I already had access to it. The customer service representative agreed and apologized that I had not been contacted or the claim resolved. He said he would escalate the claim and send it to the adjuster assigned to the case.
The adjuster calls me back (a liar straight from hell) and pulls up all correspondences. She tries to argue that the letter did not say the word "or". She places me on hold for about 2 minutes while she claims she's trying to reach the representative that I had just spoken with to identify the document he was reading from!!! (Really he was reading from the same correspondence you are reading from) Is what was going through my mind. She finally comes back to the line to tell me she could not reach him! (LOL) I replied and told her I could fax or scan her a copy. She says she hates to inconvenience me but please send it. I instructed her to please put any other needed information in writing.
As of today, 02/19/16, I had not heard from AFLAC. I login my account to determine that all correspondence that relates to the claim have been deleted from the message center!!! I call AFLAC and the customer service representative is in disbelief that the messages have been deleted from the message center!! She apologizes and assures me that even though they are not accessible for me, she was able to see them and had no earthly idea as to why someone would have deleted them!! (I guess when you got lying adjusters that are trying to cover their own behinds, that's what happens) Well, once again the representative is escalating my claim!!
In the meantime I will be definitely be canceling my policy! I no longer will be contacting AFLAC, but my attorney will!!! Please be aware of the deception that the employees of this company are allowed to operate in!! Companies like this have no problem receiving on time payments but will give you the run around as far as claims goes!!! AFLAC sucks and they have dishonest employees!!!
Reviewed Feb. 9, 2016
I worked for AFLAC for 6 months out of college. They promise you the moon. I spent well over $1500 driving to their meeting and all around eastern NC to try and trick someone into buying supplemental insurance. I was the number 2 rookie in the state and made a grand total of $658. I had to quit working for them and find something that would actually pay me for my time and needless to say it just was not a good fit for me. Two years later I start receiving letters threatening small claims court and messing up my credit if I do not pay back the $600 dollars. Now they say I can pay them $465, and will even let me pay them 50 bucks for the next year every month. Now they are saying, so they don't have to take me to court I can just pay $300.
I work 50 hours a week and barely make enough to pay my bills and student loans, I explained that this would hurt me greatly. They do not care, one bit. The whole idea of "You're family you're not a number to us" is a lie. All you are is a number. Beware of a company that tells you to sell to your friends and family first. This is not a company that you want to work for. They prey on innocent people that do not have the knowledge to know better than to buy these policies that sometimes pay, and would be better off just getting health insurance.
I was told that the best people to sell to were minorities and women, and that is where I could make most of my money. This is corporation that will come after you! Whether it is 1 dollar or 1000. It makes me sick seeing all these messages talking about how they don't pay to people who have had policies for years and never missed a payment. Then come after me for trying to make money for them. They are crooks and do not care one bit about you.
Reviewed Jan. 31, 2016
The insurance company Aflac is a fraud. They sold me the insurance along with a lot of false promises. They claim they will cover you and they will take care of everything when you need to use your insurance but as soon as you need them they will give you the run around, ask you for all the necessary paper work over and over again. They claim to be on top of things but can never give you a straight answer. Aflac will make no effort in any way, shape or form (no emails, no phone call, not even certified mail) to contact you. Aflac insurance company are crooks and frauds. The way they treat their customers is beyond ridiculous!
Be vigilant if you are insured with Aflac. Be very careful because when you need them they will indeed hide and they will not cover you, but without any fail they will charge you on the dot every billing cycle that is never overlooked! If anyone is in the same situation with Aflac contact me to see what we all can do. If you thinking of getting this insurance think twice go elsewhere! I will continue to post online anywhere and everywhere so everyone can see how Aflac insurance treats their customers!
Reviewed Jan. 30, 2016
I recently contacted Aflac to re-instate me. The person on the phone said, "Sure, you are in the 2-year window, and I will send you the application for reinstatement." I called again, spoke to someone totally different, regarding if I needed any help to fill out the application. She gave me a name and number of a person in my state. That person never called me back. Left 2 messages and no response. I finally get the application in the mail and was told by the supervisor that I cannot get reinstated because of the way the policy reads. I told her that I spoke to 2 different people and they both said that i was in the 2-year window and can get reinstated. She said "no", the policy I had reads that I can't get reinstated and told me that she was sorry and the people I spoke with earlier need to get re-trained. Go figure? Very, very, very upset!!!
Reviewed Jan. 28, 2016
I have held a short term disability policy with Aflac for over 10 years. Premiums always paid on time, used once 8 years ago for a few weeks. No problems. Lately their service has declined to the levels of the worst in this business. I followed all the instructions. I realize that so many steps are required so that they can claim they "DID NOT RECEIVE" the info. I needed very short term disability for 6-8 weeks. Simple. Or so you would think. After submitting my own info TWICE and my doctor's info THREE times, they said they had not yet received the doctor's form. We resent to an AFLAC SUPERVISOR, hoping to find someone competent.
BETTER OPTION: There are insurance companies who are contractors with Obamacare. They all offer short and long term disability like Aflac, except they actually pay claims. Once I finish harassing Aflac to pay my claim, I will stop coverage and switch to one of these other plans. Consumers need to vote with their wallets!
Reviewed Jan. 28, 2016
I have had Aflac short term disability since Jan. 2015. I went to the doctor August of 2014 for a cortisone shot to take care of the problem. Surgery was not discussed. I went back to the doctor April of 2015 which is when he discussed surgery. I had surgery Dec. 2015. My insurance agent worked with me a month before surgery, checking over all the details of the claim. At that time, no mention was made about pre-existing condition and that Aflac would not pay the claim. I feel I was misrepresented and now have no pay check for the 2 months I am to be off work. I am self employed.
Reviewed Jan. 27, 2016
I own several car washes. Aflac representative wanted to talk to my employees about offering coverage to them. What he represented to them (and me) turned out to be completely not true. When I started getting letters from Aflac corporate and made a few phone calls to them, I was livid. I cancelled everything. I spoke with their regional sales manager, told her either (1) he was a dishonest sales rep that needed to be fired, or (2) doing exactly what Aflac wanted and getting accounts at any cost, even if meant being dishonest. She acted like she could care less what I had to say. I'll never let another Aflac representative onto the property at any of our locations. Recommend people avoid Aflac like the plague. They're not honest.
Reviewed Jan. 27, 2016
Purchased a short term disability policy that went into effect on January 1. Went to doctor on the 6 and was told that I needed surgery and would be out of work for several weeks. Filed a claim and was told that it would not be paid because illness happened in the first 30 days of the policy being started. None of this was ever explained and was told that the policy was in effect as of January 1 and that if anything happened after that day it would be paid. What a big joke. Just a rip off.
Reviewed Jan. 25, 2016
Aflac policy (family plan) is in my name. My wife injured her foot at work in May 2015. I proceeded to leave messages on the voicemail of the local Aflac representative that hawked the policy to my place of employment as directed by him at the enrollment session, two messages went unanswered. I initiated a claim form online and handed the claim off to my wife. The wife had the treating physician's office submit the medical report to Aflac - no results. My wife contacted Aflac and was told that they did not get the report.
Once again my wife had the treatment facility submit the medical report. This time the Aflac representative stated they did not open the case because it was submitted under her name and not under my name since the policy was written in my name. The online claim form stated it was for my wife. Due to the fact that both my wife's parents have had hospitalizations, she has given up on Aflac. She was told she had one year to complete the claim. I am at the point I want to contact a lawyer to try and recoup my premiums as well as contacting the Rhode Island Insurance Commissioner. The saga continues.
Reviewed Jan. 22, 2016
I have a short term disability policy with Aflac. You know, the one they advertise as paying claims in one day. I submitted a claim. When I called about it, I was told it would be seven business days. When I called on the eighth business day, I was told it would be fourteen business days. I had to borrow money from family and friends to pay rent and buy food until they paid. When they finally paid, it was only part of what they owed. They did not give any notice or reason for this. I had to call only to be told that I needed to submit another form (one I had to request) before they would pay the rest. This seemed underhanded and dishonest the way they did this.
I submitted the new form, guess what. It won't be one day, I'm told it will be seven business days. Again I call on the eighth business day and am told it will be fourteen business days. Again I am looking at borrowing money from friends and family to buy food for my family. Don't use this company! They will screw you when you are most vulnerable.
Reviewed Jan. 20, 2016
I filed a claim for disability because I'm having surgery. I was told that the claim won't be reviewed for another 10 days because they are behind. Which means I won't see a disability check until sometime in February!!
Reviewed Jan. 19, 2016
I hope no one has Richard Peterson in NY as an agent as he will never return your call or emails. I have stage 3 Breast Cancer and am having a problem with a claim over chemo (this is normal as to always having issues with the claims department) and have emailed and called his office over a dozen times in the past month. I had one girl call me and I had explained the issue and she told me she would call me back soon and I have also left many messages for her as well with no reply. Who runs a business this way??? Is it not enough having to go through almost two years of surgeries and treatments then to be treated with absolutely no respect at all is devastating and extremely stressful. So I guess I get to spend time going to the BBB and the State Attorney General. Fun Fun Fun..
Reviewed Jan. 7, 2016
Very disappointed in the customer service from Aflac. Filed a claim on Nov. 13, 2015 for a hospital stay for my husband. He was diagnosed with Cirrhosis of the liver on the stay, something that had never came up before or had been treated for anything remotely to do with the liver. This is now January 7th and still getting the run around from Aflac. They are still trying to deny the claim. What aggravates me about them is the fact that when they need additional information, you do not know about it unless you call them daily and stay on hold for the evidently mandatory wait time of 1/2 hour to find out that they are needing more information. Each time I have been told they have mailed, not emailed, a request to me. But funny thing is I have not received ONE of the requests from them.
When I myself gather the information they need and fax it myself to them, I then have to follow up to make sure that it has been processed. Each time being told after being put on hold that they found it in the fax queue. Sometimes days later. So evidently when you send them information they do nothing with it until you call to let them know you are checking. You can never speak directly to the person that is "reviewing" the claim. You can only speak with a "customer service rep" that can only quote "read the notes in your file" and then they have to put notes in of what you are asking for the claims reviewer to read and then answer. You then have to call back and find out what the notes say again.
This is a never ending cycle and I am fed up, ready to cancel my coverage. And don't think you will get any help from your agent as evidently their only job is to sell you the insurance, not be of any help. HORRIBLE CUSTOMER SERVICE ALL THE WAY AROUND AND HORRIBLE PROCEDURES IN HANDLING CLAIMS.
Reviewed Jan. 7, 2016
My daughter tripped and fell at a restaurant, no Alcohol - she is only 10. She hit her head on a table, then hit her head in the floor rendering her unconscious. She was taken to the hospital via ambulance and had a severe concussion. We submitted it under our accident policy. They denied it saying that there was "no evidence of an accident." What??!! Money hungry pieces if **. I pay heavy premiums every month, to be treated like this? Wow!
Reviewed Jan. 4, 2016
Saleswomen came to my job about 15 yrs. ago, thought it was good so I purchased short term disability insurance. I have never used it until now, what a joke. I was told over 1 yr. ago I have severe carpal tunnel syndrome & might surgery. I kept working but symptoms got worse. I decided to have surgery after I got a seasonal layoff. Now Aflac will not pay my claim because I am not making 80% of my normal income. Unemployment won't pay because I'm disabled. How do I pay bills! HELP! I paid their salary and they threw me under the bus! Thanks Aflac!
Reviewed Jan. 4, 2016
I have had Aflac for about 9 years and have never experienced a problem filing a claim until here lately. I have had my accident policy since 2010 and recently as of 2014 added a rider to my accident policy for critical illness. I was involved in a accident August 2015 where I severely injured my lower back/SI Joint. I have filed claims related to this accident, physical therapy visits, MRI's Bone Scans etc., and have received payment for my medical diagnosis. After reviewing my Accident benefit booklet and what my new rider covers (critical Illness) Loss Of Independence-due to a covered injury, requiring direct personal assistance to perform ADL's (Bathing, Dressing, Hygiene) for at least 90 days.
With my injury and medical diagnosis I submitted a ONE DAY claim for (Critical Illness). It was denied the first time flat out like the claims representative didn't even review my policy and what all it covered. Just based it off a basic accident policy. So I had to call and the representative advised it'll be 4 days before they could have my claim reviewed. I told her I needed a supervisor Immediately. I am tired of their poor service and not reviewing policy information - just basically hitting the deny button. I had to hold 20 minutes and still didn't get to speak with a supervisor. The supervisor just relayed information while I was on the phone, said she does see the rider on my accident policy and see all my documentation. She will get a claims auditor to review it and get it reprocessed. So I checked the next day like I was advised through the VRU, It said "denied for non covered diagnosis."
Remind you this is my Accident policy, that I had already filed claims for related to this same illness that have paid so the policies are kind of contradicting themselves. Why would my injury diagnosis be covered for physical therapy benefits, MRI benefits etc... But not be covered for my Accident injury/critical illness related to Loss of Independence. Just doesn't make sense. I'm depending on the money from my injury, to help pay bills. So here I am sitting here with not a dollar to my name and with a family to take care of and I can't seem to get Aflac to pay me my money that is rightfully mine. Stop giving me the run around when you want my premiums monthly especially when I have several policies not just one. I would never recommend them to anyone else ever again.
Reviewed Dec. 30, 2015
Husband was in a accident and cut open forearm and broke it. And cut half of middle finger off. Granted they were able to save it after 10,000.00 dollars worth of medical bills. Aflac has been jerking us around for months. On their report it said major finger amputation. But yet they can't figure out what that means. They say they need more information and we send in everything they ask and still that's not enough. Well then they say in order for it to be considered a dismemberment it has to go down to the second knuckle which it does. But then again having your finger cut off is having your finger cut off.
Well they ask us to send a rebuttal letter and that should be the last thing they need and it should go through for the dismemberment. So we send that and call back today and now they say it has to go all the way down to the hand for it to count as a dismemberment. I swear aflac is a joke. You pay your Bill to them on time but yet they don't pay you what you are owed. I would NEVER recommend Aflac to anyone unless you like being screwed over and Not getting what you are owed.
Reviewed Dec. 28, 2015
This company does nothing but lie to you. They claim that your claim will be paid within one day is not true. After a couple of weeks of not receiving anything, you call them, they haven't done anything on your claim. They say what they don't have what they need. Well why didn't you call? Why didn't you call the hospital, the doctor for what you needed? You have to keep after them in order for them to pay your claims and sometimes you even have to go do all the leg work for them or else you won't get paid
Reviewed Dec. 19, 2015
I work for a construction company. We had a salesman come out, they had other vendors. We had a drawing for prizes, some had tools, others had gift cards. This is Christmas time. Well this large high dollar insurance gave stuffed ducks to grown men. I won 1. Everybody laughed at me. I've never been so humiliated. What a cheapskate company. This is the way that they take care of their customers. I hope you never fall victim to Aflac. I was not physically hurt but I was hurt. I will never recommend them to anyone.
Reviewed Dec. 15, 2015
I've had Aflac for 3 years. My first claim was great. My agent filed the paperwork for me, made everything very easy for me. My second claim came over a year later, and the same thing happened. I signed forms and the claim was paid in 3 weeks. It was wonderful. I raved about Aflac. I told everyone they should get Aflac! I thought it was the best thing ever, peace of mind insurance, right? WRONG.
I began attempting to file my latest claim 3 months ago. The agent that I had for my previous 2 claims had moved and I have a new agent. I saw the ads for the "One Day Pay" and thought I would try it, but could never get all of the pages to load to actually file the claim. I tried from multiple computers... nothing worked. Terrible service from the website! So I printed the forms and submitted a paper claim over a month ago, and still haven't gotten the money that we were really depending on! I can't believe it. I definitely won't be renewing my policies with them if this doesn't resolve quickly. Very disappointed.
Reviewed Nov. 24, 2015
I've filed two claims with AFLAC and both were not in any way taken care of in a timely manner. The first one was when my husband went in for emergency surgery for a tumor in his spine. They drug out paying the claim for three months, first claiming I needed more documents even though I sent them over 30 pages and two doctors statements. Then they wanted me to prove it was emergency and we didn't know about the tumor before I got the policy. We went in for an MRI, and were stunned when they found a tumor! We were in surgery ten hours later.
