Pros and Cons of Aflac Insurance: Aflac Reviews (2023)

Aflac Trusted Choice Insurance Rating

Pros and Cons of Aflac Insurance: Aflac Reviews (1)

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We give Aflac a final rating of 4 out of 5 stars. Not only does the airline have a well-established history, but it also boasts impressive financial stability and the highest possible ratings from AM Best and BBB, making it a top contender in the insurance industry. Aflac's massive reach has provided millions of customers with quality supplemental protection on and off the job site. However, the airline has filed a relative volume of claims through the BBB in recent years, and there are some customer reviews that suggest their claims aren't being processed and paid as quickly as Aflac promises. However, Aflac offers a very user-friendly website and multiple options for customers to get in touch with them and find exactly what they need, which supports their reputation as a reliable provider and offers reliable coverage.

Overview of Aflac Insurance Company:

  • Founded in 1955
  • It offers multiple types of coverage.
  • A+ (excellent) rating from the Better Business Bureau
  • AM Best rating "A+" (superior).
  • One of the largest providers of supplementary insurance.
  • A Fortune 500 company
  • Fewer customer complaints relative to company size
  • Provides some coverage for individuals
  • Offers some insurance coverage only through employers
  • Complaint reporting 24/7 via the official website

aflac pros and cons

No insurance company is perfect, no matter how many stars they have in their ratings. To help those people find the company that's right for them, we've rounded up some of the top pros and cons of Aflac.

Benefits of Aflac:Traditional company with over 65 years of experience in the insurance business. It offers various types of supplemental insurance, including adult life insurance, short-term disability insurance, accident insurance, dental insurance, and more. A+ ratings from BBB and AM Best. High customer satisfaction in relation to company size. Provides coverage for employers and individuals. It offers a one-day promise to pay for certain individual receivables. Information page that includes the option to match an agent.

Cons of Aflac:Some insurances are only possible through employers. It only offers supplementary insurance. Certain coverages are not available nationwide. Not accredited by the BBB. The operator received 325 complaints about the BBB in the last three years. Some customers report frustration that claims have not been resolved or paid within the timeframe promised by the carrier.

with ourDirectory of insurance companiescan help you find the best insurers that specialize in your specific insurance needs. The business directory can also help you get in touch with an agent in your area.

What type of insurance does Aflac offer?

Aflac offers a range of supplementary insurance for employers and individuals. Some of the best Aflac plans available include:

  • Hospital Insurance (workplace only)
  • Short-term disability insurance (workplace only)
  • Vision Insurance (workplace only)
  • Adult Life Insurance (workplace only)
  • accident insurance
  • dental insurance
  • cancer insurance
  • Life insurance for children

Whether you are an individual in the supplemental insurance market or an employer looking for supplemental insurance for your employees, Aflac may be the right company for your needs.

What you should know about Aflac

Founded in 1955, Aflac has grown into an established insurance company with over half a century of experience providing quality supplemental insurance for individuals and workplaces. The airline has been voted one of the "World's Most Admired Companies" by Fortune magazine more than a dozen times. The insurer is best known for offering payroll coverage in the form of cash benefits when an employee suffers a covered illness or work-related injury.

The airline offers coverage in the United States and Japan. Aflac is Japan's largest insurer with nearly 12,000 employees and the largest provider of guaranteed renewable insurance in the United States. Their official website states that they currently serve more than 50 million policyholders. AM Best places the airline in the category of financial size of $2 billion or more.

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Aflac's rich history and existing insurance coverage help reinforce the company's reputation as a financially stable insurance provider with strong future prospects. AM Best, the world's leading rating agency overseeing the insurance industry, gives Aflac an "A+" rating, the highest rating available, indicating the company is an excellent choice for insurance customers. An A+ rating assures customers that Aflac is able to offer secure, guaranteed coverage from a reputable and reliable provider.

Founded in 1899, AM Best is one of the oldest sorting companies in the world. AM Best ratings demonstrate an insurance company's financial strength and solvency and are based on comprehensive assessments of the company's operating performance, business profile and balance sheet. For clients unfamiliar with the reputation of insurers, AM Best's rating system allows them to make an informed decision about who they can trust to meet their short-term needs and who will continue to be a strong and reliable company. long term sound

What discounts does Aflac offer?

