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Health Care Benefits for Dependents (CHAMPVA)

  • Listed: February 12, 2019 7:21 am
  • Expires: 998138 days, 7 hours

Description


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Program Description

The Civilian Health and Medical Program of the Department of Veteran’s Affairs (VA) (CHAMPVA) is a comprehensive health care benefits program in which the VA shares the cost of covered health care services and supplies with eligible beneficiaries. The program is administered by the Chief Business Office Purchased Care located in Denver, Colorado.

Due to the similarity between CHAMPVA and the TRICARE program (sometimes referred to by its old name, CHAMPUS) the two are often mistaken for each other. CHAMPVA is a VA program, whereas TRICARE is a DoD regionally-managed health care program for active duty and retired members of the uniformed services, their families, and survivors.

In some cases a person may appear eligible for either program. However, anyone eligible for TRICARE is not eligible for CHAMPVA.

Program Requirements

To be eligible for CHAMPVA, you cannot be eligible for TRICARE/CHAMPUS, and you must be in one of these categories:

  • The spouse or child of a Veteran who has been rated permanently and totally disabled for a service-connected disability by a VA regional office OR
  • The surviving spouse or child of a Veteran who died from a VA-rated service connected disability OR
  • The surviving spouse or child of a Veteran who was at the time of death rated permanently and totally disabled from a service connected disability OR
  • The surviving spouse or child of a military member who died in the line of duty, not due to misconduct (in most of these cases, these family members are eligible for TRICARE, not CHAMPVA).

If you are in one of the above categories and you are over the age of 65 and have Medicare Part A entitlement, at any age, in most cases you must also have Medicare Part B. Please submit a copy of your Medicare card when you enroll in CHAMPVA.

Generally, in order to receive VA benefits and services the Veteran/Servicemember’s character of discharge or service must be under other than dishonorable conditions (e.g., honorable, under honorable conditions, general). However, individuals receiving undesirable, bad conduct, and other types of dishonorable discharges may qualify for VA benefits depending on a determination made by VA.

Application Process

For information on the CHAMPVA application process, please visit the How to Applywebsite.

Contact Information

If you have questions:

  • Visit the Inquiry Routing & Information System (IRIS) website to search Frequently Asked Questions or ask a question on-line
  • Enrolled beneficiaries may review their program and claims at the CHAMPVA website
  • Call 1-800-733-8387, (Monday through Friday from 8:05 a.m. to 6:45 p.m. Eastern Time)

To apply for additional benefits and view your benefit status, open an eBenefits Premium account. eBenefits is a one-stop source for information on Department of Defense and Department of Veterans Affairs benefits and services. With a free Premium level eBenefits account, Veterans, Servicemembers and their family members can conduct self-service transactions such as checking compensation and pension claim status information, enrolling in GI Bill, and obtaining copies of civil service preference letters, military records (DD214), and other personal information. For further information and to register for a free Premium level account, visit the eBenefits website.

 

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