About VA Form 10-493b
- Form name: CHAMPVA Benefits Election Affirmation
- Related to: Family member benefits, Health care
- Form last updated: November 2022
Downloadable PDF
Download VA Form 10-493b (PDF)Related forms and instructions
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VA Form 10-10d
Form name: Application for CHAMPVA Benefits
If you’re the spouse or child of a Veteran with disabilities, or the surviving spouse or child of a Veteran who has died, use VA Form 10-10d to apply for health insurance through CHAMPVA (the Civilian Health and Medical Program of the Department of Veterans Affairs).
Download VA Form 10-10d (PDF) -
VA Form 10-493
Form name: TRICARE Affirmation
Download VA Form 10-493 (PDF) -
VA Form 10-493a
Form name: TRICARE For Life Affirmation
Download VA Form 10-493a (PDF)
Helpful links related to VA Form 10-493b
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Learn how eligible spouses and children of Veterans can get health insurance through CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs).
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Find out about VA benefits for spouses, dependents, survivors, and family caregivers.