IMPORTANT NOTICES
The Affordable Care Act and CHAMPVA
The Affordable Care Act, also known as the health care law, was created to expand access to affordable health care coverage to all Americans, lower costs, and improve quality and care coordination. Under the health care law, people will have health coverage that meets a minimum standard (called "minimum essential coverage"). The health care law designates CHAMPVA as fulfilling "minimum essential coverage".
If you are enrolled in CHAMPVA, you don't need to take additional steps to meet the health care law coverage standards. The health care law does not change CHAMPVA benefits or out-of-pocket costs. For additional information, visit VA's website at http://www.va.gov/aca, or call 1-800-733-8387
New Dental Program
CHAMPVA beneficiaries have the opportunity to purchase dental insurance at reduced rates under the new Department of Veterans Affairs Dental Insurance Program.
CHAMPVA customer service representatives do not have details on premiums and benefits for these policies. Please contact MetLife at 888-310-1681or Delta Dental at 855-370-3303 directly for further information.
New Claims Process
CHAMPVA has moved from Claim Level Adjudication to Service Line Level Adjudication. More information on Service Line Level Adjudication can be found on our Service Line Level Adjudication webpage.
CHAMPVA Deductible
On January 1 of each year, the annual deductible requirement for your CHAMPVA benefits will begin again.
The deductible is applied to the first medical or pharmacy claims processed in a calendar year until the deductible is met.
The deductible is $50 per beneficiary or a maximum of $100 per family per year.
DO NOT send checks to us to satisfy your deductible requirement. It will automatically be deducted from your submitted claims.
Change of Address
If you change your address, it is vital that you update your address with CHAMPVA
You can mail a signed address change request to:
CHAMPVA
POB 469063
Denver CO 80246-9063
You can contact us to update your information via the Inquiry Routing & Information System (IRIS). IRIS is a tool that allows us to communicate in a secure format and will be used instead of our traditional email links. You can also update your address information with one of our customer service representatives by calling 800-733-8387. When calling, please have your old address information available, as our customer service representatives must verify this information before updating your file.
Denied Claims
Do you need help to reprocess a denied claim? We have compiled a list of the 10 most common denial codes for claims submitted to CHAMPVA. If you have a CHAMPVA explanation of benefits (EOB) for a denied claim, you can find the denial code at the bottom of the EOB. For additional details on the rejection and instructions to file, read the denied claims page.