Although Aflac does not readily provide information about the specific discounts offered, there are a number of discounts and ways to save money on premiums that are commonly offered to customers who purchase the insurance coverage they offer. These premium discounts and savings tricks may include:

  • Healthy Blood Pressure Discount:Offered to life insurance customers who have blood pressure classified as healthy.
  • Gesunder BMI discount:Offered to life insurance customers who, after assessment, have a healthy Body Mass Index (BMI).
  • Safe Hobbies Discount:Offered to life and disability insurance customers who do not engage in dangerous hobbies such as skydiving, rock climbing, etc.
  • Safe occupancy discount:Offered to life and disability insurance customers who work in safer occupations that are not typically life threatening.
  • Formal discounts for security plans:Disability insurance customers are offered if the employer puts in place a formal safety plan to protect its employees in the workplace.
  • Safe Materials Discounts:Disability insurance customers are offered if the employer ensures that team members only work with safe materials that do not endanger them.

An independent insurance agent can help you find out with certainty what specific discounts are available through Aflac so you can get the most from your investment in insurance coverage.

Aflac Customer Service

Aflac allows customers to resolve customer service issues and file complaints online or over the phone. The operator offers the following customer service options:

  • Complaint reporting 24 hours a day, 7 days a week via the website
  • Options are also available to submit claims by phone, fax, or email
  • Email options for customer service inquiries are also available
  • The following time restrictions apply to the main customer service:

Hours (EST)

Monday - Friday 8h00. m. - 20h00 m.

Fortunately, those who do not wish to contact their insurance company directly can contact their independent insurance agent. Independent insurance agents are available to process insurance claims and concerns for you, allowing for much easier and seamless customer service.

Pros and Cons of Aflac Insurance: Aflac Reviews (2)

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Frequently asked questions about Aflac

Aflac offers its customers an extremely fast turnaround time when processing claims with its One Day Pay service. When customers submit their complaint online before 3pm. From Monday to Friday, Aflac undertakes to process the claim on the same day. The carrier advises that all necessary documents must be submitted with the complaint in order to ensure this processing time. However, the One Day Pay option is only available to individuals, not employers.

Aflac offers a toll-free phone line for prospective and current customers to be contacted Monday through Friday during slightly restricted hours, as well as email, fax and mail options. Customers also have the option to submit complaints, request quotes and contact a representative through the official website. The operator is also present on social media, both on Facebook and Twitter, making it even more accessible to customers.

While Aflac has options to submit claims by phone, email, or fax, it's best to register through its website. The carrier's complaint process is listed on the official website as follows:

“Use Aflac SmartClaim

Our system guides you through every step, from filling in the correct forms to registering your complaint so it can be dealt with quickly.

Upload receipts

After filling out the correct forms, you can submit all other required documents electronically. Just use a scanner or take a picture with your phone.

The documentation must contain the following information:

  • provider name
  • Address and telephone number of the provider
  • Insured Information
  • information about the patient
  • service appointments
  • Diagnose
  • Specific treatment by the provider

Submit by 3 p.m.

a paydaySMis available for certain individual claims submitted online through Aflac SmartClaim®Process. Claims may be eligible for processing one-day payments when submitted online through Aflac SmartClaim®, including all necessary documents, until 3:00 p.m. E.T. Documentation requirements vary by claim type; Please review the requirements for your claims carefully. Aflac SmartClaim®is available for most personal accident, cancer, hospital, specialty health and critical care insurance claims. Turnaround time is based on business days of receipt of all documentation needed to make a decision and no further validation and/or investigation is required."

Aflac customers can check the status of their claim by phone or at any time via the website. When it comes to paying claims, the site states that the following options are available:

  1. “Direct Deposit: Your money will be deposited at the financial institution of your choice.
  2. Mail – If you haven't signed up for direct deposit with Aflac, your money will be mailed to you by check.”
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The Aflac website is fairly easy to navigate and very informative. Potential customers can easily find information about the carrier's products, contact an agent, or request a quote. Loyal customers can make claims, check the status of an existing claim and view their policy online. Information on filing claims and contacting the carrier is available, as is the claims procedure. The operator is present on both Facebook and Twitter and also has a mobile app for smartphone users. In general, Aflac seems highly available to potential and loyal customers.

