The annual (calendar year) outpatient deductible is the amount that you
must pay before CHAMPVA pays for a covered outpatient medical service
or supply. The deductible is $50 per beneficiary or a maximum of $100
per family per year. The annual deductible must be paid prior to CHAMPVA
paying 75% of the allowable amount. As claims are processed for covered
services, charges are automatically credited to individual and cumulative
family deductible requirements for each calendar year. Do NOT send checks
to CHAMPVA to satisfy your deductible requirement.
There is no deductible for inpatient services, ambulatory surgery facility
services, partial psychiatric day programs, hospice services, services
provided in VA CITI facilities, or for medications received through the
Meds by Mail program.
