PRE-EXISTING HIGHLIGHTS

CHAMPVA Pays: Supplement Pays:
  • Pre-existing covered
  • *Exclusions and limitations apply
  • Pre-existing covered after 6 months

The ABC’s of CHAMPVA

CHAMPVA Pays Supplement Pays You Pay
75% of Doctors Office Visits 25% of Doctors Office Visits $0
75% of Hospitalization 25% of Hospitalization $0
75% of Pharmacy 25% of Pharmacy $0
Ded. $250/$500

Things Your Doctor’s Office Needs to Know About CHAMPVA

  • CHAMPVA pays the doctor nearly identically to MEDICARE.
  • The doctors office uses the same claim form for CHAMPVA and MEDICARE. (Click here for the claim form)
  • By Federal law if a hospital accepts MEDICARE, it is mandatory due to Federal Regulations to accept CHAMPVA.
  • Coverage in all 50 states; Not sold in ME, MN, MT, NH, OR, or WA
    (Colorado and South Dakota residents: Please call our office at 1-800-242-6797 for an application).
Age Group Monthly Check-O-Matic Quarterly Semi-Annual Annual
Under 40 $32.04 $96.12 $192.24 $384.48
40 – 44 $35.60 $106.80 $213.60 $427.20
45 – 49 $40.94 $122.82 $245.64 $491.28
50 – 54 $52.51 $157.53 $315.06 $630.12
55 – 59 $62.30 $186.90 $373.80 $747.60
60 – 64 $74.76 $224.28 $448.56 $897.12
65+ $94.34 $283.02 $566.04 $1132.08
Each Child $24.92 $74.76 $149.52 $299.04

 

 

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