Please rate Va Form 10 10D Apr 2025
If applicants indicate on the form that they have Medicare or other health insurance, each applicant must submit VA Form 10-7959c, CHAMPVA Other Health Insurance (OHI) Certification.
Online: you can apply online instead of filling out and sending the paper form.
Medicare Part B: if you are eligible or become eligible for Medicare Part A and you are under age 65, you MUST have Part B to be covered by CHAMPVA.
Divorce or annulment: termination of marriage to the qualifying sponsor ends CHAMPVA eligibility as of midnight on the effective date of the dissolution of marriage.
Student recertification: school certification for each term or a full year is required for recertification of attendance until graduation or age 23.
| Question | Answer |
|---|---|
| Form Name | VA Form 10-10d |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 75 |
| Avg. time to fill out | 13 min |
| Edition | APR 2025 |
| Where to send | VHA Office of Integrated Veteran Care, CHAMPVA Eligibility, Box 137, Spring City, PA 19475 |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | VA Form 10-10d, VA 10-10d, 10-10d, 10-10D, Form 10-10d, CHAMPVA form, Application for CHAMPVA Benefits |
| Official source | VA Form 10-10d (Rev APR 2025), |
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Please rate Va Form 10 10D Apr 2025
