CHAMPVADoctors

CHAMPVA Pediatricians

Children of a permanently and totally disabled veteran carry CHAMPVA until they turn 18, or until 23 while enrolled in school, and for life if a disability before 18 leaves them unable to support themselves. A pediatrician who bills CHAMPVA is one of the most searched-for providers on this site.

A pediatrician listens to a laughing young girl's heartbeat while her father holds her hand

What a pediatrician does

Pediatricians provide primary and preventive care for infants, children, and teenagers: well-child checkups, immunizations, developmental screening, sick visits, and management of childhood conditions such as asthma and ADHD.

What CHAMPVA covers for pediatrics

CHAMPVA covers well-child care from birth through age six by regulation, including periodic exams and immunizations, plus CDC-recommended vaccines at every age and school-required physicals through age 17. Sick visits and ongoing care are covered outpatient care after the $50 per-child deductible ($100 family maximum), with a 25 percent cost share. No referral is needed for pediatric specialists.

Before you book: Pediatric practices see fewer Medicare patients, so more of them have never heard the word CHAMPVA. Lead with the billing office and the sentence "it pays like Medicare, and there is no network to join."

Find pediatricians who can bill CHAMPVA, by state

Pick your state. The search opens with the Pediatrics filter already selected and shows real practice locations from the federal NPPES registry, with street addresses and local phone numbers. Then call with the 20-second script to confirm CHAMPVA.

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Common questions

Does CHAMPVA cover well-child visits and vaccines?

Yes. Regulation covers well-child care from birth to age six, CDC-recommended immunizations at any age, and school physicals through age 17.

How long does a child keep CHAMPVA?

Until age 18, or until 23 while enrolled in high school, college, or another educational institution. A child permanently unable to support themselves because of a disability that began before 18 can keep it indefinitely.

Do pediatric specialists need a referral under CHAMPVA?

No. CHAMPVA does not require referrals. Only inpatient mental health care and a few other services need preauthorization.

Related guides

All specialties

Sources

General information, not medical or insurance advice. Coverage rules are set by the VA and federal regulation and can change; confirm with CHAMPVA at 800-733-8387 before treatment.