Military Medical Benefits Act (CHAMPUS)

This Act provides coverage for certain services to military dependents with disabling conditions. It is meant to assist in cases in which the dependents cannot qualify for public programs because they don't meet residency requirements.

The spouse or child of an active duty member is eligible if he/she has a serious physical disability, and the condition:

  • Has lasted or is expected to last for at least 12 months, or is expected to result in death
  • Keeps the individual from engaging in substantially productive activities of daily living

CHAMPUS covers these costs:

  • Diagnosis
  • Inpatient, outpatient, and home treatment
  • Training, rehabilitation, and special education
  • Institutional care in public or private nonprofit facilities, and transportation to such facilities when necessary
  • Payment for nutrient solutions when necessary
  • Purchase and maintenance of durable equipment

The law provides for a sliding scale monthly deductible, payable by the active duty member. However, CHAMPUS will not pay benefits when public resources are available to the dependent in the same manner and to the same extent as any other citizen of the community or state.

 
 


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