Get 10 7959b

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.