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EXPLANATION OF BENEFITS VA Health Administration Center CHAMPVA PO Box 469064 Denver, CO 80246-9064 1-800-733-8387 www.va.gov/hac 1 DEDUCTIBLE: The amounts you have paid toward your CHAMPVA You have.

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CHAMPVA will pay after Medicare and any other insurance, such as Medicare HMOs and Medicare supplemental plans, for health care services and supplies. CHAMPVA does not pay Medicare Part B premiums.

B. A sponsor is the Veteran upon whom CHAMPVA eligibility for the applicant is based.

Call 1-800-733-8387 and select the claim form option from our Interactive Voice Response (IVR) system. Visit the VHA Office of Community Care website at https://www.va.gov/ communitycare/pubs/forms. asp to download all CHAMPVA forms.

Catastrophic (CAT) Cap:A limit set by your insurance policy on the amount of out-of-pocket expenses you will pay before the insurance begins picking up the entire cost. CHAMPVA: The Civilian Health and Medical Program of the Department of Veterans Affairs.

The CHAMPVA allowable amount is based on national Medicare rates for hospice services. There are Medicare pre-determined rates for routine home care, continuous home care, inpatient respite care, and general inpatient care. These rates are updated yearly.

Use VA Form 10-7959C or Formulario VA 10-7959c (español) when: You're applying for CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs), and have other health insurance to declare as part of your VA Form 10-10d application.

11 OHI: The amount paid by other health insurance toward the. amount billed, including adjustments applied as a result of agreements between the provider and the OHI.

The CHAMPVA catastrophic cap is $3,000 per calendar year. Credits to the catastrophic cap are applied starting Jan- uary 1st of each year and run through the end of the year, December 31st. Upon meeting the limit, CHAMPVA pays 100% of the allowable amount for covered services for the remainder of the calendar year.

CHAMPVA has an outpatient deductible of $50 per calendar year and a cost share of 25% of the CHAMPVA allowable charge, up to the catastrophic cap, which is $3,000 per calendar year.

(All civilian hospitals do accept Medicare and CHAMPVA.) CHAMPVA is very good health care coverage once the appropriate physician is found and such things as prescriptions at the mail order pharmacy are established.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232