USBA CHAMPVA Supplement Military Health Plans

USBA CHAMPVA Supplement Plan

The USBA CHAMPVA Supplement Insurance Plan, combined with your CHAMPVA benefits, provides the added protection you may need when a serious covered accident or sickness occurs.

  • Guaranteed acceptance
    (subject to pre-existing condition limitation)
  • Competitively priced
  • Smokers pay the same price as non-smokers
  • Helps pay your cost share for both covered inpatient and outpatient medical expenses, once you satisfy the deductible
  • 30-Day Right to Examine

Have
questions?

Call one of our USBA CHAMPVA Specialists:
877-297-9235 ext. 554
Monday – Friday 9:00 a.m. – 4:00 p.m. Central time

NOTE: Coverage not available in Alaska, Colorado, Maine, New Hampshire, Puerto Rico, Utah and Washington.

More information

PLAN APPLICATION OPTIONS

CLAIM
FORM

Determine Your Eligibility

CHAMPVA Supplement

Eligibility:

  • USBA Member who is a widow(er) of a veteran, who is covered under CHAMPVA, who is under Age 65, who is not eligible for Medicare and who is not on Active Duty
  • Member’s Spouse who is covered under CHAMPVA, who is under Age 65, who is not eligible for Medicare and is not on Active Duty
  • Member’s Dependent Child(ren) who are unmarried and under Age 21 or under Age 23 if enrolled as a full-time student

Deductible:
$250 for individual, $500 for family

Plan Administered by: Selman & Company, based in Cleveland, Ohio, has marketed and administered life and health insurance products to members of associations and affinity groups, customers of financial institutions, and employees for over 30 years. Selman & Company is among the largest privately held firms in the nation with focus on the markets in which it serves. Underwritten by:
Hartford Life and Accident Insurance Company, One Hartford Plaza, Hartford, CT 06155. The Hartford Financial Services Group, Inc. (NYSE: HIG) operates through its subsidiaries under the brand name, The Hartford, and is headquartered in Hartford, Connecticut. For additional details, please read The Hartford’s legal notice at www.thehartford.com.
TRICARE Form Series includes Form GBD-3000, GBD-3100, or state equivalent.
HIPAA NoticeLegal Notice

Become a Member of USBA Now

As a USBA Member, you’ll join a community that understands your commitment to your country, and your family. Our non-profit association strives to support our members through cost savings and personal service, and we’re proud to serve multiple generations of their families. Become a member today and let USBA help you protect your family’s future. There are no fees and no annual dues involved in USBA Membership.

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