The next claim I asked for paperwork for short term disability after the birth of my child. It took two weeks to get the paperwork, and all they said on the phone is that it was in the mail. I can mail my brother a letter half way across the country in three days, why should it take two weeks? I had the documents faxed to help speed up the process last Wednesday and I still haven't heard back from them. Three weeks, no help! I am regretting ever getting AFLAC and regretting keeping it after I left the employer that originally offered it. I will never recommend AFLAC!
Reviewed Nov. 20, 2015
I filed a claim with Aflac the first part of October and every time I call to check on the status of my claim they keep telling me that they need the diagnoses code which is on the UB04 form. And when I got the form and faxed it to them and still get the same story when I call or they are going to escalate it to a supervisor nothing has been processed as of yet. Either they are dummies or just don't know what a diagnose code is or look like. Aflac needs to get it together because this is bad practice. If I had known this, I would have never signed up with them. So now all of my co-workers has changed their minds about signing up with your company.
Reviewed Nov. 20, 2015
I filed a claim for an accident in which my husband suffered on November 8, 2015, and was admitted to the hospital for two days, through the emergency room (which is covered by my Aflac policy). Upon electronically filing the claim on November 13, 2015, I also attached the documentation supporting all the information needed. Less than 24 hours later I received a decision from Aflac that this was not an accident.
On November 16, 2015, I sent an email to my representative whom I purchased the policy from and who is also listed on the Aflac website as being my representative, requesting assistance in an appeal, etc. I have yet to hear anything back from my representative and find it extremely unprofessional that she has not responded in any form. Everyone that I have communicated with at Aflac regarding any situation I have had is aloof to any of information and will not help in any way. I have been extremely disappointed in the customer service and the fact that I have paid on this policy, never had any claim until now, and the company will not pay what I am entitled to.
Reviewed Nov. 17, 2015
On October 15, 2015, my husband was involved in a motorcycle accident. Last year at my request, he purchased policies from Aflac for accident, short term disability, life, and cancer, and specified event insurance. We have never had to file any claims until now. Despite the fact that my husband was injured, he had to run around and obtain medical reports, doctor notes and make sure there were releases so that any other information could be available.
On October 23, a Friday, my husband dropped all the required paperwork to his employer's office so that his Aflac representative could pick it up and forward it for review. We were under the impression that this would qualify for Aflac's one day pay. BUT in order for a claim to be considered for one day pay, it has to be sent electronically, which we could have done, but the representative did not notify us of this and instead of letting us know we could have done this ourselves, he waited until Monday the 26th to fax the paperwork to Aflac for review. During this time my husband created an account online with Aflac so he could keep track of his claim. He didn't find out that the claim was faxed and not eligible for one day pay until Tuesday. When he called his representative, his calls were ignored and when he called the customer service line, he was told that it takes 4-5 days to review claims that are faxed.
The following Monday, he went online to check on his claim, it was still in review, so he called the Aflac customer service number and was told that he needed even more paperwork. Again, his calls to the representative were ignored. He obtained the required forms and had them faxed to Aflac that day. His representative ended up leaving Aflac that next Friday and called my husband on Monday to ask him not to call him again. On November 2nd, my husband called to check on his claim, because according to a previous call to the customer service line, all the forms required to process his claim was in order. Again, he was told that they needed more information, which was incorrect. I went on social media to complain and he received a call that night from customer service to advise him that part of his claim was processed and we would have the reimbursement deposited, electronically into our account that night.
After waiting 3 days, with no deposit, my husband called and was told that it takes up to seven days for an EFT to go through. He waited a couple of more days and called again. At first the representative advised him that our bank must be holding it and to contact them, which we did and they had no record of a deposit, so he called Aflac again. Now he is told that they have an incorrect account number, which we have no way to verify. After going back and forth with CSRs at Aflac they finally told him that a check was mailed on November 6 per their policy on returned payments. In this time the disability claim was approved and, of course electronically sent to the incorrect account number on November 5th.
My husband has had to call either his local representative or customer service EVERY DAY!!! And in every call he is either told a different date that the checks were mailed, or they repeat over and over again that the checks were mailed and must be held up because of the holiday!!! One CSR asked why he didn't request the checks to be sent overnight delivery. He did not know that was an option. I have to add that he received a form from Aflac, dated November 2, mailed from their GA office on November 6, on the 9th. I have taken this to social media. I have posted complaints on their Facebook and Twitter and Aflac responds asking me to email them, which I have done on three occasions, then they say they didn't get my email. I forwarded the emails to @Aflac Phyllis on Twitter and she responded that they are "looking into it".
I am beside myself over this. I would have never asked to get Aflac if I had any idea that we would be passed over and outright lied to again and again. As of today we still have not received anything from Aflac. Instead of making this right and depositing a payment or, and I KNOW this is an option, having the local representative deliver a payment to us, we only get repeated excuses and lies. Please, if you are thinking of purchasing a disability policy from Aflac research, research, research!! We have since cancelled our policy and I am looking into another company for coverage. It's very disappointing that all that money we paid into these policies will never be a benefit to us.
Reviewed Nov. 12, 2015
I am complaining because AFLAC agents are very misleading when selling these policies. They do not bother to tell people that you have to stay overnight for the hospital part to pay. They promise them that they get $1,000 for going to the hospital. My grandson had a finger almost cut off and had outpatient surgery with over $10,000 in bills and only received $100. This was 2 years ago thru a policy his mother had on him.
Since then he is working and was talked into taking a policy by the agent that visited his employer. Telling him it was a hospital and accident policy. They did not bother to tell them they had to stay 24 hours as inpatient to be paid anything. In June of this year, he had to have surgery for hernia repair (doctor said it was elective, but it was not elective because the doctor would not release him to work until it was repaired). It was more than likely caused by all the water and snow skiing that he does, but doctor could not confirm.
This was done again as an outpatient. I was told as long as he had a room charge they would pay. He had a room, operating room, and a recovery room charge (bill totaled over $10,000 again), and needless to say he received $100. I called them and they sent another $50. I have been hung up on by the agent not once, but twice. This is the rudest and most misleading company that I have ever dealt with and I think the public should know what is going on. I would like to go duck hunting and shoot the AFLAC duck.
Reviewed Nov. 12, 2015
So my nightmare begins like this, the Tuesday before last, my daughter slipped on some mud falling on a car guard railing on her stomach. She had soreness that evening so we gave her Motrin and placed cool packs to relieve pain. Next day, she still seemed sore but went to school anyways. That night she seemed a little more uncomfortable so we gave her some Motrin to help her sleep. So now we come up to Thursday morning and she is feeling a little worse than the day before but we tell her to go to school and if the nurse sends her home we will pick her up. I even sent a note with her asking the gym coach to keep her from doing any running and so on.
That night, she still complained of soreness as she would call it so we continued to do cool packs and Motrin Thursday night. Come around Friday morning, she tells us that she is hurting and school would not be possible. I said "ok, grandma came over" and I said "call me if you get any worse." Then around 12 pm, she calls me saying she is in a lot of pain. I rush home and get her to the hospital. The doctor comes in and we tell him that she had fell on Tuesday and that the pain has gradually been getting worse. He examines her and recommends a CT scan to make sure. After CT scan, he come in and says all looks good on the CT scan so we will be going home. He said she just must be sore and needs to rest. Then he adds "I'm going to get a general surgeon to look and confirm." He (General surgeon) shows up and says he knows there is a infection going on and wants to see with a surgical camera.
We agree for him to seek and fix anything he sees that can be causing the problem. He also states that he is going to inspect the appendix, spleen, and a whole list of organs for damage. We say "do what you have to do." So away they go to the OR. He goes in and finds "free fluid " in her abdominal/pelvic area. Obvious of trauma and the cause of her pain as he put it. While in there, he saw her appendix was looking a bit enlarged and opted to remove it sparing us a possible second visit in the future. He also took out all the excess fluid she had built up in the cavity/pelvis area. She stays 3 days in the hospital then gets discharged. We go home and my wife reminds me of Aflac.
So I make a claim and boom, get denied because one of the diagnosis on the record says acute appendicitis with fluid/abscess pelvis. That seems to be their ticket out but they are so wrong because although the appendix was taken out, it was in good condition. Just slightly enlarged (we have pictures from the procedure). The initial procedure to be done which is on paper was a exploratory operation which is covered in my plan. The appendix was a secondary. The cause of pain was the excess fluid and abscess that anyone who know what they are talking about are signs of blunt trauma.
The surgeon was very good at explaining everything to us. Here we are 11/11/15 and the runarounds have begun. I will get my attorney to assist me if I get another denial. He is aware and willing. I mean come on, we went in for a fall which is a accident. We have the ER report stating we were there for a fall. The ER report reflects as a accident and all Aflac sees is "APPENDIX TAKEN OUT"...
Reviewed Nov. 5, 2015
After my review of Aflac having issues with my claim, I want to say that my agent Aaron really went to bat for me after having some issues with the policy that another agent had originally wrote. I received my short term after 2 weeks.
Reviewed Nov. 4, 2015
Approached by an independent associate representing Aflac, that was not helpful and argumentative. I have managed my company for 28 years and I don't believe I have come across anyone as unknowledgeable about their product, and defensive about who she was speaking with. We are a small company (20) employees and do not provide health insurance for our employees. She kept talking about a supplement. I said, "supplemental what?" She could or would not explain. We are NOT in the market, please do not send her again. I am training a new manager, and she informed me that she would contact him. She is not a person I would want representing my company. If you want a name, please contact me.
Reviewed Nov. 3, 2015
I have been a non valued member of AFLAC since 2008 and filed one claim in 2010. I injured my foot several years ago and no one's fault but my own. I had to have a joint replacement last week which I will be getting medical bills for months. I filed a claim. Sent all of the discharge papers over to AFLAC only to be told the claim was denied due to no evidence that there was an accident. I was told I should have filed a claim years ago when the original injury happened but unfortunately I didn't go to the doctor years ago thinking it was a minor issue. So long story short if you get a hang nail, file a claim or else you will be DENIED!!! Customer Service will send you to 5 different people once you ask to be cancelled and they will all ask the same questions.
Reviewed Nov. 2, 2015
My wife fell at home and complained of terrible back pain on May 21, 2015 around 11:30 pm. She was also incoherent when she spoke. I elected to carefully get her into our automobile rather than call an ambulance. I explained as best I could to the ER staff at Memorial Hermann SE (Houston, TX) what had happened. The ER physicians and nurses then started their examination, blood work, CAT Scan, etc. It was determined that she was very ill and was admitted to ICU. She stayed in ICU for 5 days and was hospitalized for a total of 8 days. I filed an AFLAC accident claim on May 30, 2015 (she was released from the hospital on May 29, 2015). After 5 months, after AFLAC had delayed paying for hospital records and sitting on the report after they had received it, AFLAC determined that my wife's accident was caused because she was ill, therefore not an accident.
Reviewed Nov. 1, 2015
We filed a claim with AFLAC on August when my husband had knee replacement surgery. We were told time and time again that they didn't have a form or they had the wrong form or it wasn't filled out properly. Finally after 2 months we received an email. "Claim filed. No further action on your part needed." But we never received anything so we called again and they said they needed another form filled out! So we did get it filled out and finally received payment the 27th of October. Their commercial with the duck are so clever! Too bad the company isn't!
Reviewed Oct. 29, 2015
It's been a month since my father has been off from work for surgery and still has received nothing. He has had to use 3 weeks of vacation time in order to get money to live off of, and now that he has used that he is out of vacation time and doesn't pick up more until August 2016. They have dragged their feet, the vacation I had planned for next July will not happen. The extra time he could have had to spend with his new 3-month-old granddaughter is gone. I'm sure they got their money from his paycheck fast! His insurance renewal just came in the mail and I'm glad to see that his company has dropped Aflac for next year and went to MET. When you know your parents are getting older every minute is precious. They have taken that time away from me, my siblings, and niece. My dad's job keeps him out of town for 3 1/2 weeks out of the month. At this point, it's not about the money but more about the time that has been taken away.
Reviewed Oct. 27, 2015
Oct 16, 2015 I had surgery. I'm self employed, I had all my info that they requested - 45 pages.. It was all faxed. I checked online Monday, nothing. I called Tuesday, they said it was being processed. I should have a check by Friday. Nothing online about status except "pending". I called they said they needed more information on my earnings. I said "I faxed 2 years tax returns, isn't that enough?" "We need to go through it. We will get right on it and push it through". This is Wednesday. They lost my profit and loss paper. Said they never received it... Isn't it amazing that I sent 45 pages and page #30 didn't go through but the rest did? So I sent it again today. To b continued. Did I mention how many times I have talked to Aflac in the last 10 days?
Reviewed Oct. 26, 2015
I am utterly disappointed in how AFLAC treated their customers. I had gallbladder surgery in 08/28/15. Every time I call they said, pre-existing. How can a surgery be pre-existing? Then they want to say I had surgery for abdominal pain. I had a condition call biliary dyskinesia and for that recent I had my gallbladder removed. I sent in all the necessary paperwork. It took them almost 2 months to pay my short-term disability. Now it's you don't have the correct paperwork or you have not sent in the correct paperwork. You get different stories every time you speak with someone different. They lie to get you off the phone then they talk to you as if you're an idiot.
I work in the medical field. I know how things are. You all take my money every two weeks without a problem, and if it's not a small claim you have to go through stress to get money. I would not recommend this company to anyone else, because they lie and don't treat their customer nice. Obviously the people who are giving them great reviews probably are family members.
Reviewed Oct. 25, 2015
My wife was hit by a car in 2013, and for a while I did not know she had Aflac accident insurance. The agent is, well, not too helpful either. The phone number, type of coverage, amount of coverage, fax number to send info to, things like that to get, were like pulling teeth. I of course am used to this type of thing, being a stubborn person. So, since 2014, I have been trying to get my wife something, from Aflac. It depends who you get in customer service, it makes all the difference. The first ones I spoke to were just not helpful. The last 2 were very helpful. I still do not know what will be paid, what her actual coverage monetarily is, but I am getting the info they want, after the first batch was not good enough. Let's see what happens when we send the new batch of paperwork, then I will update this post.
Reviewed Oct. 24, 2015
I had complications with my pregnancy (high blood pressure, finally led to pre-eclampsia). I was admitted to the hospital for observation for 2 days then had an emergency c-section. My total time in the hospital was 7 days. My baby girl was sent directly to the NICU and stayed there for 19 days before she was strong enough to come home (she is fine now, is completely healthy and true blessing to me and my husband).
I have Aflac's hospital indemnity policy. After a few weeks at home I called the hospital billing department and had them send me the UB04 hospital bills for both my daughter and I. I went online to the Aflac website and uploaded the bills via smart claim. The VERY next day Aflac direct deposited into my checking account $4,800 for my daughter's hospital stay (newborns are automatically covered for the first 30 days) and $1,800 for my hospital stay. They even paid another claim for $200 for my two previous ER visits I had while I was pregnant.
I didn't have to talk to anyone or answer any hard questions. I was so happy that I had this insurance before I was pregnant. The money made it possible for me to extend my maternity leave and spend more time with my daughter. After a very scary and difficult time, I was truly grateful that Aflac paid me what was due with no bureaucracy.
Reviewed Oct. 22, 2015
Have been an AFLAC customer since 2008 and have never missed a payment since it was deducted from our check and when the company dropped payroll deduction had to let them into my bank account to continue paying the bill. I was hurt at work on 9-1-2015, ambulance ride to hospital with a listed "RED TRAUMA." Ripped the top of my forearm off and spent 5 hours in surgery to repair all the torn muscles. Also spent 27 hours in the hospital. I filed the claim on 9-3-2015 and they said I needed to fax them the forms. My son faxed them on 9-5-2015. The whole next week I kept checking the website and it kept saying that no accident report was filed.
I contacted my sales rep and she got right on it and called me back within 2 hours. My sales rep is awesome, too bad she works for such a bad company. They sent a note the first week of October saying my claim was denied because the only paper they reviewed was my first doctor visit after my accident. I started calling the main office of AFLAC and asked them why. The lady there looked into my file and could not understand why they passed over my hospital papers and only reviewed the one form. She said she would resubmit the forms and it would be corrected.
