![]() Flu shots and other vaccine services are available at many locations, like from your PCP or in-network walk-in clinic. Read about special health topics and resources for men’s wellness and for women’s wellness. Men and women have unique healthcare needs and concerns at every age. See the Preventive Care With No Out-of-Pocket Costs list. Log in to the Aetna website ( SSO) and click Health & Wellness > Preventive Health Schedule to see your screening recommendations. Get in-network checkups, screenings, vaccines, prenatal care, contraceptives and more with no out-of-pocket costs as part of preventive care. Getting routine care is a key part of staying healthy. Log into your Aetna member website to search for a PCP near you or consider Aetna virtual primary care through Teladoc. A primary care physician (PCP) is your home base for preventive and ongoing care and can help you find the right specialist when needed. You can also get helpful information about procedures, conditions and treatments. Access your health assessment, health record and personalized health and wellness programs. Start now! Just log in to the Aetna website ( SSO) and click Health & Wellness > Stay Healthy. A health risk assessment is one of the best ways to get a personalized snapshot of your health. If you’re an Aetna member, make the most of your health plan by using their health and wellbeing resources: Dependent Care Flexible Spending Account (FSA).Identity protection and credit monitoring.Health Care Flexible Spending Account (FSA).Transgender and gender-affirming benefits.Spouse/partner losing employer benefits.Review the CHAMPVA Deductibles and Copays fact sheet for further information regarding payment on other than outpatient type of services. If the patient has other health insurance, then CHAMPVA pays the lesser of either 75% of the allowable amount after the $50 calendar year deductible is satisfied, or the remainder of the charges and the beneficiary will normally have no cost share. A provider cannot bill you for the difference between our allowable amount and their normally billed amount. If your provider accepts assignment, which means the provider accepts CHAMPVA, the provider agrees to accept our allowable amount as payment in full. Beneficiaries should NOT send checks to VHA OCC for their annual deductible as claims are processed, charges are automatically credited to individual and family deductible requirements for each calendar year. CHAMPVA has an outpatient deductible ($50 per beneficiary per calendar year or a maximum of $100 per family per calendar year) and a patient cost share of 25% of our allowable amount up to the catastrophic cap ($3,000 per calendar year). In most cases, CHAMPVA's allowable amount-what we pay for specific services and supplies-is equivalent to Medicare/TRICARE rates. If the beneficiary turned age 65 on or after June 5, 2001, the beneficiary must be enrolled in Medicare Parts A and B to be eligible for CHAMPVA.If the beneficiary turned 65 before June 5, 2001, and has Medicare Parts A and B, the beneficiary must keep both Medicare Parts A & B to be eligible for CHAMPVA. ![]()
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