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, MT, NH, or WA

Age Group

Monthly Automatic Payment Option

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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