Report: #676851

Complaint Review: AFLAC

  • Submitted: Thu, December 30, 2010
  • Updated: Tue, March 08, 2011
  • Reported By: Landers — Rose Hill Kansas United States of America
    1932 Wynnton Road
    Columbus, Georgia
    United States of America

Show customers why they should trust your business over your competitors...

In Nov. 2009 my husband twisted his knee coming off a ladder. He had to have knee surgery and was off work for 8 week we had the disability and accident policies when we filed our rep. gave us the forms to fill out and to have the doctor fill out we were later denied after being told he was covered 100%.

We later found out that the reason we were denied was because the doctor didn't give detail in the accident and the other doctor said it is a wear and tear item we then contacted the rep and she took over the claim after getting everything straightend out we were denied again because the doctor said in the physican statement it was a accident her dr notes didn't this is wrong and we are in the process of bring a lawsuit against AFLAC for FRAUD. IF YOU WOULD LIKE TO JOIN REBUTAL ME AND i WILL GET U THE INFORMATION I AM SICK OF AFLAC TAKING ADVANTAGE OF PEOPLE.

Also just a added note I also slipped on a piece of ice and injuried my spinal cord and we filed a claim and denied because no detail to the accident dr just said fell.


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Updates & Rebuttals

Stacy when will you ever learn nothing you say Is never,   going to break me or make me feel bad but you still keep trying we all know you love bad business and you are agaisnt consumer rights.  I should had figure It was you & I was right.

Your insults will never get me down you can just "LIE" about people.  And you are the real "Loser" you are a heartless b***h.  Businesses will always treat people like they are nothing! just,  like how you treat people.

Along with truthsaver,  Robert buffalo New York,  prissy,  patrick,  from mesa.  You are the trouble maker here stacy,  always trying to mess with people Civil & Human rights.  You can piss off.
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#2 Consumer Comment

I don't let people dictate or what they say control my life people shouldn't worry what people think of them I just can't let what people have said to me control my life

AUTHOR: Charles - (USA)

I don't let people dictate or what they say control my life,   people shouldn't worry what people think of them I just can't let what people have said to me control my life.
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#3 Consumer Comment

I love Aflac

AUTHOR: Stacey - (U.S.A.)

I have dental with them for 4+ years and they have paid every claim submitted.  No questions asked.  I agree with the employee.  Your Physician should have been more specific in his diagnosis.

Charles - get a life - how are you going to buy insurance when you have no job?  You are a joke.
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#4 Consumer Comment

The ignorant employee just helped me make a decision not to sign on with them they should really watch what they say

AUTHOR: Anonymous - (USA)

The ignorant employee just helped me make a decision not to sign on with them they should really watch what they say.
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All these insurance companies are phony because all they do,    Is spend money on lawyers to keep them from paying the injured a fair settlement so they offer the lowest possible amount.  But they don't worry because they have money to burn.
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#6 Consumer Comment

I will not use aflac or any of these phony insurance companies all they do Is take peoples money like progressive statefarm allstate and farmers insurance safeco omni

AUTHOR: Anonymous - (USA)

I will not use aflac or any of these phony insurance companies.  All they do Is take peoples money like progressive,  statefarm,  allstate,  and  farmers insurance,  safeco   but you have to have insurance to drive & get around.

If you have a car accident & you are injured the insurance companies,  will fight even though their insured was "At Fault".  Insurance Compaines Don't Want To pay the victims.   Instead Its an "Insult" & another tradegy In your life.

All these Insurance Companies care about Is money.
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#7 UPDATE Employee

You won't win.

AUTHOR: Anonymous83134 - (United States of America)

You clearly put in your post that the doctor's report did not say the extent of the accident, what it was caused by, and actually had a report saying that it was just wear and tear of daily living. Do you honestly believe that an insurance company will pay you benefits without PROVING that you got into an accident covered by the plan? Why wouldnt you just go back to the doctor and get the sufficient paperwork? In Insurance law and regulation, any insurance company can choose the extent of proof they will need to pay the claim. And your claim didn't provide enough information. Oh, and this is not fraud. Fraud is when someone takes your money and makes you think you are receiving a service when you're not. You are receiving a service, you just didn't provide the CORRECT information to get paid on the claim. Aflac obviously gave you many chances to fix this issue (as immplied by your post), you just kept submitting the wrong paperwork. How is it that millions upon millions of claims get paid annually for the silliest things like splinters, but your case is denied? Simply put, it is an error on your end, so don't blame Aflac for YOUR MISTAKES. Sorry, but you will NEVER win this case even if a lawyer is dumb enough to take this to court.
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