CHAMPVA Supplement Insurance Plan

to The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)

What is CHAMPVA?

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/COMMUNITYCARE/programs/dependents/champva/index.asp

In general, the CHAMPVA program covers most health care services and supplies that are medically and psychologically necessary. Upon confirmation of eligibility, you will receive program material that specifically addresses covered and non-covered services and supplies in the form of a CHAMPVA handbook from U.S. Department of Veterans Affairs.

What is the CHAMPVA Supplement Insurance Plan

Since 1973 the 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% coinsurance*

100% out-of-pocket costs for covered services*

Pays 100% of Doctors Visits, Pharmacy, and Hospital Co-pays*

Comprehensive coverage

Issuance of ID cards

Priced to fit Your Budget As well As Your Needs

Smokers Pay Same Price As Non-smokers

Coverage at Almost Any Hospital and Any doctor

Guaranteed acceptance (subject to 6 month pre-existing condition limitation**)

* After the CHAMPVA Deductible and CHAMPVA Supplement Insurance Plan Deductible have been met.

It’s So Easy To Enroll in the CHAMPVA Supplement

CHAMPVA when used with the Supplement

Pays 100% of Doctors’ Visits and Hospital Co-Pays*

CHAMPVA Primary CoverageCHAMPVA SUPPLEMENTYOU PAY*
Pays:Pays:
75% Doctor Visits25% of Doctor visits$0.00
75% Hospitalization Impatient / Outpatient25% for Hospitalization$0.00
Rx Copay PharmacySupplement Pays Rx Copay
75% of Prescriptions25% of Prescriptions$0.00

Scroll table to see more details

* After the CHAMPVA Deductible and CHAMPVA Supplement Insurance Plan Deductible have been met.

Eligibility

Eligible Spouse: “Spouse” means your spouse who is under age 65 and a CHAMPVA benefits recipient, but not a spouse from whom you are legally separated or divorced. “Spouse” also means widow(er) if he or she is a member of the Participating Organization.

Spouses over age 65 are also eligible if documentation from the Social Security Administration certifying their non-entitlement to Medicare Part A benefits is submitted with their enrollment form.

Eligible dependent and unmarried children under age 18 (23 if a full-time college student) may also enroll.

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.

How claims are filed with the Supplement EOB

All claims are filed first with CHAMPVA. After CHAMPVA has processed your claim, they will send you an Explanation of Benefit Statement (EOB). You will need to file a claim with the Supplement Plan only if the provider has not agreed to file one on your behalf. To file a supplement claim, simply write your certificate (member ID) number on the EOB and also, write “Pay Provider” if you would like the benefits paid directly to the provider, otherwise the benefits will be paid to you. Claims may be mailed to: GEA Administrator, 6110 Parkland Blvd., Cleveland, OH 44124 FAX: 800-311-3124

Additional Information

Additional plan information available by clicking GEA CHAMPVA Supplement Enrollment Form Take a moment to review and click the tabs, Eligibility, Termination, Exclusion, Effective Date, limitations and FAQ’s on the Benefits page. 

It’s So Easy To Enroll in the CHAMPVA Supplement

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 VisionDental and Medicare Supplemental Insurance for eligible Veterans their Beneficiaries

  • The Corporate Plan Sponsor: Government Employee Association (GEA)
  • Plan Administer: Selman and Company
  • Underwritten by: Transamerica Premier Life Insurance Company, Cedar Rapids, IA Transamerica Financial Life Insurance Company, Harrison, NY (NY residents only)
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