Other health insurance (OHI)
is another health plan that you may have through your employer, your spouse's
employer, or other government program such as Medicare. Claims involving
a payment from another health insurance plan may result in reduced costs
to you or, depending on the combined OHI and CHAMPVA payment, no cost
share at all. You or the provider must file the claim with the other insurance
plan before submitting it to CHAMPVA for payment. CHAMPVA is always the
secondary payer (by law) unless you are receiving care under Medicaid,
State Victims of Crime Compensation Program, or you have a CHAMPVA supplementary
insurance policy. In these cases, CHAMPVA will pay first. Upon receiving
the explanation of benefits (EOB) statement from the other insurer, you
or the provider may file a CHAMPVA claim for any remaining balance. In
addition to the EOB from the other health insurance, claims (billings)
must include the provider's itemized billing statement. Please ensure
all documents are legible.
