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Below are just a handful of the co-pays and cost shares from covered services that you may be responsible for when using your CHAMPVA insurance from the VA*.
Hospitalization
$1,151 average/day (25% of allowable billed amount)1
Ambulance
$319 average/occurrence (25% of allowable billed amount)2
Fixing a Broken Leg
$1,875 average (25% of allowable billed amount)3
Medications
25% of Covered Medications. $0 if received through Meds by Mail
Diabetes Screening and Treatment
25% of allowable billed amount
The figures above are for illustrative purposes only.
*Check with the US Department of Veteran Affairs to confirm your actual co-pay portion. CHAMPVA portion of coverage is provided here for your convenience, but is subject to change by the US Department of Veteran Affairs; visit https://www.va.gov/health-care/family-caregiver-benefits/champva/ for the most up-to-date information. The Supplement Insurance reimburses for co-pay costs for covered services after deductibles have been met.
1Costs presented represent 25% of the average billed cost for each mentioned procedure. Average per day cost of a hospital stay is $4,604. HERC Inpatient Average Cost Data. April 2023. U.S. Department of Veteran Affairs, Washington, D.C. https://www.herc.research.va.gov/include/page.asp?id=inpatient [Accessed 04/17/2023]
2Costs presented represent 25% of the average billed cost for each mentioned procedure. Average cost of Ambulance ride $1,277. "Ground Ambulance Services in the United States: A Study of Private Healthcare Claims" February 2022. FAIR Health. https://s3.amazonaws.com/media2.fairhealth.org/whitepaper/asset/Ground%20Ambulance%20Services%20in%20the%20United%20States%20-%20A%20FAIR%20Health%20White%20Paper.pdf [Accessed 04/17/2023]
3Costs presented represent 25% of the average billed cost for each mentioned procedure. Average cost of fixing a broken leg $7,500. HealthCare.gov. https://www.healthcare.gov/why-coverage-is-important/protection-from-high-medical-costs/ [Accessed 04/17/2023]
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