With solid “A+” ratings from AM Best and BBB, and as a Fortune 500 company offering a variety of coverage options for all types of customers, Aflac can be considered a solid choice. Many review sites also report high levels of customer satisfaction relative to the carrier's size. So yeah, we'd say Aflac is worth a look.

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Aflac Personal Accident Insurance provides coverage for injury treatment and emergency medical services. Some of the conditions covered by Aflac accident insurance are:

  • burns
  • Come
  • paralysis
  • concussions
  • shifts
  • fractures
  • broken teeth
  • eye injuries
  • epidurais

Without accident and injury insurance, the cost of these incidents can be devastatingly out of pocket. Based on the extensive list of conditions covered, we would say with certainty that Aflac accident insurance is really worth the money.

Aflac Customer Reviews

We read countless Aflac life insurance reviews, Aflac dental insurance reviews, Aflac short term disability insurance reviews, Aflac insurance agent reviews and more to get a general idea of ​​what customers really think about the coverage offered by this company. These are just a few Aflac reviews to give you an idea of ​​what policyholders think of the company's customer service, policies and more.

consumer affairs
Pros and Cons of Aflac Insurance: Aflac Reviews (3)

“I have had AFLAC in my job for 3 years. I can't say anything negative about the company as they have always done what they will do for me anyway. I've never had a problem paying my health insurance claims. It was a blessing in disguise, as I often get sick and end up in the hospital. I find claims get paid faster if you email them all the information they need. It also doesn't hurt to send a little more than what's asked for. If you need UB 04, please also send a detailed invoice. When everything I need has been sent and I have asked for it I have never had a problem with my claims being processed and paid quickly, usually within four days to a week depending on whether they faxed the information or send email. Post Office. 🇧🇷 AFLAC representatives are always very helpful and friendly. I've never had a problem with any of them. Keep up the great work AFLAC.”

It won
Pros and Cons of Aflac Insurance: Aflac Reviews (4)

“I used the Aflac app to file an accident claim, it was very easy to use with the help of your tutorial. I was skeptical because I've read so many bad experiences regarding Aflac, which I can see in your process when you don't follow the checklist and provide all the materials requested and maybe when someone doesn't confirm that you're using Aflac with proper forms for your claims resulting in your claim being delayed or denied (some may find the process cumbersome). There is a long wait to speak to anyone but Aflac has a call back feature which I used. I was able to clarify my questions and since I used the online option, my order was paid for the next day according to the ads displayed. I had doubts, but Aflac has dispelled my doubts that my claims will be paid as long as I follow the claims filing process. Keep up the good work Aflac!! When the representatives answered my calls they were friendly and patient, I had a great experience with Aflac.”

best office
Pros and Cons of Aflac Insurance: Aflac Reviews (5)

"After deciding to cancel my policies, I tried to contact my agent. Weeks passed and my agent never replied to my messages. I've tried calling customer service to find out what's going on or I've tried canceling through them. They were closed for a 4-5 day weekend over the Thanksgiving break! I understand the need to close for Thanksgiving but the rest is overkill. Surprised that an insurance company wasn't available for so long. I tried using the automated phone system and it repeatedly hung up on my calls. Very frustrated.

consumer affairs
Pros and Cons of Aflac Insurance: Aflac Reviews (6)

“I've had AFLAC for about 10 years. Originally it had disability, accident and pension, but I narrowed it down to accident and disability. I find that applications take a bit of time to complete and submit, but once received they are paid out quickly. Once I forgot my password and had to call and the rep looked at my account and told me I hadn't submitted my pension claims from the previous year and paid me quickly. On another occasion, my agent informed me that I could sue because of a broken foot. They sent me $500! I really can't say anything bad about the company.”

consumer affairs
Pros and Cons of Aflac Insurance: Aflac Reviews (7)

"I broke my ankle. It took me 14 days to get my first check (4 days to put the paperwork together and 10 days for Aflac to look at it). I wasn't cleared to go back to work. My agent has requested an extension. It will take 19 days for Aflac to review it (7 days waiting for medical reports, 12 days for Aflac to review). upon receipt of reasonable written proof of damage.” I have given you this written proof of damage. I don't think Aflac is a terrible company. They just don't live up to the image they present in their insurance adverts with the time limits stated on their policy."

