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Individuals & Families
Health Care Reform

How is Aflac different from major medical?

How is Aflac different from major medical?

AFLAC IS INSURANCE FOR EVERYDAY LIVING. IT HELPS WITH EXPENSES THAT HEALTH INSURANCE ISN’T DESIGNED TO COVER.

41 million: Nearly a quarter (41 million) of working-age adults with job-based coverage had such high out-of-pocket costs and deductibles relative to their income that they were effectively underinsured. -The Commonwealth Fund (1). 53%: Over the past five years, the average annual deductible among all covered workers has increased 53 percent. -The Kaiser Family Foundation (2). 52%: About half of consumers with a high-deductible health plan say it would be hard to afford the deductible. -PwC Health Research (3). -20%: On average, people in their 50s who are admitted to the hospital will experience a 20 percent drop in income that persists for years. -Northwestern University (4).

3 REASONS WHY AFLAC ISN’T LIKE REGULAR INSURANCE

Aflac pays policyholders directly, unless otherwise assigned, to help with out-of-pocket expenses such as: Travel costs for treatment, Mortgage or bill payments while out of work, Child care, Other unexpected costs. Major medical pays doctors and hospitals for covered expenses, such as treatments, procedures and prescriptions. Mini-medical plans (aka mini-meds) are a lower-cost health plan that cover a fixed amount of in-patient and out-patient health care expenses. Short-term plans offer coverage during a gap in regular health care coverage. Aflac pays customers regardless of what their major medical plan pays. Major medical coordinates with multiple plans to determine the claims paid. Mini-medical plans are not comprehensive and do not provide coverage for a catastrophic health event. Aflac is portable even if there is an employment change. Major medical isn’t transferable when changing jobs or unemployed.

POLICIES THAT QUALIFY AS HIPAA EXCEPTED BENEFITS

Aflac policies are considered HIPAA excepted benefits because they are not major medical health insurance. This means they’re offered separately from major medical coverage and are not an integral part of an individual’s health plan. Being excepted, these benefits are generally excluded from rules and regulations designed for major medical insurance.

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Accident
Helps reduce the financial impact of a covered accident by providing cash benefits.

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Critical Illness (Specified Health Event)
Helps with out-of-pocket costs if you experience a covered health event.

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Lump-Sum Critical Illness
Provides a lump-sum cash benefit if you’re diagnosed and treated for a covered critical illness event.

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Hospital Confinement Indemnity
Helps ease the financial burden associated with hospital stays due to a covered accident or illness by providing cash benefits.

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Dental
Provides benefits for covered dental exams and procedures.

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Vision
Helps with the costs of covered vision exams, treatments and correction materials.

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Lump-Sum Cancer
Provides a lump-sum cash benefit if you’re diagnosed with a covered cancer.

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Cancer/Specified Disease
Helps with the costs associated with covered treatments.

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Short-Term Disability
Provides you with a source of income if you’re disabled due to a covered accident or illness.

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Life and Juvenile Life
Helps with unexpected costs if something happens to you or a covered dependent.

Coverage is underwritten by American Family Life Assurance Company of Columbus. WWHQ | 1932 Wynnton Road | Columbus, GA 31999. In New York, coverage is underwritten by American Family Life Assurance Company of New York. 22 Corporate Woods Boulevard, Suite 2 | Albany, New York 12211.

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