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Hospital Intensive Care Claims
To file a hospital intensive care claim, please complete the appropriate claim form and follow the guidelines below:
- Send a copy of your hospital bill showing the charges and the number of days you were in intensive care. Your claim cannot be processed without the hospital bill.
- Send a copy of the Physician's Statement (Form S-2029) with diagnosis, completed and signed by the physician.
- Send a copy of a police accident report if your claim is a result of a motor vehicle accident.
- Include an authorization signed and dated by the patient with every claim.
Additional information may be required.
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Aflac New York Toll-Free:
1-800-366-3436
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