CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs)

A comprehensive health care program in which the VA shares the cost of covered health care services and supplies with eligible beneficiaries. As a cost-sharing program, CHAMPVA pays for part of the cost of medically necessary procedures and services.

CHAMPVA generally pays 75% of the allowable amount for covered services, with the beneficiary responsible for a 25% cost-share. The annual outpatient deductible is $50 per individual and $100 per family. There is a $3,000 annual catastrophic cap per calendar year on out-of-pocket costs for beneficiaries/families. Cost-sharing is waived for certain services, including preventive services, hospice care, and the Meds-by-Mail pharmacy program.

This program entry is in draft status and may be incomplete. Check the official source for current details.

Eligibility

Contact the program directly for eligibility requirements.

Services

CHAMPVA generally pays 75% of the allowable amount for covered services, with the beneficiary responsible for a 25% cost-share. The annual outpatient deductible is $50 per individual and $100 per family. There is a $3,000 annual catastrophic cap per calendar year on out-of-pocket costs for beneficiaries/families. Cost-sharing is waived for certain services, including preventive services, hospice care, and the Meds-by-Mail pharmacy program.

How to apply

Apply online or find more information at the official program page.