CHAMPVA
The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a comprehensive health care program in which the VA shares the cost of covered health care services and supplies with eligible beneficiaries.
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43 questions in this forum
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Spouses ID card
Asked my wife upon reading on here about here ID card which expired 4 days ago lol. So mine says it never expires, will both my children which are my biological kids get I’d cards and will theirs expire?
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Tricare vs CHampVA
@Hamslice wait so you are retired from NG with 20+ ? or just was NG? i can only find retirees eligible for tricare. hasnt she always been eligable for tricare if thats the case though- not just since your win? maybe someone has something more on topic or maybe im missing the Retiree part(which seems like you wouldnt ever be eligable for champva if you were retiree, even before 60) https://www.va.gov/health-care/family-caregiver-benefits/champva/ https://www.va.gov/survivors/faqs.asp#FAQ11
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Can a widow lose her CHAMPVA
I have a question, does a widow of a deceased 100% Agent Orange veteran lose her CHAMPVA when she turns 65-year-old? Since I am not familiar with this program, I told her that I would check it out. Any help or guidance would be greatly appreciated. Any literature that will explain this next step or is there something wrong or off?
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tags?huh? New to the 100% world need advice for Champva for family
Thank you fellow warriors for helping with this question I just got awarded 100% disability from the VA, and was inquiring about Champva for my kids, but i am getting discouraged after all the hoarer stories you read in the net, any help would be greatly appreciated. SEMPER FI!
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Humana
So, now the promise from the Army I received when I entered is going to be broken again. First time was, Tricare for Life, being FREE, "FREE HEALTHCARE FOR YOU AND YOUR FAMILY", well that's not correct. Even if I except paying the monthly fees and the co-pays, because of where I live, I would have to pay everything not covered by Tricare or Medicare, etc. Last year my wife's care cost $245,000.00. Tricare told me they can't tell me what is covered and where my wife would go until I register with them. I can't take that chance. I have a local (region) Medicare advantage plan that I only pay the monthly fee and a fixed copay of $1200.00. So, I am not taking T…
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Chiropractic care
Does anyone know if ChampVA covers Chiropractic services? If so how do you go about it?
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Need Help With ChampVA for my wife.
My wife is 42. My wife had solely CHAMPVA. She got sick with ESRD. She was on dialysis for several years and the state paid her Medicare Part B. She miraculously got better and she is no longer on dialysis. The state ceased paying her Part B. ChampVA subsequently dropped her ChampVA because you are required to carry Part B if you have Part A. Otherwise you lose you ChampVA. Now my wife did not realize she needed to maintain her Part B. At the time she did not have money to allocate for Part B. She did not realize she would lose ChampVA. Anyway, Social Security will not allow her to acquire Part B. So she cannot get ChampVA back. This all doesn't make sense to…
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Champva Monthly Premium
Hi,About 20 yrs ago when I was Awarded 100% My children had Champva for a few yrs,NO Monthly premium at time,My friend recently passed away form a Service connected condition-Asking for his Widow-Is there Now a Monthly premium-? Thank you George
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Will my family lose CHAMPVA
Hello all, If I disenroll (cancel) from care at VA will my family lose CHAMPVA. I ask because I have private insurance (required by my employer to opt into) and I want to see a private doctor. Thanks. MCleve
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How does CHAMPVA work
I’m 100% P&T and my son’s mom recently passed away. I now have to get him covered with health insurance and do not know how CHAMPVA works. Is it like regular health insurance? I don’t understand the cost sharing thing. Is there a co-pay? Thanks
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Newlywed
100% pt just got married is my eligible for champva.
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Worth using ChampVA as secondary?
My fiancé(soon to be wife) has insurance through work as a nurse. I was recently granted P&T status and now qualify for it. I was wondering what benefit there is to putting her on ChampVA after we get married, if any.
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Do dependent parents qualify for CHAMP coverage?
I am trying to plan ahead. I'm 100% P&T. My parents are in their 70s. My wife's parents are in their 50s. I know that if they move in with us, we can apply to have them added as dependents. I realize there are income and net worth requirements for this. If they are approved to be a dependent, would they qualify for CHAMPVA medical coverage like my wife and children?
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Champva
Rated at 80% IU.signed wife up a month or so ago and haven’t heard a thing. Will they eventually send card and booklet explaining benefits? Should I talk to VSO about it? Or does it take a while to get her in the system. What type benefits can she receive? She needs hearing aids.
