Under the Civilian Health and Medical Program of the VA (CHAMPVA), certain dependents and survivors can receive reimbursement for most medical expenses including inpatient, out-patient, mental health, prescription medication, skilled nursing care and durable medical equipment. To be eligible for CHAMPVA, an individual cannot be eligible for TRICARE (the medical program for civilian dependents provided by DoD) and must be one of the spouse or child of a Veteran whom VA has rated permanently and totally disabled due to a service-connected disability; or the surviving spouse or child of a Veteran who died from a VA-rated service-connected disability, or who, at the time of death, was rated permanently and totally disabled; or the surviving spouse or child of a Veteran who died on active duty service and in the line of duty, not due to misconduct. However, in most of these cases, these family members are eligible for TRICARE, not CHAMPVA.
A surviving spouse under age 55 who remarries loses CHAMPVA eligibility on midnight of the date of the remarriage. He or she may re-estabIish eligibility if the remarriage ends by death, divorce or annulment effective the first day of the month following the termination of the remarriage or Dec. 1, 1999, whichever is later. A surviving spouse who remarries after age 55 does not lose eligibility upon remarriage.
For those who have Medicare entitlement, CHAMPVA is a secondary payer to Medicare. For additional information, contact the VA Health Administration Center, CHAMPVA, P.O. Box 469028, Denver, CO 80246, call (800) 733-8387 or visit the Web site at http://www.va.gov/hac/forbeneficiaries/champva/champva.asp.
Many VA health care facilities provide services to CHAMPVA beneficiaries under the CHAMPVA In-house Treatment Initiative (CITI) program. Contact the nearest VA health care facility to determine if it participates. Those who use a CITI facility incur no cost for services; however, services are provided on a space-available basis, after the needs of Veterans are met. Not all services are available at all times. The coverage of services is dependent upon the CHAMPVA benefit coverage. CHAMPVA beneficiaries who are covered by Medicare cannot use CITI.