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*.
$665 average/day (25% of allowable billed amount)1
$275 average/occurrence (25% of allowable billed amount)2
Fixing a Broken Leg
$1,875 average (25% of allowable billed amount)3
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 $2,662.13 ($12,512 for a 4.7 day stay). HCUP Fast Stats. Healthcare Cost and Utilization Project (HCUP). April 2021. Agency for Healthcare Research and Quality, Rockville, MD. https://www.hcup-us.ahrq.gov/faststats/national/inpatienttrends.jsp?measure1=02&characteristic1=01&time1=10&measure2=04&characteristic2=01&time2=10&expansionInfoState=hide&dataTablesState=hide&definitionsState=hide&exportState=hide [Accessed 09/14/2021]
2Costs presented represent 25% of the average billed cost for each mentioned procedure. Average cost of Ambulance ride $1,100. "Michigan ended surprise medical bills, but left out ground ambulances" January 2021. Bridge Michigan. https://www.bridgemi.com/michigan-health-watch/michigan-ended-surprise-medical-bills-left-out-ground-ambulances [Accessed 09/14/2021]
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 09/14/2021]