2018 | 2009 | 2000 | 1991 |
2017 | 2008 | 1999 | 1990 |
2016 | 2007 | 1998 | 1989 |
2015 | 2006 | 1997 | 1986 |
2014 | 2005 | 1996 | 1984 |
2013 | 2004 | 1995 | 1983 |
2012 | 2003 | 1994 | 1982 |
2011 | 2002 | 1993 | |
2010 | 2001 | 1992 |
b. Was this CHAMPUS or TRICARE, or CHAMP-VA?
Read if necessary: CHAMPUS or TRICARE is a program of medical care for dependents of active or retired military personnel. CHAMP-VA is medical insurance for dependents or survivors of disabled veterans?
c. Who was covered by CHAMPUS or TRICARE, or CHAMP-VA? Mark (x) "CHAMPUS/TRICARE/CHAMP-VA" in person's column and "Cov" on the HIS-1.
d. Anyone else?
b. Was this CHAMPUS or CHAMP-VA?
Read if necessary: CHAMPUS is a program of medical care for dependents of active or retired military personnel. CHAMP-VA is medical insurance for dependents or survivors of disabled veterans?
c. Who was covered by champus orchamp-va?
Mark (X) "CHAMPUS/CHAMP-VA" box in person's column.
d. Anyone else?
b. Was this CHAMPUS or CHAMP-VA?
Read if necessary: CHAMPUS is a program of medical care for dependents of active or retired military personnel. CHAMP-VA is medical insurance for dependents or survivors of disabled veterans?
c. Who was covered by champus orchamp-va?
Mark (X) "CHAMPUS/CHAMP-VA" box in person's column.
d. Anyone else?
b. Who was covered
Mark "Military" box in person's column.
c. Anyone else?
b. Who was this?
Mark "Military" box in person's column.
c. Anyone else?
b. Who was this?
Mark "Military" box in person's column.
c. Anyone else?
b. Is -- now covered by CHAMPUS?
d. Is -- now covered by CHAMP-VA?
b. Is -- now covered by CHAMPUS?
d. Is -- now covered by CHAMP-VA?
b. Is -- now covered by CHAMP-VA?
b. Who is this?
Mark "CHAMP-VA" box in person's column.
c. Anyone else?
b. Who is this?
Mark "CHAMP-VA" box in person's column.
c. Anyone else?