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(Video) Aflac Employee Benefits


What are the downsides of Aflac? ›

Aflac Cons: Some coverage is only available through employers. Only offers supplemental coverage. Certain coverages not available nationwide. Not BBB accredited.

Is Aflac good or bad? ›

Aflac has an A+ rating from A.M. Best, a credit rating agency for the insurance industry.

What are the benefits of having Aflac insurance? ›

Helps with out-of-pocket costs if you experience a covered health event. Provides a lump-sum cash benefit if you're diagnosed and treated for a covered critical illness event. Helps ease the financial burden associated with hospital stays due to a covered accident or illness by providing cash benefits.

How quick are most claims paid with Aflac? ›

Most claims are processed in about four business days. But it doesn't stop there. The Accident Insurance plan from Aflac means that your family has access to added financial resources to help with the cost of follow-up care as well.

Is it hard to cancel Aflac? ›

To cancel your Aflac insurance policy Subscription, follow these easy steps: Call customer service on 800-992-3522. Ask to speak with a representative. Provide them with your policy number and customer details. Request cancellation of your coverage and recurring payments.

Can I quit Aflac at any time? ›

of your check prior to taxes (pre-tax), you can only cancel during open enrollment to be effective the first of the following calendar year, unless due to a valid change in status. A valid change in status would be no longer being eligible for benefits as deemed by your employer.

What company is better than Aflac? ›

Aflac's top competitors include Goose Insurance Services, and Brella.

Why would Aflac deny a claim? ›

When Aflac denies your claim, they must provide you with the reason. The main reason why they will deny your claim is they do not think you meet the plan's definition of disabled.

What is the lawsuit against Aflac? ›

Nine former employees of Aflac Inc. are claiming pervasive fraud and other misconduct at the Columbus, Georgia-based insurance company, including pushing them to use sales tactics akin to those of the Wells Fargo scandal, as well as “ruthlessly” retaliating against whistleblowers.

Does Aflac cover doctor visits? ›

PHYSICIAN VISIT BENEFIT: Aflac will pay $25 when a Covered Person incurs a charge for a visit (including a Telemedicine Visit) to a Physician, Psychologist, or Urgent Care Center. Services must be under the supervision of a Physician or Psychologist.

How much does Aflac pay for claims? ›

ACCIDENT SPECIFIC-SUM INJURIES BENEFITS: When a Covered Person receives treatment under the care of a Physician for Injuries sustained in a covered accident, Aflac will pay specified benefits ranging from $35– $12,500 for dislocations, burns, skin grafts, eye injuries, lacerations, fractures, concussion, emergency ...

Does Aflac cover pre existing conditions? ›

Disability caused by a Pre-existing Condition will not be covered unless it begins more than 12 months after the Effective Date of coverage. Aflac will not pay benefits for a Disability that is being treated outside the territorial limits of the United States.

Does Aflac cover surgery? ›

This benefit is limited to one payment per calendar year, per covered person. No lifetime maximum. Surgical Benefit Aflac will pay $100–$2,000 when a covered person has surgery performed for a covered sickness in a hospital or ambulatory surgical center based upon the Schedule of Operations in the policy.

How long does it take to get approved for Aflac? ›

Aflac Aflac cannot process claims until they have the employee's statement, physician's statement, employer statement and the authorization page. Claims approval process takes 5 days to process and pay out claims.

Does Aflac pay for MRI? ›

Aflac can help pay for ambulance trips, physical therapy, CT Scans, MRIs, confinement, blood transfusions, and medical appliances.

How long does Aflac pay for? ›

At Aflac, we can help provide income relief for up to 24 months. If your injury or illness lasts longer than three months, you may want to consider a different kind of insurance that provides more long-term coverage.