About a week later they said the claim was paid and they would cut a check for $225.00 on 10-15-2015. I called them back and asked about the ambulance ride, hospital stay and everything else I was going through. Today is 10-22-2015, have received no check as of yet. When I called them they said they had no paperwork on anything hospital stay, only doctor visits. I went back to the hospital and it cost me $42.00 to get all the papers for my hospital stay. My son faxed my bill for the ambulance and 45 pages of hospital records. I have faxed every doctor visit paper and physical therapy paper. They send me e-mail saying they have received my papers faxed. I go back to work in one week, after being off work for 8 weeks. "ONE DAY PAY" my butt. They should be in a class action lawsuit for false advertisement.
Reviewed Oct. 20, 2015
I have had Aflac for about 2 years. I have been "laid up" for four months. I have the disability insurance. I became ill with lower intestine problems and haven't been able to work. Aflac has not paid me anything. When I bought this insurance I was told I could pick how much coverage I wanted. I chose the $2800.00 a month plan (I have kids, house and car payments). After about two months of me calling and getting nowhere, I receive letters saying "the plan I bought did not match my income."
After talking to my agent who sold me the plan said he was taking care of it! He does not answer my phone calls nor does he call me back! All I have received from Aflac was a overage check for $133.00! When I bought this plan he told me to pick the plan I wanted, nothing about income was ever stated! Long story short, I don't have money to pay my bills! Might lose my house! Thanks Aflac! As they say hindsight is 20/20! I would not recommend Aflac to anyone!
Reviewed Oct. 19, 2015
I've been a policy holder with Aflac since 2009. I enrolled in Aflac due to my job not contributing into state disability. Since 2009, I've used Aflac 2 times. Both times, they were for my dependent. My son, back in 2013, broke his leg riding a bike. Aflac was accurate with paying out the claim. Now on Sept.14,2015, my 1 and only son was a victim of a shooting... He was shot while coming home from the Weight Room. He was walking home and was shot 5 times. My son is in his senior year of high school, an excellent football player, athlete all the way around, also not to mention an A&B student. My son is fighting for his life and has been in the hospital ICU since sept. 14,2015. I myself have been at my job for 10yrs and I've never been out of work for so long. Not to mention never been unemployed since I was 14yrs.
After 5 days of this nightmare accruing to my 1 and only son, I contacted Aflac to advise what has occurred. I spoke with customer service agent Ashley ** whom was very pleasant with advising me of the steps that needed to be done to get my claim filed which was the trauma emergency room doctor's report of what was done at the time my son arrived to the trauma unit. She stated that was all that was needed due to my son still being in the ICU. She also went as far as to give me her personal fax number at Aflac. So that I could receive the money on the next business day, I submitted the documents that I was advised to sent to Aflac.
The next day, I contacted Aflac to verify the information was received. Spoke to a Lisa at that time. Lisa advised me that they are requesting a police report to make sure my son wasn't committing any type of crime at the time he was shot. I said I wasn't advised of that when I called yesterday in reference to this. She said we ask for that with all accidental claims. I said my son broke this leg riding a bike and accident report was needed. Lisa then was reading the emergency room report I submitted and stated aloud "**. Oh yes ma'am, we need a police report." Stating that he was a victim not doing a crime or was involved in any illegal activity, I said my son wasn't doing anything illegal walking home. I was highly offended by Lisa's remarks.
I then contacted the police department and asked for a police report. The detective of the police department gave me an incident number for the date of the shooting and the police detective was in awe as to why would the insurance company ask for such a report and that to advise Aflac to contact them. The case is still under investigation because they don't know who did it and my son was unable to talk due to him being on life support... I went and obtained the police report from the police dept myself and uploaded the document. I then received a call from the hospital to advise me that my son went for a cat scan and it showed that he is paralyzed from the waist down and that he isn't going to walk ever again!!! And they had to do emergency surgery again because the bullets tore his liver apart. He had received 7 blood transfusions... Still on life support!!!
I received an email from Aflac stating they put 70.00 in my account based on the trauma report. I contacted Aflac again and asked for a supervisor. I spoke with a male by the name of Alex. I had to explain my horrible story all over again and also to advise that my son will never walk again. Alex advised me, as long as I submitted the police report before 3pm, all claims would be payed the next business day totaling 19,170... I advised him I sent the police report in. He looked and located the report .He placed me on hold and spoke with an adjuster. He then added me on a conference with Leslie.
She stated she was the adjuster handling my claim and that the information I submitted isn't good enough, I needed a UB40 bill. I said I can't get that yet because my son is still in ICU. She then said "Ok, we need an itemized bill showing everything that was done from Sept 14 till present." which was the date of Sept.28, 2015 and that once that was received they would pay out up until that date. Leslie, the adjuster, gave me her fax number and said she would pay me that day as long as I submitted the information before 3 pm... I went to the hospital, spoke with my case manager, she then submitted what I was advised to send to Leslie. Contacted Aflac again, spoke to agent Morgan, had to explain the story again... Morgan placed me on hold and contacted Leslie. Leslie advised Morgan that she needed to speak to the case manager Jessica before she could pay me out. I gave her Jessica's number and they talked.
On October 1,2015, I received a payment for 11000 and that was for the ICU, hospital stays, and the ambulance ride. I contacted Aflac the next day because they sent me an email requesting a release form of my son's medical records. Once that was done, they would pay me for his surgeries and after 30 days the paralysis benefit would be paid out per Leslie the adjuster notes... On October 12, the hospital faxed over my son's whole medical chart with the operative reports. My son has had 6 surgeries since this has occurred. I called Aflac the next business day to see if the fax was received, spoke to a Shaniaua, had to explain my story yet again. She looked for the fax and said she doesn't see any fax at all. I told her I sent to Ashley's fax number. She emailed Ashley who replied back that nothing came through. I saw the nurse fax it as well as the confirmation number saying the fax was received.
At this point, I just broke down and cried because my bills are late. I have no pay coming in from my job. I asked "Well, is the paralysis benefit going to be paid ?" Based upon it being 30 days and per Leslie notes. She placed me on hold looked at my account, read Leslie comments aloud, and it clearly stated the benefit would be paid October 15,2015. She placed me on hold, contacted Leslie, and Leslie advised her the benefit wouldn't be paid until they received an updated doctor's note with October 15th date, the doctor's name, tax id, and license number. I said "Really? Per Leslie notes it would be paid today." The agent said"Yes, I know." So now she wants it like this now...
God give me strength!! All I'm going through with my son and they have accused him of being a ** Criminal committing a crime too, making me feel like I'm just making this whole story up!! And giving me hard time with everything they are asking me to submit and then saying it's not good enough in hopes of me giving up!! Well Aflac, I'm not quitting!!! Or giving up!!! My son is fighting for his life and I'm fighting to keep he and I from being homeless... I never was late on a premium payment so why be late with paying me my benefits??? My heart aches because of my son and now the stress Aflac is adding on.
Reviewed Oct. 17, 2015
I had signed up for an Accident plan with Aflac thru work and had it for around 6 1/2 years without ever using it except for getting reimbursed for physicals. Then one day I fell at work and ended up with a very bad abscess. Ended up in the hospital for 11 days! Aflac came through with flying colors. Paid quickly and all I should have got. No complaints. Thank You Aflac! After getting a mountain of bills, it really made a big difference.
Reviewed Oct. 17, 2015
The company give false hope on the subject, don't get hurt on the job and think they're going to pay you because that a no no. I've been paying over 11 years thinking I would get paid, such is not the case.
Reviewed Oct. 16, 2015
On 9/21/15 I started my short term disability claim with Aflac due to a recurrence of my fibromyalgia. Due to the death of my daughter on 8/30 I was immediately thrust into the most stressful and grief filled time I have ever dealt with and that stress triggered my latest episode with the fibrosis. I sent the forms, my doctor sent the forms, my employer sent the forms. But because the stress and anxiety were listed on the physician form as well as the fibromyalgia, they (after weeks of phone calls and emails) informed me I was being denied because the policy doesn't cover "mental illness!!" I had to again inform them that the stress and anxiety were NOT the reasons I couldn't work but that the fibromyalgia WAS.
So as of yesterday 10/15 I was told by a "representative" (one of many I have talked to nearly everyday since I started this claim) that she would send the claim back for re-review. So now I wait. In constant daily pain. Wondering what the next reason will be for the delay in paying a legitimate claim. This whole experience has not helped ease any of my stress or anxiety either. Perhaps I should have found this site and read the reviews before I enrolled a few years ago.

Reviewed Oct. 15, 2015
#1 I signed up with Aflac along with many others at our school in Aug. 2015. We all were told that we can't get sick before Sept. nor accidents before Oct.1. Well, went to doctors in late part Oct. I called in and was told "Sorry, you're not covered till end of Oct." Why would I get a policy to be told the lady lied to us about when coverage starts and it was totally backwards as well? She said accident starts first then sickness. Wow!!! This is not what she told any of us and many of us are being subjected to unfair polices that don't start when we are told they will. In fact, the lady on phone was surprised it didn't take effect, the payment being withdrawn till Oct.1st, when we signed up in Aug, when first payment should come out in Sept. which makes this Aflac problem, not mine. If my policy is suppose to start Sept.1st, then it should have.
Now I'm out doctor appointment and anything else as well. Thanks Aflac. I know who I'm not going through next year. Oh wait, I can always stop my policy today which I'm thinking of doing as there are many other companies who would rather have my hard earned money, 125.00 a month, and not play games. Makes me wonder if they will play games later on if I get hurt or sick after. Whatever the waiting time is now, according to all the other complaints here, I gather I'm wasting my money. Now take your feathers...
Reviewed Oct. 15, 2015
I was very pleased with the customer service always wonderful agents. The problem I had was I had surgery in August 2015. Aflac was great. They responded to the claim within five days, but I had to be off work 14 days before it would start paying. I make a little over 150/day and the payout for being off work for a month was only $33.00/day - yes every little bit helps but to pay 60.00+/two weeks I expected to be at least half my check.
Reviewed Oct. 9, 2015
A local agent came to my workplace and presented me the Aflac insurance. The way he told me I saw that's is good and I signed for it after a couple months. When I called customer service, all the information was false now. I've been calling for 6 month. No one can fix the problem. I really not recommended anyone to Aflac.
Reviewed Oct. 7, 2015
Son had a surgery to his hand following an accident on 8-27-2015. Claim was filed on 8-28-2015. Called to find the status. Received conflicting information. Every email and phone call, no one knew anything! Called on 9-28-2015 and provided the fax number for Miss Nakita to send the request form. She waits until 10-2-2015 and decided she ain't faxing, against my wishes so she mailed the form. Called med records where surgery was performed on 10-7-2015 and still nothing has been received! I can't wait until open enrollment. Aflac will never get another dime. Who has to wait 2 months for a claim to paid??? Aflac is a joke!
Reviewed Oct. 5, 2015
I have been working my father's life insurance policy for the last three months and Aflac has been nothing but obtuse and very hard to deal with. My father was the victim of a workplace fatality in North Dakota when the mine he was working in suddenly collapsed on him. I have sent every bit of documentation I have regarding the incident including but not limited to the Police report, witness statements, correspondence from MSHA, workmen's comp, death certificate and the autopsy report. I have been told by several different Aflac representatives that the claim was suspicious and would need to be investigated, they are asking me for paperwork that has no bearing on my father's death and I feel like they are making it complicated because they can.
I spoke with a Rep. from the ND state insurance commission and the individual informed me that there was nothing to be done and if Aflac wanted to "drag your family thru the mud they couldn't stop it." This is time grieving for my family and rather than tending to the needs of them I am forced to deal with the bureaucracy of a fortune 500 hundred company. In hindsight, I would never buy coverage from a company like AFLAC as I'm sure this is just way they do business. STAY AWAY FROM AFLAC.
Reviewed Oct. 1, 2015
Bait and switch. Don't believe any sales person from this company. I was sold a policy for maternity leave and was not covered as promised. It has been 8 weeks and still no payment. This company is immoral and takes your money with no intent of actual reimbursement. I am cancelling our entire business account.
Updated review: Sept. 25, 2015
Update: I received a call from Bianca at Aflac and she kindly advised me that they carefully re-reviewed my claim and that they are in fact paying on it after all.
I have to update my rating to 4/5 stars as a result. It would be a 5-star rating except that it has been a struggle to get the attention my claim needed this time around. Thank you Aflac for coming through for us once again.
Original Review: Sept. 24, 2015
Our son was involved in a car accident where another driver was found totally at fault for failure to yield to oncoming traffic. Our son was on the motorcycle when he hit the back of the other car who turned in front of him. He received several broken ribs, a concussion, etc. He actually received over $150k in a lawsuit. Meanwhile, AFLAC denied the claim because of his toxicology report. I am assuming it is because it said "pos" next to Cannabis. They stated it is due to the "Limits and Exclusions" section of our policy. Well, that section states, that they will "not pay for benefits of an accident if it was caused by or occurs as a result of illegal drugs or alcohol". The police report doesn't state that this played any part of the accident so this did not cause this accident. Plus, even per Aflac's verbiage in their policy, it clearly didn't contribute to the accident. Comments/ opinions welcome...

Reviewed Sept. 23, 2015
My wife had the accident policy for 10 years. We got married in 2013 and had the rep, Shawn **, add me as a point of contact, so I could call and ask about the account. In 2014, my wife told the rep she wanted to add me to the policy. She signed me up with the agent. In July 2015, I was hurt in an accident and filed a claim. They told me I'm not a client. They simply signed me up as a beneficiary to my wife's policy. I am by law anyway. I have even spoke to the rep about being on her policy. Now they blame us. The rep did the changes, just the wrong ones. They told me tough. I'm in the dark now.
Reviewed Sept. 22, 2015
I was given false information by my rep and totally screwed. It sucks that just because they are so big and powerful they get away with this, I have been paying for a policy I can't even use. I have Medicaid for my children, my rep said that it did not matter because this was a private policy and not insurance so when my son had a brain injury and I had to miss work to be at the hospital I was secure in knowing I had Aflac… WRONG. I filed a claim, they sent it to Medicaid so I have been paying for a policy I can't use for 2 years because an Aflac rep misrepresented information. Do you think they care? Nope. So very disappointed that a company I trusted did this and will continue to get away with it.
Reviewed Sept. 18, 2015
It is sad to say that corporate allows such horrible customer service or lack thereof to occur in their satellite/hometown offices. It took 3 whole months for me to get a response from an agent in regards to signing up. In which I never even spoke to an actual agent but only the office assistant. Even at that point it would take weeks to hear a response. So when my plan should have began in June (initial reach out was May) then my plan did not take place until August! Very disappointed that the corporate office backs this up even though I have email evidence of everything.
Reviewed Sept. 16, 2015
My husband has a Aflac hospital indemnity policy. It's supposed to pay is if he's in hospital for 23 hours or more (admitted). He was. Clearly states that on UB04. However, Aflac is going based on number of "hours patient was observed", which is listed as 19 hours. Which is incorrect anyway because he was observed from time he got to ER (five hours before admission) to the time he was released.
And that's not all, we submitted this claim on 9/5, they denied because not proper paperwork. Okay I can understand that... Got the proper paperwork, refiled it... Denied again because they misclassified under cancer policy. Refiled it again on 9/11/15. Claim never got processed because it "timed out", which I can only assume is code for "we round filed it because we're jerks here at Aflac". Filed it again 9/15, denied again for reason stated above. Seriously beyond my maximum pissed off level.
Just want to kick that duck in the ** so bad that my foot comes out his mouth. One day claim approval... Lies, all lies! They'll do anything to get out of paying a claim. They're gonna land both of us in the hospital for all the stress they've caused us. I would love for an attorney to take this and run with it. Would love to see them get their butt feathers handed to them on a silver platter. Will submit documents to an attorney, not here.
