CHAMPVA Supplement Plan
Selman & Company is the proud provider of the only CHAMPVA Supplement plan on the market
Our CHAMPVA Supplement Plan is designed for military families eligible for CHAMPVA (a federal health benefit program administered by the Department of Veterans Affairs). The CHAMPVA Supplement Plan provides reimbursement for most health care services.
CHAMPVA Supplement Plan, when combined with your CHAMPVA benefits, is designed to help provide you with the protection you need when you need it.
| CHAMPVA SUPPLEMENT PLAN | |||
| CHAMPVA PAYS | Selman & Company PAYS | YOU PAY | |
| Deductible | |||
| Individual | $50 | $0 | $50 |
| Family | $100 | $0 | $100 |
| Professional Services Cost Share | |||
| All Services | 75% | 25% | $0 |
| Prescription Drug Copayments | |||
| Generic RX | 75% | 25% | $0 |
| Brand Name RX | 75% | 25% | $0 |
| Non-Formulary RX | 75% | 25% | $0 |
| Other Out Of Pocket Charges | |||
| Excess Charges* | 0% | 0 | 100% |
PLAN ELIGIBILITY
Military families are eligible for the CHAMPVA Supplement Plan if they are:
- The spouse or child of a veteran who has been rated 100% permanently and totally disabled from a service-connected disability by a VA regional office, or
- The surviving spouse or child of a veteran who died from a VA-rated service-connected disability, or who, at the time of death, was rated 100% permanently and totally disabled, or
- The surviving spouse or child of a veteran who died in the line of duty. If death is related to misconduct, these family members may be eligible for TRICARE, not CHAMPVA.
The Individual CHAMPVA Plan
This has a calendar year plan deductible of $250 per person and $500 family maximum.
