CHAMPVA other-health-insurance certification
VHA Office of Integrated Veteran Care
CHAMPVA Eligibility
PO Box 137
Spring City, PA 19475
VA Form 10-7959C — Report other health insurance for CHAMPVA
Report other health insurance when applying for CHAMPVA or update that insurance after enrollment.
Use the current official form
Revision: March 2025.
These are reviewed, scoped methods. Read the current official program and PDF instructions for conditions, signatures, additional methods and exceptions.
Submission instructions
Fax
CHAMPVA other-health-insurance certification and updates on 10-7959c
303-331-7808