Reviewed Sept. 15, 2015
I implemented their plans as an additional option for our employees. When I would have an employee resign or was terminated, as specified on their voucher, I would put 'T' for terminated. They would CONTINUE to bill me for these employees up to 6 months after they no longer worked for us. I would send a letter and they would correct for 1 month only. On one bill, there were 3 employees who were retired or terminated. I put the code and adjusted the bill and paid it. Two months later, they sent me a REFUND check for that month's payment and said they could not accept it since it was not the correct amount!!! I resent it and they sent a letter to all employees that I had not paid their premiums. They are garbage. Truly garbage and unethical.... Dumb.
Reviewed Sept. 11, 2015
I hurt my back and needed immediate surgery, multi-level spinal fusion. It all happened so quick that I didn't notify Aflac right away. When I was home from the hospital and able to call my claim adjuster a month had passed. My claims adjuster never called me or emailed me back for weeks. I finally called Aflac direct and they said a claim was never filled. I faxed them all my information from my x-rays, MRI, doctors visits, emergency room visit and finally my surgery with a 4-day stay in the hospital. Multi-level spinal fusion with 2 disc replacement and a bone graft.
When I added up all the payment incidents Aflac owed me around $7500.00. I was told that I filled the accident report incorrect and I didn't qualify for benefits. I was also told my doctor filed the paperwork incorrectly. I tried for months and I didn't receive any help or payments. I called my lawyer and he said that is not uncommon for that to happen. Aflac pays out small benefits but when there is a big payout they make it difficult for the customer to collect and eventually hope you go away without anything but frustration. My lawyer said Aflac knows that it will cost many of thousands of dollars to hire an attorney so it's not worth chasing them financially. I'm having my attorney go after them and when all is done I might not get a penny, but why should Aflac keep my money that is owed to me.
Reviewed Sept. 1, 2015
From my first claim with AFLAC, I have been VERY PLEASED! I hadn't had my policy a full month and had to have emergency surgery and received my claim payment within a week. Every other claim I have had for myself and my family has been great too. We've had them for about 6 years now because of a friend's high praise on her claims. Recently, I was diagnosed with Lyme disease. Finding this diagnosis out took not only numerous tests, but the right labs and many determined physicians. I turned everything in only to be denied as "ROUTINE CARE VISITS". Now they've also diagnosed me with Babesia and Epstein Barr. All from a TICK BITE! They cover a cat/dog/spider bite because you can see it, but not a TICK bite!
I can't work, I can't drive. I suffer tremendous joint pain, tremors, muscle weakness, facial ticks, upset bowel, nausea, confusion, brain fog, neuropathy of my feet, neck and back pain, eye pain, blurred vision, severe headaches, dizziness, unstable gait, repeated falls. I require the use of a cane or walker, open ulcers all over the inside of my mouth to where I haven't eaten in over a week, except iced tea or ice cream. For Pete's sake, I'm 45 years old and my mother has to come take care of me!
Reviewed Aug. 19, 2015
I have had hospital indemnity insurance thru Aflac since July 2013 and paying almost $80 per month. I was recently in a ATV accident on June 2015. I spent 39 days in the hospital and had 14 surgeries. I filed a claim with them, why I was in the hospital and I still haven't received a dollar. Every time I call and ask if my claim went thru they always give me the runaround saying that I need to get more paperwork and that they need a police report. The accident happened on private property so I don't have a police report, all I have is an accident report from the fireman. I feel like they don't want to pay me my money. I see all these commercials saying one day pay and here it is almost three months and I haven't received a dollar.
I'm depending on that money because my injuries from my accident are so bad I will never return to work. So here I am sitting here with not a dollar to my name and with a family to take care of and I can't seem to get Aflac to pay me my money that is rightfully mine. I will not be renewing my contract with them and would never recommend them to anyone.
Reviewed Aug. 18, 2015
If I could give Aflac zero stars I would. I have had nothing but problems with Aflac from the start. The representative who sold me my policy gave me false information (he stated that if I paid for a 12-week plan I would be compensated for 12 weeks after giving birth to my child since pregnancy is a disability. That's entirely false). I looked past the misleading information, and went to file my claim. I was put on bedrest for severe edema at 36 weeks pregnant. The first claim I submitted reflected the first day I was put on bedrest due to severe edema (my job requires me on my feet and my doctor mandated bed rest due to the risk of preterm labor) all the way to the date my doctor anticipated me being able to return to work.
Aflac denied the claim because the start date of my claim was before the baby was born. So I submitted another claim for the day after I gave birth to the day I would be cleared to work, and Aflac paid that claim, at a much less percentage than I remember the agent who sold me the policy stated, who also failed to tell me that two weeks of my claims would not eligible for compensation, so I was paid 4 weeks instead of 6. Another agent I spoke to told me I was correct in being able to file the first claim with the dates I used (bed rest to cleared to work) and I had to resubmit that claim a total of THREE times because of miscommunications. My doctor put the wrong date on one of the forms and I called Aflac and was told an auditor would call my doctor to confirm the dates, a week later I called to check the status and was told no one had called my doctor.
Finally, my Aflac agent resubmitted the claim himself and assured me everything should be fine. Today I call Aflac and was told that the claim was denied again because only life-threatening complications are eligible for payment. While I understand that this is in their contract, there seems to be a pattern with miscommunication with Aflac in terms of representatives and agents saying one thing while Aflac means another. Basically if I had ignored my doctor's orders and worked and developed preeclampsia, a heart condition, or nephritis then I would be receiving benefits. Aflac is a very misleading company and I would NEVER recommend anyone trust them with their disability claims.
Reviewed Aug. 17, 2015
In July of 2014 I signed up with Aflac through my employer. In February 2015 I noticed a almost 30% rate increase. I questioned this and was informed that I had been added to a group plan and the increases reflected that. Now I might be looney but my plan was switched and rates raised without my consent, therefore I should be able to opt out of coverage at any time since my original signed contract was null and void. I'm having no luck in getting a response from anyone on this matter. Any suggestions?
Reviewed Aug. 14, 2015
I was diagnosed with appendix cancer on July 24, 2015. I filed a claim on Aug 5th. By August 12, I had two checks totaling 14,000 dollars. One check that paid ahead until the 15th of Sept. for short term disability. And one check for the initial Cancer diagnosed on the 24th. Thank God for Aflac. Treated with professional courtesy every time I called. Long time customer since 2000. I highly recommend Aflac. They came through for me.
Updated review: Sept. 25, 2015
This is my policy. Bad news travels much faster than good news. To their credit, I'd like to acknowledge that AFLAC FULLY COMPLIED and resolved my issue from my 8/13/15 complaint. As a former agent in the insurance industry, I know problems can originate within any area of the process. Let's hope that all companies police their own. I think ConsumerAffairs can be a useful tool to all companies and businesses.
Original Review: Aug. 13, 2015
Feb. 15th 2015 agent took application over the phone. It was a dental plan @ about $48.00 per month. Bank info. was given at that time for auto-pay. I informed the agent that I had an upcoming cleaning in MID-march. He assured me I'd be covered for any claims. I went to dentist 3/12/15. Long story short, claim was denied due to a 3/18/15 issue date. Agent said the business dept. was running behind in setting up bank draft. My fault? I don't think so! After many calls to customer svc. nothing was resolved. I then asked for a responsible person to handle my complaint. The problem solver addressed the issue and assured me that my premiums would be returned to my checking account.
This battle had gone back and forth for three months. In that time span they took 3 premiums. The individual was very polite and helpful. He stated he was going to hand carry the info. to the business area as well as underwriting. He assured me that all my money would be in my account in 3 or 4 days. Nothing showed up and after a week I called customer service to see what was wrong. They told me the policy had been in force past a limited number of days and was not eligible for any refund!!! The next week I got a letter to that effect. They sure didn't take long to do that! I am at a loss for what to do next. Not only am I out nearly $150.00, but I've had to pay the dentist each month. Is the better business bureau going to help? Sure would appreciate any advice.
Reviewed Aug. 9, 2015
I've had Aflac for about 4 years but just recently made a few claims. I've never had an issue with getting paid the full amount I am due. I don't use direct deposit but still receive my payment within a week.
Reviewed Aug. 4, 2015
My husband was first diagnosed with cancer 9 years ago. Aflac paid $5000. He had a chemo for 6 months. Aflac paid $300 per treatment. He had a stem cell transplant. Aflac paid over $8000 (Including an overpayment where they said we could keep the money.) Three years later, he had a second stem cell transplant. Aflac only pays for one stem cell transplant, but they paid daily for his hospital stay, blood transfusions, and chemo. My husband's cancer is in remission, but he is on what they call maintenance chemo every other week. Aflac pays $300 per chemo regardless. I recommend it to everyone!
Reviewed Aug. 3, 2015
At this point I am so frustrated that it is almost impossible to lay everything out in a sensible chain of events. Two weeks ago I submitted a claim to Aflac from 2012, mostly because of a family emergency. Ever since then after Aflac continually says that they have not received the necessary documentation even though I have repeatedly faxed, e-mailed and even used USPS overnight parcel delivery service to NUMEROUS copies of every document that they say that they require to process my claim… it's always the same response. They keep requesting reports and documents that I have sent in time and time again, claim that they need in order to process my claim. I can't even begin to count the amount of REQUIRED documents and forms they keep claiming they have never received. Are they that irresponsible, out of touch or is it the GOOD OLE RUNAROUND? I'm starting to believe the latter!
Reviewed Aug. 2, 2015
Wow, after reading some of these reviews I am stunned. I took out my Aflac Policy in January 2014. In April 2014 I had gallbladder surgery and had to stay in the hospital. I received my $1700.00 check from Aflac in 5 days. I have also had 5 other claims with them that were paid within a few days. Never had a problem. My agent Elaine was outstanding. I would highly recommend Aflac to anyone.
Reviewed Aug. 1, 2015
I signed up for Aflac a number or years ago and have never needed them. On 01-06-15 I tore my meniscus while on the job. After being off work 8 weeks, surgery and physical therapy I file a claim with Aflac to be reimbursed for my losses while being off work. It is now 08-01-15 and I received a letter from Aflac saying they are closing my case due to lack of information. What a joke this is. I have signed and filled out every paper or document they required me to do so with. I also contacted the Dr. and had his office fill out the necessary paperwork. Now Aflac is saying they don't have what they need and they are closing my case. I do not recommend Aflac to anyone. The one day or two pay they advertise is a joke and not for real!!
Reviewed July 31, 2015
My husband and I were both signing up for life insurance and it took over 2 weeks to get anything done. The person who originally started our paperwork left the company so we were pushed off into another person who knew nothing about what we were signing up for, how much or even how to run the computer she had. We finally got everything set up after 2 weeks, then they screwed up the billing taking too much money out of my account. Needless to say, I should of known from how it started and quit everything real quick. Never again and hope others don't make the same mistake we did!!! Go with someone else and save the trouble.
Reviewed July 31, 2015
I've read some nasty reviews on Aflac not paying claims and I'm not sure if they are accurate for the accident policy but the Cancer policy is a lifesaver. I signed up for the Cancer plan in December 2013, policy went into effect in January 2014. February 2014, I was diagnosed with Hodgkin's Lymphoma. I filed a claim and they requested additional paperwork. I got the signed affidavit from my doc as well as a billing statement with billing codes and sent to them a week later. The following week I received a check in the mail for $25,000.00.
I also received a letter stating that I was eligible to receive an additional $5,000 per year for continuing care. So I sent the additional paperwork and a week later got another check in the mail for $5,000. This year I called to ask about any additional benefits and was told that I can claim $5,000 a year for the first 5 years after diagnosis. So I filled a claim June 24, 2015 and by July 10, 2015 I received another check for $5,000.
I had a great experience with Aflac Group Cancer policy and would recommend it to everyone. I was only 30 years old at the time of my diagnosis and had no idea that I would ever have Cancer. I had bought it as a precaution. If it was not for them paying my claim, I would have been in deep financial trouble due to having to stay off work for 6 months. I also carry their disability coverage which they paid relatively quickly.
Reviewed July 27, 2015
Had surgery 8 weeks ago due to slipped disk. Our coverage specifically stated that as one of the items they cover, but no, they will not pay as it was not "acute" enough. Well if a person cannot stand, walk or perform any normal function (including using the restroom) and a neurosurgeon clears his schedule to perform the surgery the next day, I would say it is a pretty bad case! We tried fighting them but they are not paying a dime. This company is the biggest scam ever and we will be dropping them immediately. Could not recommend to anyone.
Reviewed July 27, 2015
My BF, mom and I all have Aflac and I can honestly say I have never been given the runaround. NOT 1 TIME. Everything has worked so very quickly for me, I hate to say that and then something happen but my mom was admitted into the hospital in Feb for gall bladder (old fashioned way) and then 2 days after that she got a pacemaker. She wound up with over $2k check which was amazing. My son has broken his teeth 2x and I have yet had to fight and argue with them. I always say we could be poster people for Aflac. I just can't believe how phenomenal it is.
Reviewed July 26, 2015
7 years. Paying every week for accidental coverage for Aflac. Finally an injury happened. Dislocated shoulder. Filed a claim with Aflac. 50 dollars. Bs!!! Would never recommend Aflac to anyone!!!
Reviewed July 26, 2015
Example? This April, I had abdominal pain. Dr recommended I go have an Ultrasound, which was then followed by surgery (June 16).
Since that time, my PRIMARY insurance has already paid their adjusted portion of a $50K+ bill, invoiced me for the difference (which I have paid), as well as all anesthesia, surgery, etc.... But guess what? AFLAC, the self-proclaimed Fastest Payers have continued to ask for more and more information (That has already been supplied to them a month ago), and still no pay 1 month+ later. I have paid over $4K in premiums this year, and spend more of my own time on the phone/email trying to get a few hundred dollars of benefits repaid. Wish I could strangle that damned lying Duck!
Reviewed July 24, 2015
It's been 5 weeks since my hip replacement and the go around with Aflac. First I left out some form, then I didn't fill something out right, then they couldn't find my policy, then they said they wouldn't pay. That was just the first week. I have utility companies threatening to turn off my power because Aflac does not care, they take your money but that's all. DO NOT BUY AFLAC. IT IS A SCAM. They send you from one agent to another and then have to start all over. Sometimes one agent says "there is another form you forgot" and then you talk to another one that has no clue which pretty much describes the whole company.
Reviewed July 24, 2015
Submitted my wellness benefit with all proper documentation before 3:00 pm, according to the ad should be paid the next day. I even signed up for direct deposit 2 days prior so there would be no issue with that - the website stated it would take 24 hours to get direct deposit generated. Received my online statement this morning, EOB on-line states "Your payment should be direct deposited into your bank account within 1-2 business days, depending on your bank's funds availability policies." We trying to give them the benefit of the doubt, maybe the payment was pending in my bank account... No sign of a deposit from Aflac. They just can't seem to keep their word no matter what.
Reviewed July 22, 2015
This was my second claim. Both times were horrible. I will be back to work before I get paid. Their commercial that they say gives you pay day the next day they lie. You don't get paid forever. They don't contact you when there's not enough paperwork there they say. No one let you know what's going on. No one will help you. Their service sucks. Their claims service is even worse. Do not get Aflac.
Reviewed July 19, 2015
I filed a hospital claim back in December 2014 with Aflac. I have been getting the runaround since December 2014! At first they were requesting doctor's note from a doctor my husband only seen in the hospital once. Several times I stated this to the company they have all the information they needed. Once that issue was resolved back in April or May, nothing else came from it. Now Aflac is claiming they are waiting on the auditors to sign off on the claim. I was informed that one auditor has sent in his statement, now they are waiting on Christopher ** out of the Porter, Indiana office. Aflac sent him a email on June 3, 2015. He has yet to respond. They said they sent him another email around June 28, 2015. Still no respond. The agent at Aflac headquarters gave me Mr. **’s number which is **. I called him Wednesday, July 8, 2015 and his voicemail was full. I contacted him again Friday July 10, 2015 and it was full again.
