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Da 5811 used for Form: What You Should Know

Dental care is covered for children/youth and adults. Coverage also includes mental health and prescription drug claims (this is for Veterans who have to pay 600 in annual co-payments). CHAM PVA can be added to or substituted for VA benefits. CHAM PVA is not to be used as a substitute for VA service. Veterans and their immediate family members are eligible for CHAM PVA if CHAM PVA was paid during the most recently completed fiscal year as determined by your VA. For detailed definitions of your health care benefits, and to verify that you are not being enrolled in any health care plan not offered by the VA, visit the VA website at: . Claim forms to fill out: This form is available to Veterans/family members (and dependents) at the above-mentioned Chub. Health care benefits include: Primary care visits Mental health visits Prescription drugs Family living expenses for the VA covered portion of CHAM PVA To see a list of health benefits you may also qualify for. Click here: benefits comparison.com CHAM VAC Coverage/Dental Plan The Benefits to Veterans with Chub are based on the value of your dental services as described under “Who is Eligible to Participate in CHAM PVA”? Eligibility & Special Instructions: In order to be eligible for CHAM PVA, you must have purchased the first year of coverage and have completed the most recent fiscal year due to your enrollment in TRI, CAMPUS, or VA Health Care. You must be a full-time, inpatient Veteran or their eligible family members. You must be receiving the minimum VA Health Care benefits that can be billed (if you are not receiving benefits from a Veterans Administration Medical Center, contact your local VA Medical Centers). To learn more about CHAM PVA or to find a dentist with CHAM PVA coverage click here:. Benefits include: · Emergency dental care up to the point of your next dental appointment. · Care for one dental care provider — not more than two providers at a local VA Center (unless your VA Center is able to expand your coverage to a third provider).

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