Aflac Critical Illness at a Glance

  • The Critical Illness Plan pays you when you are diagnosed with Cancer, suffer a stroke, or experience a different covered illness.

  • There are different levels of coverage for the plan, similar to Life Insurance.

  • The plans offer the same coverage, but have different rates and pay you different amounts.

  • To enroll, call SDPEBA at 888-315-8027 or click here to book a call. 

Aflac’s Critical Illness plan pays you when you get diagnosed with a critical illness, get certain tests, or need something like a transplant. You can even add a Child Disease Rider or a Cancer Rider at no extra cost. For a general list of everything that the Critical Illness plan covers you can check out the Aflac Brochure, linked on the side bar.


The plan offers payouts based on the value of the plan you select and the type of claim you file. For example, if you need a bone marrow transplant, you’ll receive a payout for the full value of the plan, but if you are diagnosed with a non-invasive cancer you get a 25% payout. Below is a full list of coverage:

  • Internal/Invasive Cancer – 100% 
  • Heart Attack – 100% 
  • Stroke – 100% 
  • Major Organ Transplant – 100% 
  • Kidney Failure – 100% 
  • Bone Marrow Transplant– 100% 
  • Sudden Cardiac Arrest – 100% 
  • Non-Invasive Cancer – 25% 
  • Coronary Artery Bypass Surgery – 25% 
  • Skin Cancer - $250 
  • Mammogram - $200

As you can see, the payouts are usually based on percentages. That percentage is based on whichever level of coverage you select between $10,000 and $50,000.


Note: There is also a wellness benefit payout where you can get one $50 payout a year by getting routine medical tests. For more information about that, check this article.

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Is the Critical Illness Plan right for you?
If you’re considering the Critical Illness Plan, consider what the plan covers and if you have any concerns or family history with these medical issues, then this plan might be a good fit for you.

Note that this plan is Guaranteed Issue for all members and spouses up to $30,000, meaning you qualify for this plan no matter your medical history.
 
How much does it cost?
The price for this plan varies based on the value you choose, your age, and whether or not you are a tobacco user. Essentially you can decide if you want your policy to be worth between $10,000-$50,000.

To see a full rate breakdown, click the rates button on the sidebar.
 
How to file a Claim
In order to file a claim, you’ll need to head to MyAflac.aflac.com and create an account. When you create your account you must use your certificate number. Once you have created an account, you simply need to go to MyAflac.Aflac.com and click “New Claim.” If you have any difficulty creating an account or starting your claim, check out this guide, or call/email us. We’ll gladly help you out.
How do I enroll?
To enroll, you just need to call SDPEBA during Open Enrollment. Call us at 888-315-8027. You can also call if you have any questions or email Support@SDPEBA.org. You can also sign up online by heading HERE and following the instructions. If you need your EEID, email us and we’ll get it to you as soon as possible. 
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About Us

The San Diego Public Employee Benefit Association is a partnership of unions and associations designed to help reduce costs, improve benefits, and enhance support for San Diego’s public employees. We’re here to answer your questions and help make sure you get the most out of your benefits while also advocating for you directly to the provider to make sure you get the best experience possible.