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Do You Overpay for CHAMPVA?

Let's see if we can help save you up to $2,268 each year!
(hint: There's no cost to find out!)

Do You Overpay for CHAMPVA?

Below are just a handful of the co-pays and cost shares from covered services that you may be responsible for when using your CHAMPVA insurance from the VA*.

icon-hospital-02Hospitalization
$1,151 average/day (25% of allowable billed amount)1

icon-ambulance-02Ambulance
$319 average/occurrence (25% of allowable billed amount)2

icon-stethoscope-02Fixing a Broken Leg
$1,875 average (25% of allowable billed amount)3

icon-meds-02Medications 
25% of Covered Medications. $0 if received through Meds by Mail

icon-heart-02Diabetes Screening and Treatment
25% of allowable billed amount

 

The figures above are for illustrative purposes only.

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*Check with the US Department of Veteran Affairs to confirm your actual co-pay portion. CHAMPVA portion of coverage is provided here for your convenience, but is subject to change by the US Department of Veteran Affairs; visit https://www.va.gov/health-care/family-caregiver-benefits/champva/ for the most up-to-date information. The Supplement Insurance reimburses for co-pay costs for covered services after deductibles have been met. 

1Costs presented represent 25% of the average billed cost for each mentioned procedure. Average per day cost of a hospital stay is $4,604. HERC Inpatient Average Cost Data. April 2023. U.S. Department of Veteran Affairs, Washington, D.C. https://www.herc.research.va.gov/include/page.asp?id=inpatient [Accessed 08/23/2023]

2Costs presented represent 25% of the average billed cost for each mentioned procedure. Average cost of Ambulance ride $1,277. "Ground Ambulance Services in the United States: A Study of Private Healthcare Claims" February 2022. FAIR Health. https://s3.amazonaws.com/media2.fairhealth.org/whitepaper/asset/Ground%20Ambulance%20Services%20in%20the%20United%20States%20-%20A%20FAIR%20Health%20White%20Paper.pdf [Accessed 08/23/2023]

3Costs presented represent 25% of the average billed cost for each mentioned procedure. Average cost of fixing a broken leg $7,500. HealthCare.gov. https://www.healthcare.gov/why-coverage-is-important/protection-from-high-medical-costs/ [Accessed 08/23/2023]

 

Coverages described above may vary according to the Member's TRICARE/CHAMPVA plan design. 
 
Important Documents: TRICARE/CHAMPVA Supplement Insurance Plans are subject to the terms and conditions of the policy. Policies underwritten by Hartford Life and Accident Insurance Company detail exclusions, limitations, and terms under which the policies can be continued in force or discontinued. Read details for your type of supplement insurance plan:
TRICARE Prime  |  TRICARE TRR |  TRICARE Select  |  TRICARE TRS  |  TRICARE Active Duty | CHAMPVA
 
The TRICARE/CHAMPVA Supplement Insurance Plans are administered by SelmanCo.
 
Underwritten by: Hartford Life and Accident Insurance Company, Hartford, CT 06155.
 
TRICARE Form Series includes GBD-3000, GBD-3100, or state equivalent. Policy Numbers: AGP-5925, AGP-5926, AGP-5928, AGP-592503, AGP-592603, AGP-592803. Not available in all states. Photo Credits: DoD. The appearance of U.S. Department of Defense (DoD) visual information does not imply or constitute DoD endorsement. 
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