Finally I was able to get a hold of him on Tuesday July 14, 2015. He acted oblivious to the the whole situation. Stating he don't have an idea of my claim and that he will get back to me. I recently called him again Friday July 17, 2015. No response. I called Aflac headquarters again. They gave me his supervisor's name which is Kelly and her number is **. She was in a meeting but the lady who answered the phone said she would have Mr. ** call me. About 30 minutes later, he called. Stating he didn't receive a email and maybe because he changed it a couple of months ago. He also stated that he will check into. Literally minutes of getting off the phone with him, he texted me say he received the email. And he sent me another message saying he just checked his email. Something about my claim don't seem right and I need your help to get to the bottom of it.
Reviewed July 19, 2015
In August of 2008, I purchased a short term disability policy through AFLAC, in the event that I should get sick or have an accident, as my employer does not offer sick pay. I was assured by the agent that this was a good policy. In June of 2015, I was diagnosed with atrial fibrillation, a blood clot in my left foot, and an ulcer on my medial right heel that was very slow in healing. The physician treating the wound on my foot put me out of work. So, I got the necessary forms, my doctor, employer, and myself filled out the paperwork, and sent it over. I found out that the One Day Pay does NOT apply to short term disability policies. My claim, for payment was initially denied. After over 30 phone calls to AFLAC's so-called customer service department, I was FINALLY paid. And believe me, it wasn't enough to cover my rent/utility bill for one month.
I am going back to work, even though the doctor has not released me. I just simply do not have the energy to fight with these people! What I thought was going to be a "safety net" turned out to be a horrible experience dealing with these people. I am really considering cancelling this insurance. What AFLAC sells you and what you actually get are two entirely different things. They paint a really nice picture. My advice? Be careful.
Reviewed July 17, 2015
When the AFLAC representative came to my job to offer short term disability policies, They gave false information as to their website and TV commercial. Need all kind of paperwork and process claims takes weeks before they even get back to you about more paperwork needed.
Reviewed July 16, 2015
Agent submitted my application after we had agreed that I would speak to my husband and let him know whether to submit or not. We decided not to get AFLAC insurance and agent submitted my application anyway. I did not notice deductions until a year later. I automatically cancelled and asked for a reimbursement and was denied because they said they would've been responsible for a claim during that time. I was not aware I was even covered so there would've never been a claim. Don't trust AFLAC or their people.
Reviewed July 14, 2015
Don't believe what Patrick ** tells you about the payout on your accident insurance at Aflac. Patrick told me I would get about fifty dollars a stitch. I got 24 stitches. Aflac does not pay for stitches only the cut and the doctor visit. So don't believe what salesmen at Aflac tell you. They will tell you anything to sell you a policy. I believe you lie, you get fired.
Reviewed July 7, 2015
I purchased a life insurance policy 12 years ago for myself with my husband as a rider. He was 64 years old at that time. I paid $99.00 by payroll deductions every two week out of my paycheck. That is $198.00 a month to learn that my husband was only covered for one year (age 65). I paid a total of $28,500.00 since I had the policy. Enough to bury my husband, myself and someone else. I cancelled the policy immediately on Feb 15 and was advise that I could only cancel on the first of the month. I said ok. The $99 every two week continue to be deducted from my paycheck for another three months (6 checks). Bottom line I am not due a refund. Aflac does not process refunds; the refund should come from my employer. What a scam.
Reviewed July 7, 2015
I was out of work under doctors care for 4 weeks. Aflac denied my short term disability claim, stating that I wasn't out of work long enough. I have been with Aflac ever since 2007 and never filed a claim until March of 2015. I will be getting rid of them as soon as open enrollment.
Reviewed June 30, 2015
I signed up with Aflac 3 years ago through work for short term disability insurance. I had a right hip replacement last January due to severe osteoarthritis. I was off of work for 10 weeks and they paid me in one lump sum with no problems. I also needed a left hip replacement so I contacted my agent and he told me I had to work 3 weeks in between the surgeries for Aflac to pay me again. I worked for 9 weeks and had my surgery May 27th. I put in the claims and would be off again for 10 weeks. Aflac only paid me for 4 weeks. I contacted my agent who seems to be pretty dedicated to his clients. The claims department told him that I couldn't received the full disability payment for 10 weeks because my L hip replacement was a continuation of my right hip replacement in January. He asked them "so if someone broke their Left leg, then 2 months later broke their right leg that's a continuation also". So this is what I'm going through right now.
Reviewed June 30, 2015
Don't USE AFLAC! They will not pay you for surgeries! They ask you to go through all that trouble to get an operative report and they don't even look at it! They are scammers and I'm going to report them to the NEWS!!!
Reviewed June 27, 2015
My boss brought in Aflac to the clean clothes company. I am a part time employee and disabled. I didn't want the insurance but a new salesman named ** daily talk me into getting a policy. The whole entire company was there. I asked if I fell on hard times could I cancel the policy at any time and he said yes. It was the only reason I took the insurance. My boss decided to cut our hours at work and I needed to cancel the policy. Only to find out that I had short term disability and something else. I thought because I was already disabled I didn't qualify for disability. Why am I paying for that?? Also I am mentally disabled. If I have been found non stable by a court of law, can I even enter into a contract? When I tried to cancel the policy, I found out that I'm on the hook until September. Now I will tell everyone how Aflac takes advantage of the disabled people. I will also be seeking legal advice.
Reviewed June 24, 2015
My Aflac benefits were terminated without sending notification stating the benefits had ended. If I had known over the years that I was paying Aflac for only 6 months of disability insurance no matter how many years I paid the company. I should have checked into other options. I regret my blindness to fine print or my not insisting to have a written policy each year explaining my benefits and terms.
It is unfortunate, I paid into a dream as most Americans who know nothing about insurance until they are faced with a illness and the inability to work. You are too sick to return to work and now no income. You are then directed to your local Welfare Office. You are faced with a new problem. I contact my Agency of 6,000 strong requesting they offer their Employees other alternative insurance. The employees need to know that if they are sick it does not matter if they paid this policy for 10 years. They will too face the same things I face today. No Income.
Reviewed June 22, 2015
We never dreamed my husband would get cancer because he has always maintained a healthy weight and rarely had any health issues. He was 53 when he got cancer the FIRST time. It was shocking, but what was more shocking is how FAST our claims got paid by AFLAC. We were receiving our checks long before our normal insurance was processing our claims! With his "first occurrence" check we banked it and paid our mortgage since he was out of work for months at a time. Sadly, eight years later, he got cancer again, but once more AFLAC came through with flying colors and paid our claims as soon as we could get them documentation. I am AFLAC's biggest fan in South Carolina!
Reviewed June 16, 2015
Aflac is something good to have, especially for people with children. Yes I read the reviews and was like omg... my experience with this company (aflac) is amazing. Only headache you will have is the paperwork. You just got to read your policy for whatever coverage you have. If you're not sure ask your agent and if they don't have answers call the toll free number. I asked my agent about my policy and she was amazing as well as the aflac representatives. So don't believe what you read, bc some of the people are not staying on top of their claims nor asking questions. I will recommend this to anyone. Policy type: accident and short term disability insurance plan... Well worth it...
Reviewed June 15, 2015
** came to my job selling AFLAC insurance. He sold me on a policy that included a rider for getting hurt at work. Unfortunately, I did get injured on the job and contacted AFLAC to begin my policy coverage. They then stated that the policy did not include on the job injuries. Thinking this was an error I contacted the man I purchased the policy from, **, and he said he did not "write my policy" although he is the servicing agent and is the only person who can rectify this error. He told me another agent ** wrote the policy and I would need to contact her. I made many phone calls trying to get her information and never received a phone call back from **.
Finally, I went INTO the office she used to be a member of from my google search and they got me in touch with her. When I called ** she said that she was the one who sold me the policy and explained it didn't include that coverage. I NEVER spoke to this woman regarding this policy, only to tell her my name and basic information which I had to repeatedly correct. Apparently spelling a simple 4-letter last name is hard (I thought she was **'s assistant). I contact AFLAC customer service and get in touch with the Regional Manager's Office. Within MINUTES of calling the Regional Manager, ** finally calls me back and is rude and condescending and asked me to lie about "misunderstanding my policy" and having "memory problems." DO NOT BUY INSURANCE FROM **.
Reviewed June 12, 2015
I am currently a student and I was looking for accidental insurance required by school. I contacted ** on June 4, 2015 to inquire about the insurance that is offered for students. He didn't answer his phone so I left him a message. He returned my call on June 12, 2015. I informed him that when I called him I needed the insurance immediately and had already purchased insurance with someone else. His response was that I waited for the last minute and that I could have bought Aflac 2 months ago and the charge would have occurred effective INS date. I just feel that as a representative for any company, you should not respond to anyone in that manner. He waited 8 days to get back with me and on top of that he was extremely rude!!
Reviewed June 11, 2015
Slow, slow, slow.
Reviewed June 9, 2015
Aflac is slow with processing my claims and not to mention they only want to pay me for 5 days when I been off work for almost 3 months. But here's the kicker they say they will pay me for only 28 days when I am paying for a policy to cover me for month to month. Aflac is becoming more of a fraud than a help in times of need.
Updated review: June 22, 2015
They check with my employer and found out that there is no way I could work around flames and dust with my supplemental oxygen or have a CDL to drive truck anymore so they reviewed my case and started paying me.
Original Review: June 8, 2015
I have a short term disability policy I paid for ten years. I got sick and lost my job and driver's license but Aflac will not pay anything because still take care of myself for now and without any income I can't pay the policy anymore so by time I meet their requirements for adls it will be too late.
Updated review: July 12, 2015
I was very upset with Aflac when a double withdrawal was made from my checking account. I did contact them and wrote a (not too nice) review about them. Aflac contacted me right away. They did apologize for the error and sent me a check that was for my overdraft penalty. I think Aflac was very quick to make amends and very fair with resolving the problem. I think they are a first class company.
Original Review: June 4, 2015
In order to purchase AFLAC insurance you must agree to give them your personal banking information so they may withdraw monthly payments. I agreed to pay a certain amount ea. month and only one payment ea. month. I am living on a very fixed income being retired. I take pride in not overdrawing my account every month. AFLAC withdrew 2 payments of $309.57 in the same month and caused me to be overdrawn. That caused the bank to send me alerts and the bank accessed my account $70.00 for overdraft fees. That not only caused me great embarrassment but a lot of stress.
I called AFLAC right away and was told that they are having billing issues and not to worry. I said what about my fees charged to me. The representative I talked to said we will call you back. They did not call me back I had to call them again. They then told me that in order to receive a fee refund, I had to gather my bank statements and mail them to them for review. In other words if they screw up your account, they demand action from you.
I am going to send the paperwork from my bank to them and let them know that if it happens again I will file a complaint with the insurance commissioner of my state, the licensing board, the FTC, the banking commissioner, and my state's attorney general, plus an attorney for me. I will also AFLAC know that when I am required to take time to file paperwork for a problem that they cause I do charge $350.00 per hour for my time. I hope that AFLAC will follow our agreement of only one premium withdrawn from my account in the future.
Reviewed June 3, 2015
For three and a half years, I paid for short term disability coverage with Aflac. When it came time for me to use the insurance, Aflac proved to be very difficult to work with and did not pay as advertised. The coverage is advertised as "3 months'" but they don't pay for the first two weeks of disability. So, the coverage is only for two and a half months. The forms are misleading and difficult to understand for physicians, employers, and individuals. The call center is useless about 80% of the time - giving erroneous information.
My case was escalated to a "supervisor" who took more than a week to return my calls. When searching for paperwork submitted by my employer and physician, I was told that my policy number, claim number, name, etc. could not be used to search. I had to have the fax number from which paperwork was faxed. They advertise 24-hour turn around in paying claims. I couldn't get a payment in 24 DAYS. I would NEVER use them again, and recommend that you don't either.
Reviewed June 2, 2015
I have had a Aflac dental policy since 2009. There is a 24 month waiting period for bridgework. It has been 5.5 years and I finally had the work performed. I even called Aflac before the procedure twice to make sure I would be paid. They even have the call on file advising me I was covered and met the waiting period. The bill was $ 3900.00 and I submitted all the claim forms, only to be denied in full. The reason was A CODE 18 (Waiting period not met). My policy covers up to $1600.00 per year and I submitted 1 claim last month for an exam and received a $ 75.00 check within a week. Now that I am submitting a large claim, they deny me. I am due $1500.00 payment from Aflac.
When I call the claim department, they do not understand why I was denied as I have met all criteria and inform that there is no way to speak to an auditor. Now I am stuck with a large bill that Aflac promised to cover a portion of and it is completely unprofessional and down right wrong. Scam! These companies have no problem taking your monthly payment, but don't want to make good when the time comes. I plan on taking further action if able. This was a policy and I paid it for 5.5 years. There should be legal ramifications.
Reviewed May 30, 2015
Paid for years only to find out that claims are impossible. I wasn't expecting miracles and I was expecting a certain amount of paperwork as I filed other types of insurance claims before, but it really appears that AFLAC is deliberately withholding necessary info and being obstructive to make the process so onerous that you will just give up. The online claims form just disappear and nothing ever happens - they don't show up in anyone's records as having been submitted.
With paper or online claim forms, no information at all is given as to what supporting documents are required. I tried calling and getting any information out of the representative was like pulling teeth - she didn't give me complete directions and I had to order more forms from my hospital and doctors. I have been working on this for some months now and they say the claim is too old. Was really not worth paying all this time and I am going to cancel. This is really a huge scam.
Reviewed May 28, 2015
I have Aflac short term disability which money is taken every week from my check. I was in a car wreck...cut and dry. On day 2, I sent all requested docs including a lot that Aflac ask for and didn't even need. Over 3 weeks later, I still haven't received a dime!!! What happen to 2-3 day payment. I'm gonna drop them like a case of ebola.
Reviewed May 22, 2015
I went to the interview early and never was so treated so rudely in all of my life. The guy kept getting up and leaving the interview and would take his time to return. Then when he did ask a few questions, he acted like he didn't really care about the answers. How can a huge company like AFLAC ever expect someone to take a training course for 13 weeks with any pay and then on top of that come up with the expected amount of monies for the license??? They should take in to consideration that if they want people to work on a commission, then they should pay something to help them to want to work for them. When I came in nothing was offered in the way of a bottle of water, nothing, but a pamphlet of Cancer coverage. How nice is that??? I wasn't dressed for the kill, as after this great interview, I was headed to my school job. I was clean, but the guy made me feel dirty.
Reviewed May 22, 2015
I've been with AFLAC for about 6 months. $103 comes out of every paycheck. Trying to get paid on a claim is next to impossible. They ask for a form to be completed. Then they ask for another form from the doctor, then another form from the hospital. And so on, and so on. I've been waiting over one month to get paid for a doctor's exam. Their latest request that the doctor verify that this was not a pre-existing condition. IT WAS A ROUTINE EXAM! How could there be a pre-existing condition for an exam??!! They ought to be sued for false advertising; I've yet to experience their "One Day Pay" claim.
Reviewed May 21, 2015
I signed up for AFLAC. Having previously broken my neck, my main concern was catastrophic medical condition (I even signed up for the additional cancer coverage). After some substantial period of time, my rep visited my work and I met with her just to see about options. She encouraged me to fill out forms for previous visits to the doctor made by myself and my children. That day I happened to get off from work early so I even ran around to the various healthcare providers and got the necessary documentation. I arrived just in time to help her load up her car and give her everything she needed to submit the claims... I NEVER saw her again.
Several months later I went in to cancel my AFLAC and was informed that it could only be done at the END of the calendar year! I was not allowed to submit the form prior to the "window of election". 10 months later I filled out the PROVIDED form for cancellation. The LAST possible DAY of submittal, I received an email IN THE EVENING that I had filled out the wrong form. The next morning I filled out the proper form and delivered it. The AFLAC rep did receive the form from our HR department within the proper time frame.
They refused to stop taking the money from my check. When our HR department overrode the submittal, our AFLAC rep said that even though he had received the form, the AFLAC main office did not so it was not valid. We have NEVER submitted ANYTHING to the main office. It has ALWAYS been through the rep. Now the AFLAC main office says that because the form was filled out in 2014. It is not valid! I have yet to get any premiums refunded.
Reviewed May 20, 2015
Aflac has sleazy agents come into corporations, write individual policies, then someone files a claim, these agents become politicians, never answer questions, never pay any claims and keep all the money. Their motto should be: eat ** and die. You will never get paid from us.
