You earned CHAMPVA, why not use it?

We are proud to offer our CHAMPVA supplement to the spouse and children of disabled veterans. CHAMPVA, with our supplement, gives you 100% coverage*, and is equal to, if not better than any employer's health plan.

CHAMPVA Supplement Questions? Call 1-800-242-6797

PRE-EXISTING HIGHLIGHTS

CHAMPVA Pays:	Supplement Pays:
Pre-existing covered	Pre-existing covered after 6 months

*Exclusions and Limitations apply

The ABC's of CHAMPVA

CHAMPVA
(Primary Coverage)

PAYS:
75% of Doctors' visits
Hospitalization all but $535 per day
75% of Prescriptions

Supplement
(Secondary Coverage)

PAYS:
25% of Doctors' visits
$535 per day for Hospitalization
25% of Prescriptions

Supplement Highlights

Pre-existing Conditions Covered After 6 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, MT, NH, OR, or VT

Under 40

40-44

45-49

50-54

55-59

60-64

Each Child

Monthly Check-O-Matic

$27

$30

$35

$45

$53

$64

$21

Quarterly

$81

$90

$105

$135

$159

$192

$63

Semi-Annual

$162

$180

$210

$270

$318

$384

$126

Annual

$324

$360

$420

$540

$636

$768

$252

*After deductible and pre-existing met

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MAIL TO:
CHAMPVA Supplements
1620 Main St., #5
Sarasota, FL 34236