How to File Claims With CHAMPVA

The U.S. Department of Veteran Affairs administers the Civilian Health and Medical Program of the Department of Veteran Affairs (CHAMPVA). This is a supplementary health insurance program that covers the cost of health care services, medications and similar medical supplies. CHAMPVA covers family members of veterans who are permanently disabled or deceased. File a claim form with CHAMPVA for reimbursement for your medical expenses.

Things You'll Need

• Claim form
• Copy of medical statement
• Copy of explanation of benefits

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Instructions

• 1

  Download and print a claim form from the CHAMPVA website or request one by calling them at 1-800-733-8387 (see Resources).

• 2

  Print your name, address and CHAMPVA member number on the form in section one. If you have another insurance provider, provide this information in section two. You must bill your other insurance provider before filing a claim with CHAMPVA for the remainder of the bill.

• 3

  Write your veteran sponsor's name and member number in section three.

• 4

  Sign and date section four. If you are filing the claim on behalf of someone else, include your information and your relationship to the patient below the signature.

• 5

  Attach a copy of the itemized medical statement to the claim form. If applicable, attach a copy of the explanation of benefits of your primary insurance provider.

• 6

  Mail the claim form to VA Health Administration Center, CHAMPVA, P.O. Box 469064, Denver, CO, 80246-9064.