Reviewed May 18, 2015
After being out of work for over a month I still have not received any money from Aflac. All the forms filled out and sent in. Every time you call them long wait and never the same person. It's very frustrating. Aflac took the money out of my pay for the last five years and the first time I needed them what a letdown. I will keep you all updated when I get paid just beware before you have money taken out of your check every week.
Reviewed May 16, 2015
Aflac representatives came to my employer and offered us a "package deal". After studying the info sheets carefully, I signed up for a plan that was to take $6 out of each paycheck. They have been taking $50 out of each check for months. Since I have direct deposit I didn't check my pay stubs. I've never filed a claim. My other insurance costs me less per month. Aflac is taking $100 each month. This is ridiculous, excessive, unfair and a blatant lie. Never sign up for this scam.
Reviewed May 15, 2015
I'VE had Aflac since 2012. Never used it until now. I was recently diagnosed with MS and I've been out of work for about a month. I faxed all the paperwork at the beginning. 3 weeks later still nothing. I've called several times and get the same response "we are back up in claims for 3 weeks"? I'm going back to work in a few days so what was the point of even having the policy!
Reviewed May 14, 2015
On Jan. 6, 2015, I had to have emergency surgery. The diagnosis was a complete heart block (Specific Health Event). The surgery was successful and I will have to have a pacemaker until I expire. I have been paying premiums to Aflac since 2007. On Jan. 7, 2015 I requested claim forms from Aflac to file a claim. I submitted the completed forms by mail along with the proper medical documentation. On or about March 4, 2015, I received a letter from Aflac. I was being denied because the procedure of pacemaker placement is not a covered specified health event.
I immediately penned a letter for an appeal. I indicated that the specified health event was "complete heart block" not pacemaker placement. My claim was reopened and it is nearing the 6 month mark and still nothing regarding my claim as of today, May 14, 2014. I have made repeated calls! I'm told that the person I need to talk with is either away from their desk or gone for the day. Nobody ever calls back as promised! I'm convinced that Aflac is fraudulent and will someone please look into this company!
Reviewed May 14, 2015
Simply, I had a heart attack and I mentioned a month before to my primary about arm pain, I wasn't diagnosed but he gave me nitros and said "get with a cardiologist." They denied me for the medical advice a month before. But I just read in there brochure that well here's the quote> "Pre-existing Condition means a sickness or physical condition which within the 12 month period prior to an insured's effective date resulted in the insured receiving medical advice or treatment." unquote. Now their definition states for effective date is quote > "The EFFECTIVE DATE of your insurance will be the date shown in your certificate schedule." unquote. Which is the date the insurance started.
Another section states "WE will not pay benefits for any surgical procedure occurring within 12 months of an insureds effective date which is caused by, contributed to, or resulting from a pre existing condition." A claim for benefits for loss starting after 12 months from an insureds effective date will not be reduced or denied on the grounds that is caused by a pre existing condition. A critical illness will no longer be considered pre existing at the end of 12 consecutive months starting and ending after a insureds effective date." Yet they say because of the medical advice it's pre existing. From what I read it their advertisements state different. But the actual contract says the same as the advertisement. I guess I'll ask a lawyer if I have a leg to stand on. We've been paying for 10 years and have never used them. Now we're about to lose our home. If anyone could give us/me any input that would be great.
Reviewed May 12, 2015
I purchased a disability policy with AFLAC in the fall of 2014 through my employment. I was told if I got sick the next day, they would pay immediately. Well, that isn't the case. I got sick in Jan. 2015 constantly going to doctors. The Middle of March, I was so sick and having trouble breathing. I was admitted to the hospital for over a week. Lost weeks wages, plus gained a 46,000 hospital bill. I was denied my claim!!! I suggest that any one who has AFLAC--THEY DROP IT IMMEDIATELY.
Reviewed May 11, 2015
I was taken off work due to knee damage which has been coming on for a couple of years now. The Dr. had to operate a week later and I filed a claim with my short term disability with AFLAC. I was misinformed about the one day claim turnaround. When I called it was 3-4 working days for claim. Then on the 4th day called late in the day to check on the status and it had still not been looked at and was told it could be another couple of days. FINALLY, the claim was approved and a check was to be cut. Here it is a week later and I have been off a month and I don't have a check and they cannot tell me when I will receive it. Apparently the Pony Express is still live and well in the USA.
Reviewed May 1, 2015
Had aflac insurance on my brother and sister and filed quick claim which does not work on disability but everything else as other employees have it so there's always the usual red tape and everything else that goes along with the claim. If they don't have to pay they won't. It all depends how big your company is and number of employees. I've seen 4 reps in 4 years they go thru like hotcakes. What's funny as I write this is my brother's a rep. He tells me they get 500. That is a field manager for everyone. They put on staff and get licensed. Problem just like my brother you don't make a lot and there's a 50/50 success rate on getting paid. He's been in the field a year and about done and so am I as a employer to find they're all about making money not making peoples lives easier like they claim. My brother also says there are good offices but they're spread out. Maybe aflac needs to get there ** together.
If you have concerns and you're a employer and are interested with aflac go check with your local chamber of commerce first before you get involved in a particular region and ask the agent how long he's been on staff before buying. Sign up is tricky even for the agents and mistakes happen. They even sell agents insurance for that and if you have a problem contact the licensed agency in your state on their gov website and complain. They definitely need some investigation. They're very corrupt in some agencies and as a employer I'm going to a company called combined where you can get both supplemental and regular insurance and they compensate each other.
Reviewed April 17, 2015
As a healthcare professional, I thought it would be wise to have Aflac gap disability insurance as my professional disability insurance company has a 90 day gap before it would begin. I never anticipated ever to become disabled. I have been paying into Aflac for over 7 years. Unfortunately I have become disabled and have been placed on out of work disability by my physician. I submitted my documentation and they said there is a 2 week claims review period. Well that review period goes on and on and on. Stall tactics! Corporate games!
Reviewed April 14, 2015
Never, Never, buy AFLAC Insurance. I notified AFLAC of my husband's death. Had to call several times to get anyone to tell me the status of my claim. Paid only face value of policies and kept telling me that they were not interest bearing. Had to have an investigation into the policies. Finally got the interest check only it was made out to the Estate instead of me as beneficiary. Called and requested a new check and was told that AFLAC does not send interest checks to beneficiary it has to be to the estate. This is causing me to have to hire an attorney, go to court in order to get money that belongs to me. These policies were 38 years old and was purchased to protect our family. Glad I did not have to have the money to live on.
Reviewed April 9, 2015
I have paid $40 a month for the last two years and I needed to change my credit information, which only allows for quarterly changes online so I was charged three times as much. I called and asked to do it monthly instead so that only $20 was taken out each time, so I was told I'd get a $40 refund and that it would take up to two weeks. So I call back after the two weeks asking for my refund when they tell me that actually my payment was already due, so there would be no point in refunding since I was up to date now. What a freaking scam! If you tell me I'm getting a refund, then I want the refund.
When the lady told me that she had seen the request for the refund, she also told me there was no update on it. After two weeks!?!? There's no update on my $50 request? Then she tells me that the company does not perform refunds so she doesn't understand why I was told I would get one. How can a company NOT refund if something went wrong? My advice: GET OUT NOW! I cancelled my policy immediately!
Reviewed April 6, 2015
I had the Aflac accidental policy along with a few other things. I paid for over 4 years, never filed a claim. Unfortunately in January 2015 my daughter was in car accident. We got a hold of our rep who said to fax copies of hospital report, which we did 4 times. She kept saying they didn't get it. Once she got it then she said needed accident report from highway patrol, that got faxed. Finally 6 weeks later we got check, however didn't pay for ambulance transport, which was covered in the policy. I called and asked why, she said needed a bill... Never have I heard you need a bill for coverage especially when police report and hospital said arrived by ambulance. I would never get Aflac again, they take your money but don't want to pay out!!
Reviewed April 6, 2015
An Aflac rep came to my work in August. I attempted to sign up for 2 plans. I had had success with Aflac in the past. The rep incorrectly completed the forms and in November I was notified I didn't have any Aflac policies. The money was coming out of my pay regularly. After several failed attempts over the next 3 months to establish policies I finally asked for my money back. Aflac stated they refunded the money twice with it returning. They had sent it to an old address I hadn't lived at in 4 years.
A couple months later and many angry phone calls and they continued to refund the money to that address regardless of my making them REPEAT my current address. On April 1st I spoke with ** who profusely apologized and stated they would overnight the check the next day. Again together we verified my CURRENT address.
It is the 6th of April. I am on the phone with Aflac, have been for almost 40 minutes, no one seems to know what's going on. I am thankful I didn't secure a policy with this company. I have no idea the difficulty it would have taken to file a claim at this rate. I highly recommend NOT signing up with Aflac. This level of incompetence is practically comical and to this date I have yet to receive any of the monies I paid them for these non-existent policies.
Reviewed April 3, 2015
This does not seem nearly as bad as the rest of the reviews. I'm not out of work, and my financial situations is not dire. That being said, what I was led to believe about Aflac was just not true. I have simply a dental policy with Aflac. It "pays me" instead of my dentist. I was told I could submit claims online and that the turnaround for payment was 48 hours. After fighting the website for weeks attempting to login, I get it to work. I finally try to submit a claim online. Except, each time I attempt to do this, I get an error.
I contact my agent, who tells me he doesn't know what's wrong and will contact support. He says I should fax or mail him a printed claim form. I do not have access to a fax, so he says I can email a pdf. I send it, but in the meantime, I call customer support at Aflac. I am informed that Aflac has never nor do they plan to offer online dental claim submission. It has now been almost 2 weeks since I sent the form to my agent. I followed up a week later after hearing nothing from him. He said he would be resubmitting and would check. It's now been another 4 days and I've heard nothing.
Reviewed April 1, 2015
Aflac uses the hire as many as possible, and if they don't make it - too bad we will just hire more. Businesses have been hit by so many different Aflac agents, they just want to get you out the door. Its 100% commission so you wind up spending more money than you make. Your trainer will take 50% until you start doing your own presentations, if you have a lot of money put away you can make it, if not you will starve, and management could care less. Backbiting is the norm, nice to your face and a dagger in your back when you are not around. Managers are in no hurry to train you, as long as they go with you they are going to make 50% on your cold call. If Aflac approaches you run the other way!!!
Reviewed March 28, 2015
I bought my plan through work in October knowing I had an upcoming surgery and asked specific questions to verify I would be covered for my surgery. The answers were all "yes". February 11th, 2015 I went in for surgery. As of 3/27 I am without payment after numerous phone calls, emails and correspondence between Dr office and AFLAC rep. Every time the rep tells me he has everything, only to find out a week or two later after I contact him, he tells me they need more documentation. This is all over $1000, I've got at least 3-4 hours invested between being on hold, correspondence with Dr office, filling out forms and speaking with all parties involved.
This is my second time with AFLAC, I had similar issues the first time. My policy allowed $15 for each Dr visit, with 3 kids I figured I would break even with regard to premium cost. After the first few claims, it became apparent they purposely make the process so excruciating that people will just give up. That's what happened to me as I decided a $15 check wasn't worth the time I would need to expend to get it. I'm sure this works in certain situations, but for me it will be my last experience with AFLAC.
Reviewed March 27, 2015
Last year my son who was 34 years old was sold an AFLAC plan for hospitalization; the salesperson met with him at his place of employment and filled out all of the paperwork. She didn't ask many questions and absolutely did not ask if he was diabetic, which he has been since he was 13 years old; His kidneys have failed and he was hospitalized in January, Aflac is now refusing to pay but will give him his premium payments back. Had she asked the question, he would have qualified for a lesser plan but would have at least had some coverage. At the very least he should be approved for the lesser plan and refunded the additional premium he has paid for the last year. I am disgusted with AFLAC 2015 and intend to cancel my 3 plans I have and will mention the lack of integrity the company has displayed to any and everyone I know.
Reviewed March 24, 2015
September 2014 I fell fracturing my elbow and damaging the ligaments in my wrist. After several months of doctor visits I had surgery in February 2015. They had to cut the bone in my arm as the elbow was fractured and shortened during the fall. The wrist ligaments were damaged. The surgeon shortened the bone by 3 mm and repaired the wrist. Submitted the doctor reports and they finally paid $480.00 for doctor visits and physical therapist. We made lots of calls to them. Then they paid $250.00 for the fracture. They said it was closed reduction even though surgery was done to repair the bone due to the accident. The doctor also repaired the ligaments in the wrist.
The policy clearly states that we are owed $500.00 for the ligament repair. Also an additional $250.00 for the open reduction repair of the arm. They refuse to pay. We have had the policy for 13 years and finally used it. AFLAC INSURANCE IS GARBAGE!!!! Save your money, we paid $1300.00/year for this despicable policy.
Reviewed March 16, 2015
The Aflac representative told me she would take my information and would not process anything until she got back to me. I told her I only wanted full coverage, which they do not offer. She processed my info and now I am locked in until December. They are taking 10.93 out of each paycheck, despite me telling her I wanted full coverage and would have full coverage in March. Now, according to her, there is nothing I can do about it.
Reviewed March 13, 2015
I have several issues, but the most disheartening is the lack of personalization, follow up and follow through. Cancer Policy owner since the 80's. Always paid bill on time, only to find out that my policy covers $200.00 for surgery. Are they joking??
Reviewed Feb. 26, 2015
On 2/06/2015 I had a hernia operation and I used my accident and short term disability which I'm suppose to be covered through Aflac. I submitted 41 documents from my doctor and surgeon and hospital on the 16th. Aflac found a way not to cover my accident policy in which I did everything the way Aflac wanted it makes no sense. Now on my short term disability which was submitted on 2/09/2015. I found out today on 2/26/2015 was never reviewed. It got lost in the system now. They repulled the claim and now it's going to be another 3 to 5 business days to review it. What am I paying for Aflac say they pay a claim in one day, they don't want to take your money then deny you.
Reviewed Feb. 24, 2015
I don't believe that the company is bad. I have met the founder several times and know the people at the very top of the company. The problems are at the local level and it varies from region to region depending on the local "culture". There are rules and incentives put in place with good intentions that are simply abused by agents and managers at the local level. Ex: Bonuses force managers to hire too many people - many of which are unqualified. They also force the managers to use these inexperienced people in other agents accounts leading to bad service. In addition, because of the extremely high turnover of agents the accounts can't count on one solid person very long.
Many agents/managers are treated as a W2 employee, yet you are paid as a 1099. If you do not fall in line they are able to take your clients, groups, or agents away for almost any reason. The ability to take agents from managers and groups from everyone is used as leverage. It was intended to keep people working hard and force agents to do a good job. Instead, managers will take accounts or agents from one person and give them to a friend, relative, etc... The commissions are paid on a multi-level-pyramid. This works, however it gives the agents much lower commissions than other companies in the industry. For a new agent who needs the support of those above this is fine, however seasoned agents give up about half of the commission to those above them.
I have many friends with this company and their policies have helped many clients. I hope they find a way to balance the system and keep it from being corrupted. I had a great run with this company and was extremely successful, however the politics and corruption were too much. That being said, this company along with other similar insurance companies can provide the right person with a great job and a great income. It is tough - maybe 1 out of 24 can be a star. It can also help policyholders with the products offered.
Reviewed Feb. 24, 2015
I filed an accident and disability claim in Dec. I have been off work for over 2 months and have received only 1 week of disability pay. Every time I call they say I need some other form filled out and faxed in. I feel like I am getting the runaround. I really thought Aflac was a great idea. Now not at all. Once I get this settled, I will take the money I pay them and put it in a savings acct.
Reviewed Feb. 21, 2015
I have had coverage deducted from weekly pay check for 3 years now. In November 14, I had to have surgery and subsequently filed a claim. Upon checking in on "claim", I had 7 phone conversations with a different person each time, each time I dealt with the same bunch of run around. No one person would return calls even after promising to follow up on claim and check out why my information could not be found!
Now I get a letter stating paperwork was sent to employer but was never filled out for my hospital coverage. Tried to log in on site and now I see "no policy info found", where is my money going and who is getting paid? Can't locate agent who signed me up and the whole deal feels like a scam to me. Buyer beware, I suggest a different insurance company for a supplemental policy!! Now have legal team involved seeing how State Bureau of Insurance was no help.
