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Need Help With ChampVA for my wife.


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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 me.   My wife is 42.  She isn't 65.  She had ChampVA in the beginning.  Why would she now not be entitled to ChampVA.  Can she tell Social Security to drop her from Part A and that will make her eligible again for ChampVA?  Something is not right here.  Either they should let her acquire Part B or ChampVA should return her to her original status.  She is in limbo.  She has no insurance but has 20% Kidney function.  What should we do?

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I don't understand why they dropped her. Can you scan and attach here the letter from CHAMPVA saying why she is no longer eligible? I have had CHAMPVA for many years until I became eligible

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I don't understand why they dropped her.

Can you scan and attach here the letter from CHAMPVA saying why she is no longer eligible?

I have had CHAMPVA for many years until I became eligible for Medicare  and have Part A and B, as it was required when I was eligible for Medicare.

Glenn Johnson has been our radio show guest for many years- he is the PAO for CHAMPVA:

https://hadit.com/hadit-podcast-with-glenn-johnson-champ-va/

He always gives out his contact info on these radio  shows and he might be able to help.

The VA might be right but I think you need to look into this more.

CHAMPVA has a web site as well with more info.

 

 

 

 

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Well this is a unique situation.  Normally Medicare is when you reach a certain age.  She is only 42.  I'm going to discuss with ChampVa once again.  Then try to get them to provide a document stating why she has been dropped.   That would make it official.  Then I will talk to Social Security once more.  When you talk to these people they just look at it on the surface.  They want to resolve it quickly.  So they say....ohhhh she did not maintain Part B....therefore she loses ChampVa.  Normally, if it was Medicare based on her age being 65 that makes sense.  A person can just rejoin Part B and then qualify again for ChampVA.  But SS is saying she cannot rejoin.  So therefore cannot qualify for ChampVA.  Oh it isn't first time I have had to wrestle with the government.  You just keep talking to them and eventually someone does the right thing.

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You posted: 

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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. 

Ok.  Here is the problem, and the solution (tho you may not like it).  You need to pay for Part B.  Its about 140 per month or so, and will be deducted from your social security check.  If you get part B, back, then you should get Champva back.  

You probably are gonna have no choice in this matter, or at least, not GOOD alternatives, to paying for Part B.  

My advice?  Bite the bullet, pay for part B, and get Champva restarted.  

I did not want to pay for part B, either.  Who would want to pay 140 per month?  I dont see a good alternative for you.  You are in the opt in period (I think) and can do so soon.  

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Berta, I think this happens because "VA can".  The idea is that Champva pays what medicare does not pay.  So, if you are on Champva, medicare pays some, Champva picks up the rest.  That is why they dont let you "out" of part B.  This is my opinion, only, but it seems like this is similar to what happens with my wife..we have to have part B or lose her Champva.  

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