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 $32.33 $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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