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 Supplement
(Primary Coverage) (Secondary Coverage)
PAYS: PAYS:
  • 75% of Doctors’ visits
  • Hospitalization all but $535 per day
  • 75% of Prescriptions
  • 25% of Doctors’ visits
  • $535 per day for Hospitalization
  • 25% of Prescriptions

Supplement Highlights

  • Pre-existing conditions covered after six months
  • Coverage at any hospital and any doctor
  • Pays 100%* of doctors’ visits, pharmacy, and hospital co-pays
  • Guaranteed issue
  • Coverage in all 50 states
  • Annual deductible of $250 / or $500 for entire family

Things Your Doctor’s Office Needs to Know About CHAMPVA

  • CHAMPVA and MEDICARE are sister programs.
  • CHAMPVA pays the doctor nearly identical to MEDICARE.
  • The doctors office uses the same claim form for CHAMPVA and MEDICARE
  • By Federal law if a hospital accepts MEDICARE, it is mandatory due to Federal
  • Coverage in all 50 states; Not sold in ME, MN, MT, NH, OR, VT, or WA
    (Colorado and South Dakota residents, please call for your states’ application)
Age Group Monthly Check-O-Matic Quarterly Semi-Annual Annual
Under 40 $32.33 $97.00 $194.00 $388.00
40 – 44 $36.00 $108.00 $216.00 $432.00
45 – 49 $42.00 $126.00 $252.00 $504.00
50 – 54 $54.00 $162.00 $324.00 $648.00
55 – 59 $63.67 $191.00 $382.00 $764.00
60 – 64 $76.67 $230.00 $460.00 $920.00
Each Child $25.33 $76.00 $152.00 $304.00

 

 

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