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How to file a CHAMPVA claim yourself (VA Form 10-7959a), step by step

Educational information only, not medical, legal, or insurance advice. Confirm with CHAMPVA and your provider. Last verified against VA.gov: October 9, 2026 (VA page updated Jul 15, 2026). Changelog

Most of the time the provider files. File yourself only when you paid out of pocket.

  1. Check the deadline. Within 1 year of the date of care, or 1 year after leaving the hospital for inpatient stays.
  2. Set up direct deposit. VA requires it to pay you back. Family members set it up through the VA Financial Services Center’s Customer Engagement Portal.
  3. Get an itemized bill (CMS-1500, UB-04, or superbill) showing your name and date of birth; the provider’s name, title, and tax ID; the service address; dates, charges, and quantities; diagnosis (ICD-10) codes; and procedure (CPT or HCPCS) codes.
  4. Get proof you paid: a receipt or a bill marked “paid.”
  5. If you have other insurance: attach its EOB with the date of service, provider name, the provider’s NPI (if not on the bill), services paid, and amount paid. Kaiser members also send a copy of the card showing copays.
  6. For prescriptions: a pharmacy printout with the pharmacy’s contact info, drug name, strength, quantity, cost and copay, 11-digit NDC, fill date, and prescriber.
  7. File online through VA.gov, or mail VA Form 10-7959a with your documents to VHA Office of Integrated Veteran Care, CHAMPVA Claims, PO Box 500, Spring City, PA 19475. Copy the backs of two-sided pages, because VA scans one side only.
  8. Wait about 90 days. You’ll get an EOB. If VA asks for more information, you have 1 year to respond.

Printable: claim checklist. Problems? See Denied claim?

Official sources

  1. VA — How to file a CHAMPVA claim
  2. VA Form 10-7959a