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Skin Cancer
Hello there. My primary doctor is concerned about a spot on my face that looks to him very suspicious. He wants to send me to a dermatologist who deals with skin cancer. Is that visit and or any skin cancer treatment covered by ChampVa? Also my other concern, on my last Dr check up the office coded the visit as an annual physical/exam. ChampVa completely denied the claim. My Dr office is not changing the coding. How can this even be right? We are always talking about preventative care. An annual physical would fall into that category I would think. I am just shocked they will not pay the office visit. Thank you for any and all answers…
0 votes5 answers
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Most Common VA Disabilities Claimed for Compensation:
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Defense Bill Passage and Bladder Cancer
rebabevets posted a question in VA Disability Compensation Benefits Claims Research Forum,
I already get compensation for bladder cancer for Camp Lejeune Water issue, now that it is added to Agent Orange does it mean that the VA should pay me the difference between Camp Lejeune and 1992 when I retired from the Marine Corps or do I have to re-apply for it for Agent Orange, or will the VA look at at current cases already receiving bladder cancer compensation. I’m considered 100% Disabled Permanently-
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5,10, 20 Rule
Ddsr posted a question in VA Disability Compensation Benefits Claims Research Forum,
The 5, 10, 20 year rules...
Five Year Rule) If you have had the same rating for five or more years, the VA cannot reduce your rating unless your condition has improved on a sustained basis. All the medical evidence, not just the reexamination report, must support the conclusion that your improvement is more than temporary.
Ten Year Rule) The 10 year rule is after 10 years, the service connection is protected from being dropped.
Twenty Year Rule) If your disability has been continuously rated at or above a certain rating level for 20 or more years, the VA cannot reduce your rating unless it finds the rating was based on fraud. This is a very high standard and it's unlikely the rating would get reduced.
If you are 100% for 20 years (Either 100% schedular or 100% TDIU - Total Disability based on Individual Unemployability or IU), you are automatically Permanent & Total (P&T). And, that after 20 years the total disability (100% or IU) is protected from reduction for the remainder of the person's life. "M-21-1-IX.ii.2.1.j. When a P&T Disability Exists"
At 55, P&T (Permanent & Total) or a few other reasons the VBA will not initiate a review. Here is the graphic below for that. However if the Veteran files a new compensation claim or files for an increase, then it is YOU that initiated to possible review.
NOTE: Until a percentage is in place for 10 years, the service connection can be removed. After that, the service connection is protected.
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Example for 2020 using the same disability rating
1998 - Initially Service Connected @ 10%
RESULT: Service Connection Protected in 2008
RESULT: 10% Protected from reduction in 2018 (20 years)
2020 - Service Connection Increased @ 30%
RESULT: 30% is Protected from reduction in 2040 (20 years)-
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Post in New BVA Grants
broncovet posted an answer to a question,
While the BVA has some discretion here, often they "chop up claims". For example, BVA will order SERVICE CONNECTION, and leave it up to the VARO the disability percent and effective date.
I hate that its that way. The board should "render a decision", to include service connection, disability percentage AND effective date, so we dont have to appeal "each" of those issues over then next 15 years on a hamster wheel.
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Finally Won...NOW WHAT?
Ztmiller8 posted a question in Appealing Your Veterans Compensation Disability Claims NOD, DRO, BVA, USCAVC,
Finally heard back that I received my 100% Overall rating and a 100% PTSD rating Following my long appeal process!
My question is this, given the fact that my appeal was on the advanced docket and is an “Expedited” appeal, what happens now and how long(ish) is the process from here on out with retro and so forth? I’ve read a million things but nothing with an expedited appeal status.
Anyone deal with this situation before? My jump is from 50 to 100 over the course of 2 years if that helps some. I only am asking because as happy as I am, I would be much happier to pay some of these bills off!-
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Post in Higher level review
Joey Ross posted an answer to a question,
I told reviewer that I had a bad C&P, and that all I wanted was a fair shake, and she even said, that was what she was all ready viewed for herself. The first C&P don't even reflect my Treatment in the VA PTSD clinic. In my new C&P I was only asked about symptoms, seeing shit, rituals, nightmares, paying bills and about childhood, but didn't ask about details of it. Just about twenty question, and nothing about stressor,
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Most Common VA Disabilities Claimed for Compensation:
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