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Champva address Form: What You Should Know

I.  II.  Please Note:  1. You are encouraged to provide additional documentation to support the eligibility of your veteran/service member. This may include a copy of a DD-214 or other military ID or record of discharge from service. 2. You are encouraged to provide other documentation to support the health care needs of your veteran/service member, such as a copy of the veteran/service member's application for benefits from VA and any other documents pertaining to the veteran/service member. 3. You are encouraged to provide documentation to support the veteran/service member's medical history and functional ability.  If additional documentation is required, the application can be submitted electronically through the VAR System. The completed form, along with supporting documentation is emailed to the Office of Integrated Veteran Care (IOC) within 2 business days. II-F. Other Health Insurance (OHI) If you are unable to provide the required VA identification and tax ID Number, you can apply for other health insurance under the Veterans Affairs' OHI program, which is administered through the U.S. Treasury. Other health insurance is available that provides reduced rates for those who are eligible for other health insurance benefits. You must complete and submit the online application, and submit your Social Security Number, Federal Employee Identification Number (VEIN), and your mailing address (if applicable) to VOA. The application will be e-filed. VA will mail a status report to the VOA within 60 days of receipt from the applicant. I-Q. How to Apply for CHAM PVA Benefits — VA The VOA receives veterans and service members applying for benefits for injury or illness. It may also receive veterans/service members who have applied for or who have been approved for other health care services from the Veterans Benefits Administration. If you are applying for another health care benefit, you must complete and submit the application to the Office of Integrated Veteran Care (IOC). You must provide the following information: — The identity and contact information of the healthcare provider, physician, or other authorized health care provider who has a record of treating your veteran/service member; and — Information about the specific condition or problem that caused the veteran/service member to be listed as temporarily or permanently in the Department of Veterans Affairs (VA) hospital for disability.

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