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FAMILY AND CAREGIVER BENEFITS

Health and disability benefits
 * CHAMPVA benefits
 * Program of Comprehensive Assistance for Family Caregivers
   * Apply now
 * Benefits for spina bifida linked to Agent Orange
 * Benefits for children of women Vietnam Veterans

In this section



CHAMPVA BENEFITS

If you’re the spouse, dependent, or survivor of a Veteran who meets certain
service-connected disability requirements, you may qualify for health care
benefits through the Civilian Health and Medical Program of the Department of
Veterans Affairs (CHAMPVA). Find out if you qualify for CHAMPVA and how to
apply.


ELIGIBILITY FOR CHAMPVA

You may be eligible for CHAMPVA if you don’t qualify for TRICARE (the Defense
Department’s health care program for service members and their families) and one
of these descriptions is true for you. 

At least one of these must be true: 

 * You’re the spouse or dependent child of a Veteran who’s been rated
   permanently and totally disabled from a service-connected disability, or 
 * You’re the surviving spouse or dependent child of a Veteran who died from a
   service-connected disability, or 
 * You’re the surviving spouse or dependent child of a Veteran who was at the
   time of their death rated permanently and totally disabled from a
   service-connected disability

Note: In certain cases, you may be eligible for CHAMPVA if you’re the surviving
spouse or dependent child of a service member who died in the line of duty, not
due to misconduct. But you can’t get CHAMPVA benefits if you qualify for
TRICARE. 


ELIGIBILITY FOR SPECIFIC GROUPS


NEWBORN DEPENDENT CHILDREN

We can’t pay medical claims for a qualifying newborn child until they’re
enrolled in CHAMPVA. Apply for CHAMPVA for your child as soon as possible after
their birth.

Before you can apply for CHAMPVA for your child, you’ll need to take these 2
steps: 

 1. First, get a Social Security number for your child at a Social Security
    Administration office 
 2. Then, add your child as a dependent of the Veteran sponsor by contacting
    your nearest VA regional office

Find a Social Security office near you

Find a VA regional office near you


SURVIVING SPOUSES WHO REMARRY

If you remarry on or after your 55th birthday, you can keep your CHAMPVA
benefits after you remarry. 

If you remarry before age 55, your CHAMPVA benefits will end on the date of your
remarriage. 

If you remarry before age 55, but your remarriage ends, you may qualify for
CHAMPVA again. The first date that you qualify again is the first day of the
month after your remarriage ends.  


SPOUSES WHO ARE BOTH VETERANS

If you and your spouse are both Veterans, you may each qualify for both VA
health care and CHAMPVA. If you enroll in both programs, you can choose to use
either VA health care or CHAMPVA each time you need care. 

Find out if you’re eligible for VA health care 


DEPENDENT CHILDREN AGE 18 OR OLDER

If you’re enrolled full time in high school, college, or another educational
institution, you can keep CHAMPVA benefits between ages 18 and 23. Your benefits
will end when you’re no longer enrolled in school or when you turn 23, whichever
comes first. If you get married before age 23, your benefits will end on the
date of your marriage.

If you’re permanently unable to support yourself due to a disability that
happened before age 18, you can keep CHAMPVA benefits after age 18. (We
sometimes use the term “helpless child” to describe this situation.) Your
benefits will end if you get married or become able to support yourself.

If you’re not enrolled in school or permanently disabled, your CHAMPVA benefits
will end when you turn 18.


STEPCHILDREN WHO LEAVE THE VETERAN’S HOUSEHOLD

If you’re the stepchild of a Veteran and you leave the Veteran’s household
because of a divorce or remarriage, you no longer qualify for CHAMPVA. 


PEOPLE WHO ARE AGE 65 OR OLDER OR WHO QUALIFY FOR MEDICARE AT ANY AGE

If you’re eligible for Medicare, you must have Medicare Part A and Part B in
order to get or keep CHAMPVA benefits. A Medicare Advantage plan (also called
Plan C) also meets this requirement. 

