INTRODUCTION
CHAMPVA is a healthcare benefits program. In general, CHAMPVA covers most healthcare services and supplies that are medically and psychologically necessary. Upon confirmation of eligibility, applicants will receive program material that specifically addresses covered and not covered services and supplies.

Who is Eligible?
Dependents of veterans who have been rated by the VA as having a total and permanent disability.
Survivors of veterans who died from VA-rated service-connected conditions, or who at the time of death, were rated permanently and totally disabled from a VA-rated service connected condition.
Survivors of persons who died in the line of duty and not due to misconduct.

NOTE:
The eligibility of children is not affected by divorce or remarriage of the spouse or surviving spouse.

What Does VA Pay?
Under CHAMPVA, VA shares the cost of covered healthcare services and supplies with eligible beneficiaries

How To Apply
Required Documents
To apply for CHAMPVA benefits, you must submit the following documents:
Application for CHAMPVA Benefits form (VA Form 10-10d) (PDF)

You can speed the processing of your application if you also send copies (do not send originals)
Veteran and spouse marriage license
Birth certificate/adoption papers for children
The page from the VBA rating decision that shows the veteran is 100% permanently and totally disabled (or death rating for a survivor)
If you are a remarried widow/widower and are once again single, provide a copy of the legal documentation that terminated the remarriage. The legal documentation of termination of a remarriage may be a divorce decree, death certificate or annulment decree.
Veteran's DD214 (Certificate of Release or Discharge from Active Duty) or if the veteran was a WWII or Korea veteran, the Report of Separation. The VA does not have copies of this form; you must obtain them from your veterans’ military service. If you do not have this form readily available, we recommend that you not spend time requesting one from the military, send your application package in without it and we will obtain it.
School enrollment certification form (PDF) displaying full-time enrollment for children ages 18-23

Send your complete package to:
CHAMPVA-Eligibility
PO Box 469028
Denver, CO 80246-9028

Renewing CHAMPVA
In order to extend CHAMPVA, certification of full-time enrollment, 12hrs or more, must be submitted by UF.   You should submit your enrollment certification form from the Health Administration Center to UF Veterans Affairs Office to get signed, or as an alternative, you may request a verification of enrollment letter from the Office of the Registrar. In addition, you have the option to have the Registrar mail your enrollment certification letter to the appropriate place. You must fill out an enrollment certification form (PDF) and return it to the Registrar to get processed. The Registrar is located in 222 Criser Hall.

Note: Have the Registrar indicate your veteran’s file number on the verification of enrollment letter

Communicating with the CHAMPVA
CHAMPVA is managed by the VA's Health Administration Center. You can call us at 800-733-8387, Monday through Friday from 8:15 AM to 6:00 PM Eastern Time. You can e-mail us at hac.inq@med.va.gov. E-mail is the best way to communicate with us if you have this capability. You can also fax us at 1-303-331-7804. PLEASE do NOT fax applications to this number.

For further information, visit the CHAMPVA web site.