About va form 10-7959a | veterans affairs
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* Form name: CHAMPVA Claim Form Form revision date: August 2013 Related to: Family member benefits, Health care WHEN TO USE THIS FORM If you’re currently enrolled in the Civilian Health and
Medical Program of the Department of Veterans Affairs (CHAMPVA), use form 10-7959A to file a claim for reimbursement. Only use VA Form 10-7959A if you’ve already received your CHAMPVA
enrollment packet in the mail. DOWNLOADABLE PDF Download VA Form 10-7959A (PDF) ONLINE TOOL You can file a claim online instead of filling out and sending us the paper form. * Learn how
eligible spouses and children of Veterans can get health insurance through CHAMPVA (the Civilian Health and Medical Program of the Department of Veterans Affairs). * Find out about VA
benefits for spouses, dependents, survivors, and family caregivers.