Champus/ChampVA

Information regarding accepted Champus/ChampVA insurance plans.

Contact your health insurance plan for information on covered services before your appointment.

Champus/ChampVA Insurance Plans

Federal Program
Can I see a Virginia Mason primary care provider with this insurance plan?

No

Does this plan require pre-approval to see a specialist?

No (No insurance approved referral required – please see comments.)

General Comments
  • Will accept community provider referrals for medically appropriate specialty care (if it is believed patient would be more appropriately served for their specific medical need elsewhere Virginia Mason will not accept the requested referral or transfer).
  • Virginia Mason is unavailable for primary care services.
  • Virginia Mason is unavailable for patient self-referrals.
  • CHAMPVA is an open plan that does not require members to use specific providers – as this is the case we will be looking for a provider to provider referral.
  • When scheduling an appointment patients will need to provide the name of the referring provider and contact information.

 

Insurance Definitions