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Use this form if youre applying for Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) benefits and have other non-VA health insurance. You can also use this form to report changes in your non-VA health insurance or your personal information, like your address or phone number.
Any doctor that accepts Medicare must also accept ChampVA. If the doctor does not accept Medicare patients then it is their prerogative whether to accept it or not. Any doctor that is affiliated with a hospital that accepts Medicare has no choice in the matter, they too must also accept ChampVA.
If youre the spouse, dependent, or survivor of a Veteran who meets certain service-connected disability requirements, you may qualify for health care benefits through the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA).
If youre the spouse or child of a Veteran with disabilities, or the surviving spouse or child of a Veteran who has died, use VA Form 10-10d to apply for health insurance through CHAMPVA (the Civilian Health and Medical Program of the Department of Veterans Affairs).
Medical Care (CHAMPVA) CHAMPVA provides medical care for the spouse and dependent children of most 100% service-connected disabled veterans. In general, the CHAMPVA program covers most health care services and supplies that are medically and psychologically necessary.
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