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CHAMPVA

CHAMPVA — the basics, and how it pairs with Medicare

CHAMPVA is VA health coverage for spouses and dependents of veterans rated permanently and totally disabled from a service-connected condition (or who died from one). Once you're eligible for Medicare, CHAMPVA requires Parts A and B and then pays after Medicare — much like a Supplement — with drug coverage that includes free generics through Meds by Mail.

What CHAMPVA is

The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) covers the families of the most seriously disabled veterans — and the survivors of those who died from service-connected causes. The veteran gets VA Healthcare; CHAMPVA is how the VA covers the spouse and dependents, paying for care from civilian providers.

One rule sorts everyone instantly: if you're eligible for TRICARE, you are not eligible for CHAMPVA. TRICARE follows military retirement; CHAMPVA follows a service-connected permanent-and-total disability rating. The full comparison untangles the two.

The four facts that matter most

Who qualifies

Spouses and dependents of veterans rated permanently and totally disabled from a service-connected condition — full rules on the eligibility page.

Medicare required

CHAMPVA requires Medicare Parts A & B once you're eligible — decline Part B and CHAMPVA ends with it.

How it pays

Medicare pays first, then CHAMPVA — much like a Medicare Supplement, often leaving $0 for dual-covered services.

Drug coverage

Creditable for Part D, with Meds by Mail shipping generics free in 30/60/90-day supplies, plus the OptumRx retail network.

2026 numbers worth knowing

$0
CHAMPVA premium — there is none
Source: VA.gov
$3,000
Annual catastrophic cap per family, per calendar year
Source: VA.gov
$0
Generic maintenance meds via Meds by Mail
Source: VA.gov
800-733-8387
The CHAMPVA helpline — the number to save
Source: VA.gov

Explore the CHAMPVA guides

Eligibility

The four qualifying paths, the TRICARE exclusion, and the remarriage and dependent-age rules.

CHAMPVA + Original Medicare

The wraparound at work — and the Part B requirement with its one historical exception.

CHAMPVA + Medicare Advantage

What shifts: networks, form 10-7959a, and the pharmacy changes that follow an MAPD.

Meds by Mail

Free generic maintenance medications — and the one condition that keeps the benefit alive.

Claims & form 10-7959a

When you file, how, the one-year deadline, and keeping your other-coverage record current.

CHAMPVA vs. TRICARE

Two programs, zero overlap — which one is yours, and how they differ at 65.

Frequently asked questions

What does CHAMPVA stand for?
Civilian Health and Medical Program of the Department of Veterans Affairs — VA-run coverage for qualifying spouses, dependents, and survivors of seriously disabled veterans.
Is CHAMPVA the same as TRICARE?
No, and you can't have both. TRICARE serves military retirees and their families; CHAMPVA serves families of veterans rated permanently and totally disabled from service-connected conditions. TRICARE eligibility disqualifies you from CHAMPVA.
Does CHAMPVA require Medicare?
Yes — once you're eligible for Medicare, CHAMPVA requires Parts A and B and becomes the secondary payer. The narrow exception applies only to beneficiaries who turned 65 before June 5, 2001 without Part B.
Does CHAMPVA cost anything?
No premium. Without Medicare, an annual deductible ($50 per person, $100 per family) and 25% cost share apply, capped at $3,000 per family per year. With Medicare paying first, dual-covered services typically cost you nothing.
Is CHAMPVA creditable drug coverage?
Yes — CHAMPVA pharmacy benefits are creditable for Part D, so beneficiaries can skip a Medicare drug plan without penalty.

You earned these benefits. Make them work together.

Whether you keep exactly what you have or add Medicare coverage alongside it, the right answer depends on your health, budget, and how you like to get care.

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No cost, no obligation. You can also get help from Medicare.gov, 1-800-MEDICARE (TTY 1-877-486-2048), or your local SHIP office.