The Civilian Health and Medical Program of the Department of Veterans Affairs, or CHAMPVA, is a comprehensive health care program in which VA shares the cost of covered health care services and supplies with eligible beneficiaries. CHAMPVA covers most health care services and supplies that are medically and psychologically necessary. CHAMPVA provides coverage to the spouse, widow or widower and to the children of a Veteran who: - Is rated permanently and totally disabled due to a service-connected disability - Was rated permanently and totally disabled due to a service-connected condition at the time of death - Died of a service-connected disability or - Died on active duty and the dependents are not otherwise eligible for Department of Defense TRICARE benefits. To be eligible for CHAMPVA, you cannot be eligible for TRICARE. If you become eligible for Medicare Part A you must obtain and maintain Medicare Part B to be eligible for CHAMPVA. To enroll in CHAMPVA, complete and sign VA Form 10-10d, including required supporting documentation, and mail it to this address: Or fax it to this number. The form and a list of required supporting documentation is available on our website Once we receive your form and required supporting documentation, we will process it and send you a CHAMPVA identification card along with a program guide that addresses covered and non-covered services and supplies. After you receive your identification card, you can make an appointment with a local provider that accepts CHAMPVA. You can also make follow-up appointments as needed. After you receive care, your provider should send the claim to your other health insurance first, if applicable. The remaining balance, including the Explanation of Benefits from your other health insurance, should then be submitted as a claim to CHAMPVA. If your provider accepts CHAMPVA, then they agree to accept VA’s allowable amount as payment in full. A provider cannot bill you for the difference between VA’s allowable amount and their normally billed amount. We encourage you to ask your provider to directly...
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How to prepare VA 10-7959c
About VA 10-7959c
VA 10-7959c is a form used by the Department of Veterans Affairs (VA) in the United States. It is specifically known as the VA Health Benefits Renewal/Application, which is used by veterans to apply for or renew their eligibility for VA healthcare benefits. Veterans who served in the military and are seeking medical services or healthcare benefits from the VA are required to complete this form. It is an important document that helps determine their eligibility for a wide range of healthcare services provided by the VA, including hospital care, outpatient services, prescription medications, mental health services, and more. The form collects information regarding the veteran's personal details, military service history, contact information, and financial information. It also includes sections for the veteran to specify their preferred VA medical facilities and provide details about their current health insurance coverage. Completing VA Form 10-7959c is crucial for veterans who wish to access VA healthcare services and ensure they receive the necessary medical care and benefits they are entitled to as a result of their military service.
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