Reviewed Feb. 21, 2015
If you have a company in New York and New Jersey, you may deal with agents Jennifer ** or her assistant Bina **. MAYBE even her boss Joshua **. Jennifer will come in and sell you a speech to get you to sign up, promising if you send her your claim directly, she will have you paid out in less than 10 days. Reality is when you send her the claim...She does nothing with it. BUT after you complain, she will have Bina ** call you and walk you through how to do her job yourself. Then when you find your policy is not in the system and your paycheck has been deducted, she will bring you with free stuff and then tell you her manager Joshua ** instructed that no one from Aflac have contact with you. Well now, they have your money and you have nothing. Beware. They breech a contract but until you go to court, they are taking your money from payroll. If anyone has the same problem, please contact me directly as we can build a case against this company.
Reviewed Feb. 19, 2015
They are using the right duck as a mascot. We were not able to collect twice with them so we cancelled the insurance as a quack. They did not pay even though we were very sick. Quack quack quack.
Reviewed Feb. 19, 2015
Last Jan 2014 had a infection. Got paid 75.00. Two months after I got out of the hospital I had a stroke and still did not receive anything. This year January 2015 I had another infection, hospitalized for 8 days, contacted aflac online and my aflac agent. One week later, still no word back. Still also waiting for response from 2014. Any help?
Updated on April 30, 2015: On 3/11/2015 Aflac sent a response on my no pay complaint. I responded on 3/13/2015 with all the info they requested. All of my policy # dates they asked for. Been almost two months. No response as of 4/30/2015. They do not bother to stay in contact at all. Feel like they are just giving me the runaround as they did before.
Reviewed Feb. 13, 2015
I filed a claim in December which Aflac has yet to pay in full. I received pay for 1 week and was later told I needed an updated physician statement. After providing an updated physician statement, I was informed that I needed an updated employer statement. After providing an updated employer statement, I was informed that my claim was denied because I received treatment outside of the U.S. I received treatment from Kaiser which does not provide services outside the U.S. I was then told my employer did not provide a date of disability. My employer submitted information indicating they do not determine date of disability - a physician determines this information.
My employer advised Aflac to reference my physician statement which listed this information. Mind you, Aflac did not get this information from my employer for the first claim in which they approved for payment. Next I was told I did not seek treatment on the first date in which I was disabled, please understand it has been one ineffective incompetent decision after another and NONE are supported by the policy contractual language in which I signed and pay monthly premiums to receive. My claim has been reviewed 4 times and I received 4 different answers each time. I am moving forward with legal action at this time. DON'T WASTE YOUR TIME NOR MONEY.... NOT WORTH IT.
Reviewed Feb. 10, 2015
I requested a cancellation in writing on January 13, the broker refused to give the information on how to cancel, she wanted to talk to my HR person. My cancellation was not completed until February the 4th and I had to pay another month. Brokers emails were very unprofessional and unacceptable. Worst customer service.
Reviewed Feb. 7, 2015
I was an agent for aflac for 15 months. I was the top producer in my region. For my hard work and effort i was forced to resign due to the incompetent management in my region. This company could care less about the people they hire. They collect all your licensing fees up front, no training, i know i trained several people myself to help them to try and make a living with aflac.
The claims i submitted took forever to pay and usually got denied. As a professional sales person with over 25 years experience, this was my worst company to deal with. Upper management abuses their authority, belittles agents and threatens them on a daily basis. I have aligned myself with other companies that truly value their employees and customers. I am truly sorry if anyone out there has had a bad experience with aflac. Sooner or later we all do!!!!!!!!
Reviewed Feb. 6, 2015
I moved in Sept. and the PO forwards my mail. I have not received a statement from Aflac for my payment since July. I usually receive one every 3 months. I called the company and they stated that it had lapsed. That was not my fault. They failed to send me a statement. They stated they would forward me a paper to reinstate my policy within 10 business days, it is going on the 15th day and no word yet. I hate to think that I have been paying on this policy since 2004 and my money is paying someone else’s pocket. I think they should stand on their word as I did my payments. Thanks for letting me vent.
Reviewed Feb. 4, 2015
I bought a disability policy thru my job with aflac. After 9 years of paying and never using it, they withdraw from the hospital and refuse to refund me any cash. The reason I took this policy was payroll deducted. I feel they owe me a refund since they are the one that broke the contract by leaving the hospital.
Reviewed Feb. 4, 2015
My husband had surgery on 12-29-2014 and was put off work until 03-02-2015. I spoke with our agent and filled out the necessary paperwork (work/doctor/etc), which I emailed to her on the 29th of December to get the ball rolling as fast as possible. The first check arrived on January 16th, well after the 7 day waiting period, and was only for half of the original amount of two thousand dollars we were supposed to receive. We called and got the run around, saying they were reviewing the claim to make sure it wasn't a pre-existing condition. Okay. Fine. We wait another two weeks, while bills pile up left and right. Then our agent begins to avoid our phone calls and we have no choice but to call the 1800 number. This results in a mess. They claim they're waiting on medical files they never requested.
So we go to my husband's primary care doctor, have a year worth of medical records faxed, and then an Aflac rep promises to put a rush on the review since it's already over a month behind. 48 hours later, they're now claiming the rep we spoke to doesn't exist and that they never received that fax. I'm so frustrated I could scream. This company clearly doesn't want to pay claims and is coming up with one excuse after another to make sure we never get the money we're owed. Meanwhile, our bills are all behind and we're struggling just to keep the power on during the coldest month of the year. This is BS.
Reviewed Feb. 3, 2015
Filed a claim with them back in December 15. A month later told me that my check was in the mail. It's now February 3 still no check.... Why would they even mail It when I send them a direct deposit form????
Reviewed Feb. 3, 2015
AFLAC is by far the worst company ever. I fax over a claim and no response. I call customer service they said they did not received the fax. After faxing claim from three times still no payment and then it the phone game, they place you on hold and you never speak to the same person twice. I since fax over a cancellation form to customer service and still no response. Aflac does not pay and will not let you cancel. Its like you have to give up blood to cancel. Tell everyone Aflac is a scam. I place flyer at work letting everyone know don't get Aflac. I am now filing a complaint with the BBB. Note Aflac get zero star from me.
Reviewed Jan. 30, 2015
I opened a claim on 1-20 for disability, faxed all paperwork. It took four days before they reviewed the claim. At this time I find that my employer filled in the wrong amount. On the following Monday I refaxed the correct information which took another four days. Now I'm told it's under review which the review process start four days after that. So now I wait with no income, my wife needing medicine which I have no money for. So when you listen to the commercial saying four days from the day you file your claim to getting paid, do not believe. Yes four days to start claim then four days to review then if a problem another four days before they do anything then if something else is wrong another four days before anything happens. This is second time I have used Aflac. The first time the same thing happened. Time to find another supplemental insurance company.
Reviewed Jan. 30, 2015
Well when they told me what all I need to file my claim they failed to tell me a few things. Had surgery Dec 26th. This is the end of January. Still fighting them. Now they say it will be another 14 days. I have paid them faithfully for 2 years and this is what I get. Never again. I plan to cancel everything I have with them and go somewhere else and take my employees with me and there is 6 of them so that is 7 accounts they are losing.
Reviewed Jan. 29, 2015
I have read over and over the same horror story that is happening to me. I submitted a short term disability claim in early December 2014. The claim is still in a "Pending" status as of January 29, 2015. I have submitted and resubmitted all paperwork they required to process the claim several times. I have been an Aflac policy holder since 2002, over 13 years. I just wish they would stop giving me the runaround and either pay the claim or deny the claim. At this point I have the option to appeal their decision. This has caused an enormous amount of stress.
Reviewed Jan. 29, 2015
I was diagnosed with cancer in Nov 2013 and finished cancer treatment Oct 2014. It was a blessing to have AFLAC. They paid according to my plan policy for hospital, chemo and radiation therapy. I highly recommend Aflac. I don't know how I would have paid for my medical bills without them. I found if you submit your claims along with your itemized bill with the diagnosis code, there should be absolutely no problems. THANK YOU AFLAC!!
Reviewed Jan. 24, 2015
I started a policy with AFLAC in August. Filed my first claim in October, another in beginning of this month (January). I faxed AND uploaded all info (claim forms and physicians notes). I called on both after a week and was told they didn't have it or they want more info etc. They tell me they are requesting directly from provider and sent out correspondence but the provider has never received anything. I think they are just giving people the run around as much as they can to avoid paying. I still haven't gotten paid for the claim in October. This company sucks!
Reviewed Jan. 22, 2015
We have had Aflac for over 6 years and I have always loved them. Until December 2014!!! I had a very sad experience at my yearly doctor visit that had me going back for a biopsy. Within a week I was in surgery for cancer. I personally filed on my cancer policy 2 days after my surgery since our rep will never ans calls... Here I am a month later and over 15 calls to them. I have gotten over 8 excuses from "We don't have your biopsy" (which they do) to "Sorry you have the one cancer that your claim does not cover"!!!! So I print out my policy and yep, there it is in black and white that the cancer I have IS covered..
So I contact them one more time and explain this. And the guy has the nerve to go back to the same excuse of "We don't have your pathology..." Lol what a joke. So I am on the phone with him for over 30 min while he looks back and says "Oh I am sorry we do have all the information." And he has the nerve to ask "Is your cancer a bad internal cancer?"! Hey last I checked all cancer is bad!!! And by the way yes! I get sorry for the long wait and once again they push the claim to be reviewed again and told maybe I will get a call in 48 hours... Which is 4 days from today which is Friday.. So I am waiting on the next excuse.
As of next Thursday it will be 30 days which automatically closes that claim and I have to refile.. Forget the fact that right now I can't work. They have not paid one dime for my biopsy or my surgery... I actually told them if the initial cancer payment is that big of a deal they could keep it just please pay what they are suppose to on my biopsy and surgery.. I have read over and over how they have changed and are doing things like this to a lot of people now.
As of Tuesday at noon if they don't call or if they do with another excuse I am just calling an attorney. I am sure an attorney may end up taking all they send me but it will be well worth it as long as it wakes them up and they stop mistreating people who pay them all this money... I am thinking class action lawsuit is in order!!!!! Like I said I have NEVER had a issue out of them before up until they resigned everyone last year!! And everyone was told by the rep it's just resigning. She pointed out the good changes and said nothing else at all would change. I guess they pay their reps good money to lie...
Reviewed Jan. 22, 2015
Today of January 21, 2015, I called asking about my Policy number. So while talking on the phone with one of your employees, she claim that my Policy Number was cancel since 2013 and not receive payments from my company. However, that truly lie because I've spoke to a representative of Illinois. The representative assured me that my Policy Number is enforce. For me, this claim is a very important at this moment because my husband has cancer and I need it open. I come to you with this claim because it was a stupidity of your employee to give false information to me, when I have prove that my account is still open when I made the call asking if my sent mail of information was put in the system. This complaint is serious to any customer that goes to you because false information shouldn't be given especially from a company that has responsibility in a individual's financial information.
Reviewed Jan. 13, 2015
I filed a claim..no response. Call them and they state that I need to give them more information even though I sent everything they listed as a requirement including all ER visit paperwork I had. So I get everything from the hospital pertaining to his case that they have... Still not enough. Now I need to go back to dr and ask him for a note saying he had an accident!
Reviewed Jan. 12, 2015
I had emergency open heart surgery 4 weeks ago. Have been trying to contact our "agent" via phone and email with absolutely no response. I contacted my husband’s employer (Fire Dept) to confirm that the agent is still the same person. They confirmed that it is and that she frequently does not respond to the members. I sent an email to the regional manager as this is not the first time this has happened. Still have not heard back. This is just so disappointing. I thought AFLAC was a top notch company.
Reviewed Jan. 9, 2015
I've used AFLAC two times throughout my 10 years of having it. I have the short term disability plan. The first time I used it was back in 2006. I used it during the time that I was off of work due to pregnancy. I am a chemical process operator and my job does not allow pregnant females around chemicals during the time of pregnancy. That means no light duty; so therefore I qualified for disability under the terms of AFLAC. I did not have any problems using it at all. You have to make sure that you fill out all paperwork as required, and you have to make sure you fill out a continuing disability statement every month. As long as all of the paperwork is filled out properly, you will have no trouble at all.
The next time I used it was back in 2011 when I had female surgery. I had no trouble using it then either. Again you just have to make sure all paperwork is filled out as required. I am off work now due to syncope, and I am applying for AFLAC as we speak. Hopefully things will go as they have in the past. It's definitely a lot of paperwork, but I would recommend AFLAC to anyone.
Reviewed Jan. 8, 2015
Our company sponsored a dental discount program. After 6 months, dental work was covered without exclusions. Aflac reimbursed me $90 out of $800 for dental work. The company stated they pay on a sliding scale for dental work. They are a big rip off.
Reviewed Jan. 2, 2015
Don't waste your Money on This **. Aflac is a RIPP OFF. I went to the Emergency Room had two surgeries on my leg, Stayed in intensive care four days. Aflac agent wouldn't return my calls. I filed the online Claim Form, I then fax all the Hospital paper work to Aflac. Aflac wouldn't pay a dime because I was in the wrong Room. DROPPING AFLAC ASAP.
Reviewed Dec. 17, 2014
I work in law enforcement, so we entered in a discounted group rate. I have been with AFLAC for over 8 years and never used it before, not even for their wellness refund program. Just recently, our AFLAC representative started coming over to "update" our file. Majority of us went and signed what we believed was an update and some even purchased new/added items; only to find out that they canceled our old BETTER policy. The smart ones stuck to their old policy after the rep. tried to sign them. One guy, before signing his new policy, received good money. But when he got injured again, the new policy didn't pay him squat. I just had my surgery and instead of getting my dues, they're giving me the run around.
Reviewed Dec. 17, 2014
I sent in my claims 3 times now. I had the hospital put my policy number on every sheet sent in, yet they still say they have not received my fax. So I mailed in my papers with my policy number on every page. After repeated calls and emails they are telling me I need to send it in again. They also told me they need more time to review my claim cause it's so complicated. Now they left a phone message saying I'd have my money beginning of this week. My email days later says 2-4 more days. Not to mention they don't want to pay for half my stuff they have to pay me for. I've paid them over 4600 dollars and wish I never had paid them a penny.
Reviewed Dec. 15, 2014
They have paid my claims quickly and fairly. I have been a policyholder for 10 years and couldn't be happier. If you get the right paperwork you get paid. I think people try to claim on their accident policy when what they have is repetitive motion. An accident is a single event, not "I woke up with back pain".
Reviewed Dec. 7, 2014
It should not be called insurance. It is close to being an outright scam. Look at the profits they drag in. They are the lipstick on a pig. I truly needed their $200 a month insurance I'd been paying when I hurt my back. 20 days out of work and a ($38,000 surgery). No savings. I did not hit the emergency room within 24 hours. I was denied. You are much better off saving your money for a rainy day. You will never benefit like you think. The ONLY good product AFLAC has is short term disability with a 30 day wait for benefits to start. All the rest is like being given a lollipop to suck on when you need food, shelter and heat. ** you AFLAC.
Reviewed Nov. 21, 2014
On 10/12/14 I submitted a claim for my dependent Daughter With the regular hospital paperwork. On or around 10/14/14 I was asked to submit a UB04 bill from the hospital and I had 21 days to do so. On 10/16/14 I received a message stating since I did not submit the bill the claim would be closed. I had been in constant contact with the hospital and Aflac. I was then told they needed to see what type of bed she was in, as if she may have had the baby in the hallway. On 10/22/14 I received another message from Aflac stating the claim was denied as my child according to a unknown endorsement on page 17 of the contract stating she was 4 months past the age and I needed to fill this out so she would be covered. To make matters worse when I called to find out about the denial, the rep took 20 min while I was on hold to find this endorsement and has worked there for over 5 years. I was never explained or notified about this endorsement by my rep, as a mater of fact Aflac does not ask age, or names of dependents when filling out the form 5 years ago.