Does Aflac help if you lose your job? ›

Aflac's short-term disability insurance policy provides you with options to help meet your income and financial needs. Your Aflac plan stays with you even when you change or leave your job. We pay you a cash benefit for each day you are disabled. Aflac does not coordinate benefits.

What age does Aflac stop paying? ›

Q. If a dependent is turning 26 this year, when will he or she lose coverage? A. Plans are free to choose to extend dependent coverage until the end of the year, but technically the law only requires it to insure dependents up to their 26th birthday.

Does Aflac pay for stress leave? ›

Aflac does not currently offer short-term support for mental illness, but we are working on a solution that helps support consumers looking for mental health coverage.

What is the number one ranked insurance company? ›

Progressive is the No. 1 auto insurance company in the country in terms of market share, followed by State Farm, Geico and Allstate.

What are the two main reasons for denying a claim? ›

Common Reasons for Claim Denials
  • Technicalities: missing codes or authorizations, claim filing mistakes.
  • Medical: treatment not considered a medical necessity or is considered experimental/investigational.

What are two reasons that a claim could be denied? ›

Denials Management: Six Reasons Why Your Claims Are Denied
  • Claims are not filed on time.
  • Inaccurate insurance ID number on the claim.
  • Non-covered services.
  • Services are reported separately.
  • Improper modifier use.
  • Inconsistent data.

How many claims can you file with Aflac per year? ›

Nonoccupational coverage • No limit on the number of claims • Pays regardless of any other insurance plans you may have • Benefits available for your spouse and/or dependent children • Benefits for both inpatient and outpatient treatment of covered accidents • Guaranteed-issue (No underwriting is required to qualify ...

What are 3 competitors to Aflac? ›

Aflac competitors include Liberty Mutual Insurance, Humana, Allstate, State Farm Insurance and Aetna.

Does Aflac give you money back? ›

Aflac will pay you a premium refund value based upon the annualized premium paid for the rider, the policy, and any other attached benefit riders. All Return of Premium Benefits/premium refund values paid will be less any claims paid.

Will Aflac cover COVID? ›

Q.: I am in the hospital with COVID-19. Will Aflac cover that? A.: Aflac would pay benefits under those circumstances if you have Aflac's hospital indemnity, hospital intensive care, specified health event or short-term disability policies.

Does Aflac pay you or the hospital? ›

Hospital indemnity insurance plans pay the policyholder directly, unless otherwise assigned, to help with hospital costs. Aflac offers hospital indemnity insurance, with premiums payable through worksite payroll deductions.

What bills does Aflac cover? ›

Policyholders can use these benefits however they choose for expenses such as travel costs for treatment, mortgage or bill payments while out of work, child care or other unexpected costs – expenses that major medical was never designed to cover. DID YOU KNOW?

Does Aflac pay a lump sum? ›

Why Aflac Lump Sum Critical Illness may be the right choice for you: A lump sum benefit is paid directly to you upon diagnosis of having had a critical illness. Your dependent children are covered at no additional cost. We now offer the option of guaranteed-issue* lump sum critical illness coverage.

How much does Aflac pay out for hospital stay? ›

Treatment or confinement in a U.S. government hospital does not require a charge for benefits to be payable. $1,000 Aflac will pay a Hospital Confinement Benefit of $1,000 when a covered person requires hospital confinement for 23 or more hours for a covered sickness or injury and a charge is incurred.

Can you keep Aflac on your own? ›

Q: If I quit, can I keep my AFLAC plan? A: Yes, your benefit is portable – and can follow you to your new employer. Your premium will become directly billed by AFLAC. AFLAC stipulations will apply.

What pre-existing conditions are not covered in insurance? ›

For instance, cancer, high blood pressure, acne, diabetes, etc., are illnesses that can be put under pre-existing conditions and not covered under the plan. There's a reason why many insurers don't cover pre-existing diseases.

How long does it take Aflac to pay short term disability? ›

A short-term disability policy typically pays employees a greater portion of their income than a long-term disability policy will. Also, the “elimination period” — the amount of time that employees must wait to begin collecting benefits — for short-term disability insurance is usually only around two weeks or less.

