Making a Claim

Extended Health Care Claims

An Extended Health Care claim form is available below. You need to complete, sign and date this form and return it to AFBS.

To claim expenses when AFBS is the first or only insurance company provider, send your original receipts along with your completed claim form directly to AFBS. Photocopies cannot be accepted. When submitting original receipts, please block any confidential information such as a credit card number

If AFBS is the second payor, please include the receipt of claim settlement information, often called an Explanation of Benefits (EOB), from the other insurance company along with your completed Extended Health Care claim form and copies of your receipts.