Are you a sponsoring Veteran or beneficiary of Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) program? If so, you and your health care provider may need to know if CHAMPVA pays the cost of certain medical treatments, medications or durable medical equipment.
With CHAMPVA Pay, this information will be at your fingertips.
The electronic application (app) is available for your mobile device and personal computer. It helps you work with your health care provider to determine what is reimbursable by the CHAMPVA program, based on medical codes. Codes include medical treatments, medications and durable medical equipment.
Enter code for answer
To download the app, go to the CHAMPVA Pay App. Then, select the appropriate format for your device (Apple or Android) or for your laptop or PC. Next, download the program. The app also is available directly from the Apple and Android app stores.
After downloading the app, enter the CPT (treatment code), ICD-10 (diagnostic code), or National Drug Code (or DME code) in question form into the corresponding search box. You will receive one of three possible responses:
- “Yes, this service is reimbursable.”
- “No, this service is not reimbursable.”
- “Yes, with conditions.” This response will include a request to call a customer service representative to see what those special conditions are.
Technicians will make updates and add new medical codes each quarter. As a result, the app will remain as accurate as possible.
Glenn Johnson is the chief of Healthcare Media for the VHA Office of Community Care.