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Berta

Champva Svr Show

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Last night's CHAMPVA show at SVR ( available in the SVR archives) was an excellent overview of this wonderful dependent's benefit for most dependents of totally SC P & T service connected veterans.

I wanted to point out a few things that might not have been covered:

When the CHAMPVA award is made, the CHAMPVA beneficiary still has to formally apply for the benefit and they can do this on line at the CHAMPVA site.

The point Glenn Johnson made as to Medicare "D" bears repeating.

Once a CHAMPVA beneficiary starts to become eligible for Medicare they must apply for Part A and Part B but they do not need Part D or any AARP pharmacy insurance etc- because their CHAMPVA will cover a very large part of their medication bills.

Survivors of deceased vets whose death has been service connected also are eligible for CHAMPVA.

I would think any TDIU vet who does not have the P & T status yet might well consider getting a Vocational expert opinion or medical IMO that would support a finding that their SC is,in fact, P & T.

Because although this could cost them money for the opinion- if the CHAMPVA is awarded as result of the opinion (and DEA Chap 35 educational benefits) through an award of P & T status these are both VERY significant financial benefits to dependents of SC veterans.

CHAMPVA,like Medicare, sends beneficiaries a large booklet that explains the program in detail.as well as the Bi annual magazine I mentioned on the show.

Unfortunately, as a woman at CHAMPVA told me, many Section 1151 widows/widowers think they are eligible for CHAMPVA with the Section 1151 DIC award but they are not.Se said it was heartbreaking to tell them they cannot receive this benefit.

If the veteran however was declared as 100% P & T due to service by the VA based on a rating decision from a pending claim the widow or widower reopened after death or had this SC P & T status for something that was separate from the 1151 award,then that would prompt CHAMPVA eligibility.

This is why all surviving spouses of veterans should seek DIC on a direct SC death basis if they can.

Denials for CHAMPVA can be appealed.

This BVA shows why a widow was denied CHAMPVA.

http://www4.va.gov/v...es3/1022968.txt

She was denied because she received 1151 DIC

http://www4.va.gov/v...es1/1009203.txt

This widow remarried and could not retain DIC or CHAMPVA.

http://www4.va.gov/v...es2/1016717.txt

This case came up under CHAMPVA search as the widow was seeking probably CHAMPVA and other VA benefits. She was denied because the veteran had 2 wives.

http://www4.va.gov/v...es1/0801605.txt

This widow succeeded in award of CHAMPVA by the VA.

I have not read the whole case but caught a point that BVA made in it-

apparently if a spouse is NOT eligible for Medicare Part A, then the CHAMPVA could continue.

This is a 2008 decision and they cite the regs. I dont know if that has changed.It is a good question for when Glenn Johnson of CHAMPVA returns to SVR.

Edited by Tbird
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I like the way ChampVA coordinates with medicare and with other insurance. My wife had a major surgery. She has BC/BS which is primary. The ChampVA paid all the rest. It took some calling. You have to talk slowly to the ChampVa people, but they do pay. ChampVA is a major benefit.

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