We as consumers count on this money. I pay $270.00 per month to feel safe and when we need it we are told no. Why should I be punished for the agent's mistakes??? And let it be known my rep did not even know about this page 17 endorsement when I asked him. My claim is now under review with the special committee and has been for the last 3 weeks....STILL WAITING ON THAT...but one last thing have you guys noticed when talking to the reps after you have been denied, they are very condescending and always end the conversation "is that all I can do for you sir or mam" when in reality they have done nothing to help. So I feel like for the last 5 years at $270.00 per month for a total of over $16000.00 I have gotten nothing more than the {1} wellness payment they give you for 60 dollars every year.....So sad.
Reviewed Nov. 21, 2014
I have had Aflac for over 2 years. While at work over the last year my shoulder began to hurt more and more, been hurting for years. I decided that was enough, I couldn't take the pain anymore. I had been working 40 to 50 hrs a week for the last year. I decided to quit and get an operation. Rotator cuff... After filling out Aflac papers they claimed I was a part time job worker. Because I had no job at the time of the claim they said I had to file for the claim while I was still working?? A scam or I just don't understand. So being I had no job I had to have the doctors fill out paperwork about the Daily living assisted items. There's 6 of them.
After the doctor filling out the paper work in correct and then fixing the paperwork and sending again... now they want a personal letter from the doctor stating what happen with the paperwork. That was yesterday 11/20/2014. This has been going on for 2 months now. I believe I will receive nothing and it's mainly because I didn't have a job when I filed the claim. I don't understand at all. I have contacted my rep by phone 3 times and have not received a call back. Today 11/21/2014... I'm going to have to remove money from my retirement so I don't lose all I have.
Reviewed Nov. 20, 2014
Prior to surgery contacted Aflac to see find out what forms I needed to fill out and how soon should I submit them. Surgery was on September 25, 2014 whereas I was hospitalized for 5 days. After being discharged from the hospital I faxed my claim and to my surprise my claim was denied stating a pre-existing condition. After making several calls to the corporate office explaining to the the claims rep that my condition was not pre-existing she proceeded to tell me that it was nothing that she could do. So I appealed and had them to reopen my claim again and once again my claim was denied. I have been out of work for a month and a half with no income, coming bills are piling up and still no resolution from Aflac. I contacted my employer and explained to her what was going on and she informed me that she would get in touch with the representative of our agency.
I explained my situation to him on October 28, 2014 where he apologized and stated that he would assist me with getting my claim. He came over to my home on October 31, 2014 where I provided him all of my documentation to include a letter from from my physician explaining that my condition was not pre-existing, well as of today I still have not received one dime from Aflac! And I'm beyond frustrated they are so quick to take your money but they are liars when it comes to paying out the money that you have put in. No one should have to go through this with a company that advertises that they will take care of you while you are out. I have reopened another claim with Aflac to see if they are going to pay me on this this third attempt if not I will be canceling all four policies with them and seeking outside counsel to see what can be done about this fraud that they are committing. I truly hope that someone is looking into all of these complaints and action is taking soon against the Duck!
Reviewed Nov. 14, 2014
I had surgery in October 2014 and 2 weeks afterwards, when I was able to get up to get all my information all together, I was able to fax my stuff over to the Aflac people. Well with the short term disability I had no problem. Right away I was able to get my money not knowing that my hospital indemnity group was being handled by the diocess. When I called the representatives of Aflac to see where the status of the claimed I was told that my coverage was not valid because I hadn't been paid since July 2014. Yet they were deducting the money from my paycheck. I asked why they weren't paying and one of their response was "that they didn't receive a bill." So I told them, "so that if you don't get a light bill you're not going to pay?" I said to them you're so fast to take my money out but not pay my insurance. I'm so fast and ready to look for an attorney because I told them that now, who's going to pay my bills? I know next year I will not renew my Aflac with the Diocess of Brownsville. All I know is I'm going back to work and I have no paycheck till december 2014. That's almost a month!
Reviewed Nov. 12, 2014
I've been waiting on a check for a month. Every time I call customer service, they have another excuse for me. It's always "sorry for the inconvenience Sir." I've faxed the same paper over 5 times. The lady they gave me from the regional office (Michelle) is useless. I haven't Brenner to get in contact with her in over a month. I would have to say this is one of the worst companies I've ever dealt with.
Reviewed Nov. 5, 2014
I hurt my back on 9/19/14 and filed short term disability claim on 9/21/14. It is now 11/5/14 and I have yet to see any money from Aflac!! Bills are behind, and they are saying it will be another 2 weeks at least!! Their phone conversations always result in the runaround. They have asked for several different forms, proof of income, and even tax returns from the previous year, which I have supplied immediately upon request. On top of that...they are saying that the policy I signed up for, and have been paying for, is not the correct policy and they only want to pay me half of what I was supposed to be receiving in benefits. Bottom line is I want the policy I've been paying for. I feel like they are being fraudulent in their representations. I'm a single dad with 3 kids and stressed out of my mind with this. Thanks AFLAC for selling me a policy that you didn't intend on honoring. Hope you can sleep at night knowing that me and my kids will be homeless soon!
Reviewed Nov. 3, 2014
Very fed up with Aflac. Had knee surgery 3 weeks ago. Started claim following day. Even though I have accidental injury, short term disability, and several other policies, I have only been paid $240. They boast about claims done in 4 days. Yeah right filed 10/17/14 and now on 11/3/14 still nothing. Have had Aflac for 4 years and wish I kept money paid to them. ($55 a week for 4 years = @$10,000) South for bills being paid while you heal. Utilities cut off, car about to be repoed, and no food in house. Sick of seeing Aflac commercial. They haven't helped me at all!!!! Wish they had a zero star because that is what they have earned.
Reviewed Oct. 30, 2014
I was dealing with back issues and Aflac was a joke. In Feb 2013 I was diagnosed with one thing but something totally different after I took out the policy, and I was denied. I was diagnosed with spinal stenosis. I tried to contact my agent on several occasions. It has been almost 2 months. I haven't heard from my agent yet after several attempts. I have left several messages.
Reviewed Oct. 29, 2014
After 8 yrs of not file any claims, New rep tell to fill out you have 1305.00 in unclaimed wellness. I filed it out, now they need more proof. If it's our money why give us such problem and waste time. Sure glad it's reenrollment time! I'm done with that D U C K could think of a word like Duck that go to STATE FARM ASAP. QUACK this AFLAC, hope you choke with my MONEY!!!!! SAD!! You Suck!
Reviewed Oct. 20, 2014
I have been with Aflac for almost a year paying on time and now when I needed most, they have a lot of requirements and that's something that you don't want to deal after a surgery procedure, it's very sad to find out you been paying almost $500 at year and then you don't have Aflac to protect your back when you need it most. I'm in the process to cancel and don't waste my money anymore.
Reviewed Oct. 18, 2014
I became interested in purchasing aflac disability insurance in September, and was contacted by an agent for the company. I made numerous attempts losing a person to person meeting on a Saturday with this agent to be getting the application process ensure coverage for work related disability. The agent continually refuse to proceed with the application, instead urgent me to find friends and or coworkers so that we could write a group policy, thereby it even lower premiums. I now suspect that this was nothing more than the agent's attempt To increase his own personal commission.
After my numerous attempts to complete an application and begin coverage were rebuffed by the agent telling me I needed to find more people for my "group", I instructed the agent to begin the process without any other persons being involved and I wanted to apply strictly on my own. I made a telephone appointment for a conference call with the agent on a Friday afternoon at 1:00. During this time he was to conference in a representative from Aflac and the application was completed on the telephone, and the coverage would begin immediately thereafter.
I called at the appointed time which was 1 p.m. Friday afternoon, in actuality I called at 10 minutes to 1. There was no answer on his cell phone. I called back again at 2, again no answer. I called back again at 3, again no answer. It's important to note that each time I called I left a voice mail message stating that I wanted to complete the application and I Begin my coverage immediately.
The agent never returned my calls or made any attempt to contact me despite my numerous efforts. We belong to a business networking group which meets every Tuesday morning. I ran into their agent at this meeting and inquired as to why he did not Return My calls or make any effort to collect the information needed to complete the application and start the policy. I even offered to write him a check on the spot. He offered no explanation, no excuses, or any reason for his actions. He just simply walk away.
2 to 3 weeks later while working on a roof, I was bending over to install flashing on a plumbing vent. As I stood up I felt a sharp pain in my back and one was unable to erect posture. I thought I was going to have to call the Sarasota County Florida fire department to assist me getting off of the roof, the pain was so severe. After a few visits to emergency rooms and a follow-up with a neurosurgeon I have found that I have suffered extreme and incredible damage to lumbar discs number 2 and number three leaving me unavailable to work. According to both my neurosurgeon and my chiropractor, I am now fully disabled.
My current employer has kept me on a light duty status strictly as a Christian gesture, as there is no way I can function my job in any way shape or form in a manner that I did prior to the accident. Also, because leaving me without any source of income, and very little cash reserves on hand I would have no money for doctors, hospital visits, tests, medications. Not to mention day-to-day living expenses such as rent, groceries, gas etc
I was seeking insurance coverage with weekly payments in the 750 to 1000 range with the understanding that the coverage would last a total of 6 months. During that time if I was unable to make a full recovery and return to work, I would be forced to file a claim for full Social Security disability benefits. The point of purchasing the policy was to provide for no gaps in income. I can draw no other conclusion from the Aflac agent actions other than he was so interested in putting together a large group policy with a substantial number of members, thereby increasing his commissions, in helping him meet his sales quotas.
His actions, or lack of actions thereof have placed me in dire financial straits. I am now staying with friends unable to maintain my own residence and then living basically paycheck to paycheck hands and mouth. Agent had simply done his job, and following my instructions I would not be receiving benefits, and at night suffering the emotional and financial damages that I am currently encountering.
I am looking for an attorney who has had experience in bringing action against Aflac and/or its agents and is willing to work on a contingency basis, as my current financial condition is such that doing it retainer is simply out of reach. Beginning on January 1st 2015 my insurance deductibles rollback 20 and I will be in a dire financial position, not having the funds necessary to meet the requisite co-pays so that I can continue to receive medical attention.
Reviewed Oct. 18, 2014
I just happen to be searching for something about AFLAC and came across the reviews. I'm not sure if I'm just lucky with them or what but I am very thankful that we have AFLAC. I've had many problems for 10 years and I submit claims quite a bit and I get triple my money back every year for what I pay every month for my policy. In fact, when I lost my job, I even made sure that my policy was paid every month because if you lose your job and you still pay your premium without it lapsing; you will still only pay the amount you paid through your employer. If I did not, the premium would be about double. I just wanted to give a positive note because I am grateful.
Reviewed Oct. 17, 2014
I suffered a heart attack in which I had two stents placed as well as angioplasty conducted. I spent three days in ICU and have been submitting claim paperwork for the past month. I can. Of reach my agent. He does not call back and have not heard from his supervisor either. My union allows Aflac to come to our facilities to sell Aflacs products. However it appears that when it's claim time Aflac has forgotten about me. I am very displeased and I am going to reach out to all of the police unions as well as New York City civil servant unions and inform them of how I am being treated by Aflac.
Reviewed Oct. 16, 2014
I signed up for the Group Accident Insurance for me and my son. They send their salesman out to companies with this brochure and they have you think that is what you are signing up for. My son tore his knee cartilage. He had a knee scope and they repaired it. Well guess what, Aflac does not consider it to be repaired. Although he did NOT get a transplant, the doctor still removed the loose bodies and he resected the remaining back to the knee cap. So OK, I said well if they do not consider this to be a repair, then it falls under the "Exploratory Surgery (without repair i.e. arthroscopy)". This is term is on their brochure that the salesman used to sign the company up.
Well now they claim this is not on my certificate. You mean the one that I received 6 months after I signed up? You mean the one that I had to send 10 emails about? Who would have thought that the items on the brochure does not match the items that I was actually insured for. If you don't send out the certificate how are people to know? Then the customer service is horrible. They don't call you back! As I said previously, I emailed them 10 times to get some type of policy or certificate as they call it. They are mailing me one out today so I can finally see what they are talking about. Yeah sure. Unbelievable! I am contacting the Attorney General on this one.
Reviewed Oct. 16, 2014
I was a single mother, and signed up at my work for an accident policy & disability. I needed to file a claim when I was injured. My agent was great, my claims were paid in a timely manner, and if it had not been for Aflac, My family & I would not have survived. I have read many of the negative posts here about Aflac & all I can say is Read your policies, as to what they cover, don't assume anything. That is your responsibility. There may be reps out there who do not tell you everything or maybe you are not giving them the complete picture. People usually only hear what they want to hear, so read your policy.
Let your rep file your claim, don't do it yourself, your rep can do a much better job. Let your rep help you, if you get no response from your rep, by all means call Aflac. Not only I but several of my coworkers also had good experiences with Aflac, but we also had a good rep who did everything in their power to make sure we were happy. Unfortunately, there are people in all professions that can make a customer's experience unpleasant. Don't judge someone or someone's experience on what someone else's opinion is. There is always 2 sides to a story.
Reviewed Oct. 9, 2014
The reps in this area apparently don't answer phone. Tried the 1-800-992-3522 number six times (reps busy w/other customers) held on once, left number for call back five times. When call back occurred with voice indicating AFLAC calling, the call was a disconnect. Extremely frustrating!!! Your customer service is the worst I have ever encountered....and then I read the complaints, wow! I have been paying on three policies since l993 (with no claims). Now I'm wondering if this is a total ripoff.
Reviewed Oct. 3, 2014
I have been paying for AFLAC for over two years and when I do get hurt they don't want to pay out. They say they're going to give me over 2000 for a broken foot and I get a lousy hundred $125. What a joke!!!! :(
Reviewed Oct. 2, 2014
I had to have both feet operated one, 1 at a time. I had to be off work for 1 month. I fax in my paper work, which my agent says cannot be found. Then I am told that I don't have disability?? I ask, isn't that what Aflac is, they pay you when you can't work? That's what the commercials all say. Then I ask exactly what is it I am paying for? I have had these policies for about 4 years. Never used them. I'm so angry now and I can't even drop them until the beginning of the year! What a rip off!
Reviewed Oct. 1, 2014
After having an Aflac Representative come to my place of employment and signing up for their short-term disability insurance back in April 2014, and being told that my coverage would become effective as of May 1, 2014, when I filed a claim with them pursuant to my doctor insisting that I take off of work for medical reasons, I was taken through the wringer by Aflac, for months. I submitted a claim to Aflac via fax, per my Aflac representative's advise. Included in the claim was a doctor's certification, which my doctor completed and I included with the original filing of said claim.
Days went on and I did not hear anything from them. Then, when I finally did hear from them, I was asked to submit my W-2 from the previous year along with other items, which I forwarded via fax. Thereafter, it was one thing after another, finally ending with "We did not receive your premium and your policy is no good." What hell they took me through only to tell me that I was not covered. I feel ripped-off and cheated. Mislead by my representative and their corporate office. Mad as hell!
Reviewed Sept. 28, 2014
I have had aflac since Jan of 2012. I used my accident policy for when my son had an accident, submitted everything they asked and received a check within a few days. Now a few weeks ago I had a new baby and would be on a 6 week std from work, prior to being discharged from the hospital all required paperwork was faxed to aflac. A few days after that it stated a check had been issued. It has been over a week and still no check and almost 3 weeks of being out of work and bills and necessities are piling up. They claim to be fast with paying you but when you really need it it's very slow.
Reviewed Sept. 26, 2014
Called my agent Jeff ** out of Louisiana to discuss my 2 policies. He stated he would call me back to discuss. After repeatedly leaving him voice mails, not a word from him. I've been paying for these policies over 6 years and need to discuss these with him. His phone number is **. Truly would like to know just what I've been paying over $60.00 month for. Please help. Thank You.
Aflac Company Information
- Company Name:
- Aflac
- Company Type:
- Private
- Ticker Symbol:
- AFL
- Year Founded:
- 1955
- Address:
- 1932 Wynnton Rd
- City:
- Columbus
- State/Province:
- GA
- Postal Code:
- 31999
- Country:
- United States
- Website:
- www.aflac.com