Learn more about Medicare and CHAMPVA   


PRIMARY FAMILY CAREGIVERS OF VETERANS WITH DISABILITIES

You may qualify for CHAMPVA through the Program of Comprehensive Assistance for
Family Caregivers if you meet both of these requirements:

 * You’re the primary family caregiver for a Veteran with disabilities, and
 * You don’t have other health insurance

To find out if you qualify for CHAMPVA, you’ll need to apply for the Program of
Comprehensive Assistance for Family Caregivers. If we determine that you qualify
for CHAMPVA, we’ll enroll you automatically. You don’t need to do anything else
to get CHAMPVA benefits.

Find out if you qualify for caregiver assistance and how to apply 


BENEFITS YOU CAN GET THROUGH CHAMPVA

CHAMPVA is a cost-sharing program. When you enroll in CHAMPVA, we share the cost
of certain health care services and supplies with you. 

Learn about care and services we cover through CHAMPVA 


HOW TO APPLY FOR BENEFITS

You can apply by mail or by fax. You’ll need to fill out an Application for
CHAMPVA Benefits (VA Form 10-10d).

Get VA Form 10-10d to download

Make sure to submit the required supporting documents with your application.

Find out what supporting documents you need


OPTION 1: BY MAIL

Mail your completed application and supporting documents to this address:

VHA Office of Integrated Veteran Care
CHAMPVA Eligibility
PO Box 137
Spring City, PA 19475


OPTION 2: BY FAX

Fax your completed application and supporting documents to 1-.


SUPPORTING DOCUMENTS FOR YOUR APPLICATION

To find the documents you need to submit, select each description that applies
to you. 


IF YOU HAVE OTHER HEALTH INSURANCE (INCLUDING MEDICARE)

You’ll need to submit these 2 supporting documents: 

 * A completed CHAMPVA-Other Health Insurance Certification (VA Form 10-7959c) 
   Get VA Form 10-7957c to download 
 * A copy of the front and back of your health insurance card or Medicare card 

Note: If you have Medicare Part D for prescription coverage, you’ll also need to
submit a copy of the front and back of your Medicare Part D card.


IF YOU’RE AGE 65 OR OLDER AND YOU DON’T QUALIFY FOR MEDICARE

You’ll need to submit a document called a “notice of disallowance” from the
Social Security Administration. This document confirms that you don’t qualify
for Medicare benefits under anyone’s Social Security number.  


IF YOU’RE THE SPOUSE OR SURVIVING SPOUSE OF A VETERAN

To help us process your application faster, submit a copy of one of these
optional supporting documents: 

 * Marriage certificate, or 
 * Certificate of civil union, or
 * Common-law marriage affidavit

If you’re a surviving spouse who remarried before age 55 and your remarriage has
ended, submit a copy of one of these optional supporting documents:

 * Divorce decree, or
 * Annulment decree, or 
 * Death certificate


IF YOU’RE A DEPENDENT CHILD OR APPLYING FOR A DEPENDENT CHILD

To help us process your application faster, submit a copy of the child’s birth
certificate. You may need to submit additional supporting documents in certain
cases.

IF THE CHILD IS ADOPTED

You’ll need to submit a copy of the adoption papers.

IF THE CHILD IS THE VETERAN SPONSOR’S STEPCHILD

You’ll need to submit proof of the marriage between the Veteran sponsor and the
child’s other parent.

IF THE CHILD IS BETWEEN AGES 18 TO 23 AND ENROLLED IN SCHOOL

You’ll need to submit a school certification letter as proof of enrollment. And
you’ll need to recertify once a year. 

Learn how to submit a school certification letter 

IF THE CHILD BECAME PERMANENTLY UNABLE TO SUPPORT THEMSELVES BEFORE AGE 18

To help us process your application faster, you can submit a disability rating
letter for the child (sometimes called a “helpless child” rating). Contact your
nearest VA regional office and ask how to get this rating letter.

Find a VA regional office near you


AFTER YOU APPLY

It may take us up to 90 days to review your application. If we need more
information, we’ll contact you. 

If you’re eligible for CHAMPVA, we’ll send you a CHAMPVA ID card and program
guide.

Last updated: November 21, 2024

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