Some Veterans are required to make copayments (copays) to receive VA health care and/or medications.
Priority Group 7 (and certain other veterans) are responsible for paying 20 percent of VA's inpatient copay or $252.00 for the first 90 days of inpatient hospital care during any 365-day period. For each additional 90 days, the charge is $126.00. In addition, there is a $2 per diem charge.
Priority Group 8 (and certain other Veterans) are responsible for VA's inpatient copay of $1,260 for the first 90 days of care during any 365-day period. For each additional 90 days, the charge is $630. In addition, there is a $10 per diem charge.
Long term care copays are based on three levels of care:
**Copayments for Long-Term Care services start on the 22nd day of care during any 12-month period — there is no copayment requirement for the first 21 days. Actual copayment charges will vary from Veteran to Veteran depending upon financial information submitted on VA Form 10-10EC.
NOTE: Copay amount is limited to a single charge per visit regardless of the number of health care providers seen in a single day. The copay amount is based on the highest level of service received.
NOTE: Copays apply to prescription and over-the-counter medications, such as aspirin, cough syrup or vitamins, dispensed by a VA pharmacy. Copays are not charged for medical supplies, such as syringes or alcohol wipes. Copays do not apply to condoms.
Some Veterans qualify for free healthcare and/or prescriptions based on special eligibility factors including but not limited to:
VA is required to bill private health insurance providers for medical care, supplies and prescriptions provided for treatment of Veterans' nonservice-connected conditions. Generally, VA cannot bill Medicare, but can bill Medicare supplemental health insurance for covered services.
All Veterans applying for VA medical care are required to provide information on their health insurance coverage, including coverage provided under policies of their spouses. Veterans are not responsible for paying any remaining balance of VA's insurance claim not paid or covered by their health insurance, and any payment received by VA may be used to offset "dollar for dollar" a Veteran's VA copay responsibility.
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The Department of Veterans Affairs (VA) honors the pledge that Military Service Members and Veterans made to protect our nation. As part of VA’s mission to provide world-class services for the men and women who sacrifice for us, we created a dedicated career support program just for them: VA for Vets.
VA is committed to helping Veterans thrive. VA for Vets works to turn this vision into reality by offering the tools they need to launch their civilian careers at VA.
• Thorough military skills translation and career matching for Veterans seeking employment.
• Professional development and deployment lifecycle support for current Veteran and Military Service Member employees.
• Online training and personalized services for supervisors, hiring managers and coworkers who work with our Veteran employees every day.
Come see how VA for Vets is connecting Veterans to information, tools and resources they need to succeed: www.VAforVets.VA.gov.