Veterans who may have suffered a reduction in income may be eligible to submit a new Means Test, which, if approved, would enable the Department of Veterans Affairs to not charge a co-pay for current and future care. For existing debt there is a Hardship Waiver process which may be applicable in some cases.
Any Veteran who thinks they qualify should contact the Health Resource Center at 1-888-313-5421 for additional information and assistance.
The US Department of Veterans Affairs has established guidelines for veterans and their copayments. Copayments may be charged for the following services —
Veterans who do not make their copayments upon checking out will receive a bill at their address of record within 30 days after their stay or appointment.
Private health insurance coverage through a Veteran or Veteran's spouse is insurance provided by employer, Veteran or other non-federal source.
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.
Your insurance coverage or lack of insurance coverage does not determine your eligibility for treatment at a VA health care facility.
What should you do with your private health insurance if you are accepted into VA health care? You could save of money if you dropped the insurance, but there are some things you should consider.
VA does not normally provide care for family members of Veterans enrolled in VA's health care program. If you drop your private health insurance, they may have no health care coverage.
There is no guarantee that in subsequent years Congress will appropriate sufficient funds for VA to provide care for all enrollment Priority Groups. This could happen if you are enrolled in one of the lower Priority Groups. This would leave you with no health care coverage.
VA does not require a Veteran to have Medicare Part A or B to be enrolled in VA health care. However, a Veteran may want to consider their total health care needs before changing any insurance coverage.
If you cancel your Medicare Part B Coverage, you need to know that you cannot be reinstated until January of the following year, and you may be penalized for reinstatement.
For these reasons, VA encourages you to keep your private health insurance.