What is CHAMPVA? Administered by the Veterans Health Administration
The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a comprehensive health care program in which the VA shares the cost of covered health care services and supplies with eligible beneficiaries. The program is administered by the Veterans Health Administration Office of Community Care (VHA OCC) in Denver, Colorado.
For more information about CHAMPVA, navigate the U.S. Department of Veterans Affairs,
https://www.va.gov/
CHAMPVA is a health care benefits provided and administered by the Department of Veterans Affairs (VA), not a supplemental insurance product provided by MILOPS on any other private company. MILOPS is not part of, or in any way associated with the VA. For additional information on CHAMPVA please go to: https://www.va.gov/COMMUNITYCARE/programs/dependents/champva/index.asp
How to Apply for CHAMPVA (VA)
To Enroll in CHAMPVA click APPLY FOR CHAMPVA
To enroll, provide all required and optional documents. Completed and correct applications take
approximately six weeks to receive your CHAMPVA identification card and related materials.
NOTE: Processing can take two to eight months when optional documents are not included.
What is the CHAMPVA Supplement Insurance Plan
GEA CHAMPVA Supplemental Insurance Plan
SINCE 1973 THE GEA CHAMPVA SUPPLEMENT HAS HELPED CHAMPVA BENEFICIARIES WITH PROTECTION FROM THE CATASTROPHIC EXPENSE WHEN YOU NEED IT.
The CHAMPVA Supplemental Insurance, is a private a supplement insurance plan, not affiliated with CHAMPVA is designed to wrap around your CHAMPVA benefit insurance coverage, so that in most cases, you will obtain reimbursement for out-of-pocket expenses not paid for by CHAMPVA. The supplement, like the CHAMPVA health insurance program itself, assists the spouses and dependents of 100% Service Related Disabled Veterans.
GEA CHAMPVA Supplemental Insurance Plan
The CHAMPVA Supplemental Insurance Plan, when combined with your CHAMPVA benefits, is designed to provide you with the protection you need when you need it. The plan will pay your cost share for both covered inpatient and outpatient medical expenses after you satisfy the calendar year plan deductible of $250 per person, $500 family maximum. Take a moment now to read the details inside. Then enroll today to give your family the additional protection of the GEA CHAMPVA Supplement Insurance Plan that complements your CHAMPVA benefits.
- 100% out-of-pocket costs for covered services*
- Pays 100% of Doctors Visits, Pharmacy, and Hospital Co-pays*
- Guaranteed acceptance (subject to 6 month pre-existing condition limitation**)
CHAMPVA when used with the Supplement
Pays 100% of Doctors’ Visits and Hospital Co-Pays*
*After the TRICARE Deductible and TRICARE Supplement Plan Deductible (as applicable) have been met.
**Any injury or sickness whether diagnosed or undiagnosed, for which a covered person received medical care or treatment within the 6-month period preceding the effective date of his or her insurance will not be covered until the coverage has been in effect for 6 months. However, covered expenses due to new conditions will be covered immediately.
| CHAMPVA Pays | CHAMPVA SUPPLEMENT PAYS | YOU PAY* | ||
|---|---|---|---|---|
| CHAMPVA Deductible* | Individual $50 / Family $100 | $0 | $0 | $50 / $100 |
| Supplemental Plan Deductible* | Individual $250 / Family $500 | $0 | $0 | $250 / $500 |
| Doctor Visits | 75% | 25% | $0 | |
| Hospital Stay | 75% | 25% | $0 | |
| Ambulance | 75% | 25% | $0 | |
| Emergency Room | 75% | 25% | $0 | |
| Medications | 75% | 25% | $0 |
* After the CHAMPVA Deductible and CHAMPVA Supplement Insurance Plan Deductible have been met.
Economical Premiums To Fit Your Budget
The CHAMPVA deductible is applied to the first medical or pharmacy claims processed in 2019 until the deductible is met.