Does Aflac hospital indemnity cover ER visits? ›

HOSPITAL EMERGENCY ROOM BENEFIT: Aflac will pay $100 when a Covered Person receives treatment for a covered Sickness or Injury in a Hospital Emergency Room, including triage, and a charge is incurred for such treatment. This benefit is payable twice per Calendar Year, per Covered Person. No lifetime maximum.

Does Aflac pay for colonoscopy? ›

Some Aflac insurance plans — including critical illness, accident and hospital coverage — may include wellness benefits, paying your employees for out-of-pocket expenses that could include health screening tests performed as a part of preventive care, such as diagnostic procedures like colonoscopies.

Does Aflac pay for general anesthesia? ›

Aflac will pay an indemnity benefit equal to 25 percent of the amount shown in the Schedule of Operations for the administration of anesthesia during a covered surgical operation. The combined benefits payable in the Surgical/ Anesthesia Benefit for any one operation will not exceed $6,250.

Is there a waiting period for Aflac? ›

It's important to note that if you choose Aflac's dental insurance, there may not be a waiting period for routine or preventative care. However, you may have to wait a few months for more invasive treatments and procedures. We recommend you speak to an insurance agent to clarify the terms in each plan.

What to do if Aflac denies claim? ›

Appeals. If your claim for benefits is denied, you have the right to file an appeal with Aflac. Appeals must be submitted in writing (free-form letter) to: Aflac Appeals Group, PO Box 427, Columbia, SC 29202, within 60 days of the notice of denial.

Does Aflac pay for illness? ›

Paying benefits directly to policyholders (unless benefits are assigned) to use as they see fit, Aflac's critical illness insurance helps cover the costs of treatments, ambulance rides, physical therapy and more, including the costs of daily living where health insurance doesn't apply.

Does Aflac cover diabetes? ›

The Aflac Plus Rider is an affordable solution that provides benefits for a wide range of covered conditions – heart attack, stroke, type 1 diabetes, human coronavirus, traumatic brain injury and many more – to help with the costs health insurance doesn't cover.

Does Aflac require medical exam? ›

Benefits of Term Life Insurance

At Aflac, we can provide you a term life insurance quote with no medical exam necessary. This makes it easier for you to get your answers quickly and easily. On average, term life insurance rates are determined by age, lifestyle, medical history, and coverage needs.

Is Aflac cheaper through employer? ›

But in general, coverage offered by employers is less expensive than coverage purchased through the health care market.

Can Aflac deny coverage? ›

Guaranteed-Issue: Insurance company won't deny you. You can purchase coverage regardless of your health status – no underwriting questions. Guaranteed Renewable: Your coverage is guaranteed as long as premiums are paid.

Who is the biggest competitor to Aflac? ›

Aflac's top competitors include Goose Insurance Services, and Brella.

How long can you collect Aflac? ›

At Aflac, we can help provide income relief for up to 24 months. If your injury or illness lasts longer than three months, you may want to consider a different kind of insurance that provides more long-term coverage.

Why is it not a good idea to have supplemental insurance? ›

For example, it may not cover all the expenses you expected it to, it may impose waiting periods before payments start, or it may contain limits based on how much you paid and for how long. It is important to understand that supplemental insurance is not regulated by the Affordable Care Act.

Does Aflac deny pre existing conditions? ›

Disability caused by a Pre-existing Condition or reinjuries to a Pre-existing Condition will not be covered unless it begins more than 12 months after the Effective Date of coverage. Aflac will not pay benefits for a Disability that is being treated outside the territorial limits of the United States.

How much does Aflac pay for hospital stay? ›

Treatment or confinement in a U.S. government hospital does not require a charge for benefits to be payable. $1,000 Aflac will pay a Hospital Confinement Benefit of $1,000 when a covered person requires hospital confinement for 23 or more hours for a covered sickness or injury and a charge is incurred.

Does Aflac money count as income? ›

If you pay for the premiums yourself with taxed income, your short-term disability benefits are not taxable. In some cases, this payment may automatically be deducted from your paycheck. If your employer pays for the premiums, you must pay taxes on short-term disability.

Does Aflac pay if you get fired? ›

You won't receive benefits if you were told you'll lose your job before you bought the policy or if you quit, retire or are fired.


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