CHAMPVA covers spouse and children of veterans with permanent and total service-connected disability

If you're eligible for TRICARE, you cannot have CHAMPVA — TRICARE takes priority

CHAMPVA can serve as secondary insurance if you have Medicare or other coverage

Veterans Affairsmoderate

CHAMPVA Benefits Application

VA 10-10d · VA

Application for CHAMPVA health insurance for spouses, children, or survivors of veterans with permanent and total service-connected disabilities.

Form Details

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Where to Submit This Form

🌐

VA.gov (recommended)

https://www.va.gov/health-care/apply-for-health-care-form-10-10d/

Apply online as a CHAMPVA beneficiary.

📬

Mail to VA Health Administration Center

VHA Office of Community Care CHAMPVA PO Box 469028 Denver, CO 80246-9028

📠

Fax to CHAMPVA

Fax: 303-331-7809

Required Attachments

📎 Sponsor's DD-214 or discharge documents
📎 Marriage certificate (for spouse) or birth certificate (for child)
📎 VA rating decision letter showing sponsor's permanent and total disability rating (or proof of death if survivor)
📎 Medicare card (both sides) if enrolled in Medicare
📎 Proof of other health insurance (if applicable)

Processing Time

6-8 weeks. CHAMPVA identification card will be mailed once approved.

What Happens Next

VA will verify eligibility and mail a CHAMPVA authorization card. You can begin using CHAMPVA benefits once you receive the card.

Tips for This Form

✓ CHAMPVA covers spouse and children of veterans with permanent and total service-connected disability
✓ If you're eligible for TRICARE, you cannot have CHAMPVA — TRICARE takes priority
✓ CHAMPVA can serve as secondary insurance if you have Medicare or other coverage

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