- Annual CHAMPVA Deductible is $50 per beneficiary or a maximum of $100 per family per year.
- Annual Supplement Deductible is $250 per beneficiary or a maximum of $500 per family per year.
| Age of Spouse, Widow/er | Monthly | Quarterly | Semi-Annual | Annual |
|---|---|---|---|---|
| Under 40 | $32.04 | $96.12 | $192.24 | $384.48 |
| 40 - 44 | $35.60 | $106.80 | $213.60 | $427.20 |
| 45 - 49 | $40.94 | $122.82 | $245.64 | $491.28 |
| 50 - 54 | $52.51 | $157.53 | $315.06 | $630.12 |
| 55 - 59 | $62.30 | $186.90 | $373.80 | $747.60 |
| 60 - 64 | $74.76 | $224.28 | $448.56 | $897.12 |
| 65+ | $94.34 | $283.02 | $566.04 | $1,132.08 |
| Each Child | $24.92 | $74.76 | $149.52 | $299.04 |
Premiums illustrated are Per Person. Includes first year discount of 11%.
Rates and/or benefits are based on the attained age of the Insured Person and increase as the Insured Person enters each new age category. Rates and/or benefits may be changed on a class basis.
Pre-Existing Conditions Limitation
Any injury or sickness whether diagnosed or undiagnosed, for which a covered person received medical care or treatment within the 6 month period preceding the effective date of his or her insurance will not be covered until the coverage has been in effect for 6 months. However, new conditions will be covered immediately. **
Supplement Rates and GEA Membership
Rates illustrated are Per Person. Includes first year discount of 11%. Premiums increase as a person moves from one 5-year age bracket to another (40, 45, 50, 55, 60). The company reserves the right to change premiums on a group wide basis to maintain the financial solvency of the plan. This coverage is available to GEA members and their dependents only. If you are not a member of GEA, it is easy to become one. A membership application is included with the CHAMPVA SUPPLEMENT
Plan Deductibles
The CHAMPVA $50 individual/$100 family outpatient deductible are not covered by the CHAMPVA Supplement Plan. The CHAMPVA Supplement plan has an annual year Plan deductible of $250 per person and $500 family maximum. We will pay the Inpatient and Outpatient covered medical expenses once the Calendar Year plan deductible of $250 per person and $500 family maximum has been satisfied. Expenses incurred to satisfy the CHAMPVA Calendar Year Outpatient deductible cannot be used to satisfy the CHAMPVA Supplement Plan deductible.
GOVERNMENT EMPLOYEES ASSOCIATION (GEA)
The thousands of government employees who belong to the association give GEA a strong voice to advocate for issues that impact current and former government employees. This strong voice enables GEA to foster support for those issues that matter to government employees and their families, and also offer valuable member benefits at an affordable cost, including TRICARE Supplement and CHAMPVA Supplement. You must be a GEA member to enroll in the TRICARE Supplement and CHAMPVA Supplement plan. The GEA membership form is included with Enrollment Form and can be added to your premium option.
MILOPS Insurance Services℠
This website is designed for all service members regardless of Rank, Service or Duty Status and our 100% Service Related Disabled Veterans and their eligible Beneficiaries. Our mission is to provide professional service to you in gratitude for the courageous and professional manner you have defended our Country and Liberty.
Over the next few pages, you can review the CHAMPVA Supplemental Insurance Plan to the Department of Veterans Affairs Health Administration Center for family members of disabled Veterans (who are CHAMPVA eligible). You will find information regarding Vision, Dental and Medicare Supplemental Insurance for eligible Veterans their Beneficiaries
Important Notice:
The Plan is currently not available in CO, ME, NH, NM, NY, OR, PR, UT, WA.
- The Corporate Plan Sponsor: Government Employee Association (GEA)
- Plan Administer: SelmanCo
- Underwritten by: Harford Life and Accident Insurance Company, Harford, CT 06155
- 19837953
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