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CHAMPman-city.net


The Civilian Health và Medical Program of the Department of Veterans Affairs (CHAMPman-city.net) is a comprehensive health care program in which the man-city.net shares the cost of covered health care services and supplies with eligible beneficiaries. The program is administered by the Veterans Health Administration Office of Community Care (VHA OCC) in Denver, Coloravì chưng.

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Due khổng lồ the similarity between CHAMPman-city.net & the Department of Defense (DoD) TRICARE program (sometimes referred to lớn by its old name, CHAMPUS), the two are often mistaken for each other. CHAMPman-city.net is a Department of Veterans Affairs program while TRICARE is a regionally managed health care program for active duty và retired members of the uniformed services, their families, & survivors. In some cases, a Veteran may appear khổng lồ be eligible for both or either program on paper; however, if you are a military retiree, or the spouse of a Veteran who was killed in action, you are và will always be a TRICARE beneficiary & cannot choose between the two programs.

CHAMPman-city.net and the Affordable Care Act

The Affordable Care Act (ACA) is a health care law that was created lớn expand access lớn affordable health care coverage for all Americans, lower costs, & improve quality and care coordination. Under the health care law, people will have sầu health coverage that meets a minimum standard (called "minimum essential coverage"). The health care law designates CHAMPman-city.net as fulfilling the minimum essential coverage requirement.

For additional information, view the ACA information on the man-city.net website at https://www.man-city.net/health/ACA/.

If you are enrolled in CHAMPman-city.net, you vì chưng not need khổng lồ take additional steps to lớn meet the health care law coverage standards. CHAMPman-city.net will send IRS Form 1095-B, Health Coverage, annually. The ACA does not change CHAMPman-city.net benefits or out-of-pocket costs.

Benefits

In general, CHAMPman-city.net covers most health care services and supplies that are medically and psychologically necessary. Upon confirmation of eligibility, you will receive a CHAMPman-city.net Program Guide that specifically addresses covered và non-covered services và supplies. For a complete listing of non-covered services and supplies please consult the CHAMPman-city.net Policy Manual.

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CHAMPman-city.net Program Guide CHAMPman-city.net Policy Manual

Pharmacy Benefits

Meds by Mail: Meds by Mail is a voluntary service that provides a safe, easy & cost-không tính tiền way for eligible CHAMPman-city.net and Spimãng cầu Bifida beneficiaries khổng lồ receive non-urgent maintenance medications delivered right to lớn your door.

OptumRx (formerly Catamaran) Retail Pharmacy Network: OptumRx electronically processes pharmacy claims nationwide, including Puerlớn Rico, Guam, & the Virgin Islands. Beneficiaries are serviced through a network of more than 82,000 retail pharmacies. When you use a OptumRx pharmacy, the pharmacy may collect a 25 percent cost share (after the annual deductible has been met) before submitting the claim – saving you time.

Pharmacy Benefits

Other Health Insurance (OHI)

If you have any other health insurance (OHI), you must notify us of any changes (dropped insurance, changes in health plans, etc.) immediately upon those changes taking effect so that proper payment can be made on your claims. If you obtain a major medical policy, you must also notify us that you have a new policy & when it takes effect.

Download the Other Health Insurance (OHI) Certification, man-city.net Form 10-7959c

Update Your OHI File

We offer several methods to update your other health insurance tệp tin.

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Phone: 800-733-8387gọi our Customer Điện thoại tư vấn Center with the name of the insurance company, type of policy & effective dates of the policy.