Jump to content
  • Advertisemnt

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Donation Box

    Please donate to support the community.
    We appreciate all donations!
  • Ads

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

Sponsored Ads

  • Searches Community Forums, Blog and more

  • 0
hedgey

Champva Eligibility

Question

THANK YOU SO MUCH for making the SVR shows available in the archives! I had no idea there was so much information available there!

I was just listening to the one on CHAMPVA and I was surprised to hear that the Veteran does NOT have to be 100% P&T, they only have to be P&T for a SC rated disability, no matter how low the rating is.

This got me thinking.... my husband is SC at 80% for injury to his shoulder and extensive scarring from an in-service MVA. I dug out the sheet that lists his disability codes & percentages and while I don't see the words permanent & total, I do see that he has No Future Exams Scheduled, and each of his disabilities is notated as Static.

Is no future exams and Static the same as P & T??

Could there be a chance that I could possibly, remotely, in any version of the multiverse, be eligible for CHAMPVA?

My heart is pounding!

Share this post


Link to post
Share on other sites

Recommended Posts

Hedgey that info from SVR show is not correct:

"To be eligible for CHAMPVA, you cannot be eligible for TRICARE/CHAMPUS and you must be in one of these categories:

1.the spouse or child of a veteran who has been rated permanently and totally disabled for a service-connected disability by a VA regional office, or

2.the surviving spouse or child of a veteran who died from a VA-rated service connected disability, or

3.the surviving spouse or child of a veteran who was at the time death rated permanently and totally disabled from a service connected disability, or

4.the surviving spouse or child of a military member who died in the line of duty, not due to misconduct (in most of these cases, these family members are eligible for TRICARE, not CHAMPVA).

http://www.va.gov/hac/forbeneficiaries/champva/champva.asp

Can you tell me what date of SVR broadcast this was? I can call Jerrel Cook ,the producer ,to have it corrected.

Share this post


Link to post
Share on other sites

Ad

Just to add here too- (I was just reading a BVA case regarding CHAMPVA and 1151 widow)

Section 1151,38 USC 100% P & T award to a veteran or a Section 1151 DIC award to a spouse does NOT bestow CHAMPVA eligibility on them.

Only above criteria does.

Also if the VA awards DEA Chap 35 education benefits,in the award letter, this means the vet is 100%P & T and also their dependents are eligible for CHAMPVA.

Usually the CHAMPVA info comes separately. All I got from VA was a brief letter a few weeks after my DEA award that said I 'might' be eligible for CHAMPVA.

I had to apply for that separately.

Their on line web site has a lot of info.

Edited by Berta

Share this post


Link to post
Share on other sites

Thanks- will refer Jerrel t this

Share this post


Link to post
Share on other sites

Nope, Berta, it was really my mistake! I heard the less than 100% and didn't make the connection to TDIU. I called the CHAMPVA representative and he explained it to me.

It applies to vets with say 80% scheduler, but 100% P&T through TDIU. (Like me, so my husband does get CHAMPVA)

So I think I got so excited I didn't listen carefully enough.

The cool thing, and I don't remember this being in the broadcast, is that the CHAMPVA rep told me to gather up all of my husband's medical copay receipts going back to my TDIU Award date and send them in, and CHAMPVA will reimburse us.

Even cooler? My daughter turned 23 a few months ago, so for most of the retro period, she would have been eligible for CHAMPVA, even though I received my Award Letter after her birthday. So first I'm sending them the application to establish her as a beneficiary (she was a full-time student). Once that's done, I'll send in all the receipts for her co-pays. (they also need copies of our health insurance corresponding EOB's).

It'll be a lot of digging for paperwork, but if it works the way it should, it'll be about a $1200 reimbursement from CHAMPVA.

I'm still disappointed that I can't get it for myself, but this is definitely a great program for my hubby.

Again, thanks for the SVR programs!!! And thanks, Berta, for clarifying everything for me. You're the best!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Popular Contributors

  • Ads

  • Ad

  • Latest News
  • Our picks

    • Military Service Records - Military personnel records can include DD 214s/Separation Documents, service personnel records found within the Official Military Personnel File (OMPF), and medical Records. Military personnel records can be used for proving military service or as a valuable tool in genealogical research.
      • 0 replies
    • So I've been in a basic power chair (Q6 Edge) since 2015. Late 2016 was also fitted for a TiLite TRA manual (also keeping powerchair). 2017 was approved by Tampa VA for clothing allowance for lower. 

       

      Moved to Battle Creek VA late 2017. Since then was issued new basic powerchair (Quickie P222-SE) to replace broken Q6. Still use TiLite also now can lightly ambulate with Forearm crutches.

      Use crutches 50%, and both chairs 25% each.

      Was approved for 1 clothing allowance this year for forearms crutches for upper.

       

      Was denied 2nd for chair/lower that was awarded last year because Chief Prosthetic states "powerchair takes precedence, you were issued that so you are to use only the powerchair".

      Also powerchair has gap between seat and leg mounts where clothes do get caught and tear. Clinician was I'll put it back in but"power chairs dont get clothing allowances", and "any review or appeal will only come back to me"

      I was approved for powerchair/custom manual combo clothing allowance last year; How do I word an appeal for the lower clothing allowance this year?

      My local DAV rep at the VA has no clue on how to handle this.

       
      • 6 replies
    • Thank you.  I’m not exactly sure of how I will file it.  If it is secondary to TBI, would it be pyramiding?
    • I understand what you are saying. Does it sometimes take awhile to update the VA letters and disabilities info online after it closes.....in my case on a Saturday ? Some on other posts on here says no and some say yes so I'm just curious about the inconsistency regarding that if it is yes and no.
    • I understand what you are saying. Does it sometimes take awhile to update the VA letters and disabilities info online after it closes.....in my case on a Saturday ? Some on other posts on here says no and some say yes so I'm just curious about the inconsistency regarding that if it is yes and no.
×

Important Information

{terms] and Guidelines