·Federal program
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.
What it offers
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.
Questions that decide eligibility
GiveCare prepares the questions; the program makes the decision. Bring these to the call or the application:
- 01
Does the veteran’s service history and discharge status fit this program’s rules?
- 02
Does the VA disability rating meet the program’s minimum (our record lists null%)?
- 03
Do the work hours meet the minimum (our record lists null hours)?
- 04
Is there a caregiver-specific department, coordinator, or support line? Ask for it by name.
Many agencies have one that isn’t advertised on the website.
- 05
What documents do you need from us to start an application?
- 06
Is there a waitlist right now, and how long is it?