These lists should not be considered all-inclusive and may change at any time. WebThe NPI Number for Department Of Veterans Affairs Meds By Mail is 1538421110. The allowable amount is the most we will pay for a covered medical service or supply. PO Box 469064 Address: Meds by Mail PO Box 20330 Cheyenne, WY 82003-7008. CHAMPVA, My HealtheVet and Online Prescriptions, manage your VA prescription refills online. You are able to refill, review and track your prescriptions online using your computer or smartphone. Providers may send questions and feedback to[emailprotected]. Claims can be mailed to the address listed in the contacts below. We will pay the Inpatient and Outpatient covered medical expenses once the Calendar Year plan deductible of $250 per person and $500 family maximum has been satisfied. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. 3. For more information, check out the CHAMPVA and the Caregiver programs. Hours:Monday through Friday, To enter and activate the submenu links, hit the down arrow. Talk to a customer service representative Phone . Further information about supplemental health plans can also be obtained from Federal Publishing www.federalpublishing.com. You are able to refill, review and track your prescriptions online using your computer or smartphone. There are a number of companies that offer CHAMPVA supplemental policies. Full name, address, and tax identification number (TIN) of the provider, Provider professional status (doctor, nurse, physician assistant, etc. If you change your address, it is vital that you update your address with CHAMPVA by using one of the three contact options below. If your patient is a Medicare beneficiary your claim will be forwarded electronically to CHAMPVA if we have the Medicare Health Insurance Claim number (HICN) on file. The VHA Office of Integrated Veteran Care accepts electronically submitted 837 claim transactions. The Corporate Plan Sponsor: Government Employee Association (GEA), Underwritten by: Transamerica Premier Life Insurance Company, Cedar Rapids, IA Transamerica Financial Life Insurance Company, Harrison, NY (NY residents only). If you are a beneficiary in the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and are eligible to use Meds by Mail (MbM), My HealtheVet's Pharmacy feature is available for you to use. You may have another health plan through your employer, your spouses employer, or other government program such as Medicare. 2 0 obj Each prescription must first be paid by the beneficiary and then reviewed in order to be considered for CWVV pharmacy benefits. You can also print a temporary pharmacy ID card from the OptumRx beneficiary FAQs page, or by giving your local pharmacy the following information: RxBIN: 610593 | RxPCN: VA | RxGrp: HAC. Transactions are accepted from providers for medical services and supplies provided in the United States, a U.S. Commonwealth or the territories. Beneficiaries of CHAMPVA, the Spina Bifida and the Children of Women Vietnam Veterans (CWVV) health care benefits programs are provided pharmacy benefits through a local retail pharmacy or through our Meds by Mail (MbM) program. The site is secure. Your provider will bill CHAMPVA for the administrative fee for the vaccine. Make sure the patient's Social Security number is included on the form and that the prescription has the doctor's name, phone number and mailing address printed on it. Spina Bifida Call Center 888-820-1756 Contact the Spina Bifida Health Care Benefits Program directly for any questions regarding eligibility. visit VeteransCrisisLine.net for more resources. However, not all pharmacies are a part of the SXC pharmacy network. List of the most common medications available from Meds by Mail(This list is only a small sample of the thousands of medications available.). 8:05 a.m. to 6:45 p.m. WebCHAMPVA Eligibility PO Box 469028 Denver, CO 80246-9028 Fax: 303-331-7809 Important Notice: The Plan is currently not available in CO, ME, NH, OR, UT, WA. 8:00 a.m. to 10:00 p.m. Please contact your health care provider to determine other treatment options. Medicare is the primary payer for such items and services, and TRICARE/CHAMPVA is a supplementary payer. If you live in one of the following states or territories, mail your order form to the address listed below: Maintenance medications, which are taken for longer periods of time such as blood pressure, hypertension, arthritis and chronic pain medications. Toll Free: 1-800-733-8387, Monday through Friday (excluding holidays) Hours of operation: Call 1-800-733-8387, (Monday through Friday from 8:05 a.m. to 6:45 p.m. Eastern Time) To apply for VA benefits and services, view your benefit status, and many more services go to www.va.gov and either logon with your eBenefits sign on or use www.Logon.gov to enroll. You or the provider must file the claim with the other insurance plan before submitting it to us for payment. Find the phone number to call for the help you need. All the articles are getting from various resources. Having OHI complements the CHAMPVA program; it does not prevent anyone from using it. through Friday (excluding holidays) immediately upon those changes taking effect so that proper payment can be made on your claims. Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Indian Health Service/Tribal Health Program, CHAMPVA In-house Treatment Initiative (CITI), Indian Health Services/Tribal Health/Urban Indian, Spina Bifida Health Care Benefits Program, Veterans Health Information Exchange Program, Durable Medical Equipment/ Pharmacy Requirements, War Related Illness & Injury Study Center, Clinical Trainees (Academic Affiliations), Call TTY if you WebCHAMPVA Eligibility PO Box 469028 Denver, CO 80246-9028 Fax: 303-331-7809 Important Notice: The Plan is currently not available in CO, ME, NH, OR, UT, WA. Itemized bill(s)* from your provider with the following information: Your Social Security number (SSN) must be on the claim. Hours of Availability: 24 Hours a Day, If the eligible sponsor is the spouse of another eligible sponsor, both may now be eligible for CHAMPVA benefits. You can refill, review, and track your prescriptions online. If you choose to see a provider who does not accept CHAMPVA, the SUPPLEMENT INSURANCE will pay or reimburse the cost share. To enter and activate the submenu links, hit the down arrow. Contact My HealtheVetfor any questions or concerns about this site. This approval, or preauthorization, is extremely important, and the failure to obtain it may result in denial of the claim. Talk to a customer service representative Phone . It is very important that your name is listed onthe form exactly as it is on your CHAMPVA Identification Card. 8:00 a.m. to 9:00 p.m. Indian Health Services (IHS) We always pay first if you are eligible under Indian Health Services. CHAMPVA Claim Form, VA Form 10-7959a (available by phone or on the Web). You can view a list of the most common medications available from Meds by Mail at the link below. CWVV beneficiaries can only use OputmRx to obtain prescriptions for their rated disability or conditions related to their disability. Remember, you will have to pay the 25% cost share and annual deductible when using your local pharmacy. Appropriate medical code for each service (see this chapter for details). Hours: Monday through Friday, Eligibility can be impacted by changes such as marriage, divorce from the sponsor, or eligibility for Medicare or TRICARE. 1. The health care law designates CHAMPVA as fulfilling the minimum essential coverage requirement. 1-800-733-8387 visit VeteransCrisisLine.net for more resources. In the past, survivors lost eligibility for CHAMPVA when they turned age 65 and became eligible for Medicare Part A. CHAMPVA ClaimsInformation for Beneficiaries. You will be asked for financial information if you request a waiver of the overpayment. If you go to a pharmacy that is not part of the OptumRx network, you will have to pay the full cost of the medication and submit a claim to VHA Office of Integrated Veteran Care yourself. 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