CHAMPVA Insurance Resources Handbooks, Providers Pharmacies
For additional information, please refer to Fact Sheet 0103: Instructions for CHAMPVA Applicants. Required Documents. Application for CHAMPVA Benefits, VA Form 1010d; Other Health Insurance (OHI) Certification, VA Form 107959c (Certificacion CHAMPVA de Otros Seguros de Salud (OSS), Forma VA 10 7959c)