![]() ![]() Medication – Prescription copayment charges were established by Congress.Service-connected veterans rated 50% or more, service-connected veterans receiving medications for a service-connected condition, or nonservice-connected veterans who meet the low-income criteria are exempt from the prescription copayment. If you are receiving medical treatment from the VA, they will also provide necessary prescriptions. For more information on the current copayment rates, visit the Department of Veterans Affairs website. Circumstances that might warrant hardship determination would be the loss of employment, business bankruptcy, or out-of-pocket medical expenses. ![]() This means that you accept placement in priority group 8 and are responsible for making the required copayments.Ī hardship determination is a process by which veterans enrolled in Priority Group 7 & 8 may request a change in their enrollment priority group if their projected income for the current year will be substantially lower than their income from the previous year. If you don't want to complete the financial worksheet, you must agree to pay a copayment to the VA. However, you can apply for an exemption from paying those copayments to avoid a hardship if projections of your income for the current year will be substantially below the applicable income threshold. The means test is based on prior year income and net worth. Means TestingĬertain nonservice-connected and 0% noncompensable service-connected veterans are required to fill out the financial worksheet, which is known as a "Means Test." A means test is a gathering of financial information by which VA determines your priority group for enrollment, and whether or not you are required to make copayments for the service you receive. These funds are used to provide additional health care services to all veterans. Reimbursement received from insurance carriers are retained at the VA health care facility where treatment was received. VA is required to submit claims to insurance carriers for treatment of all nonservice-connected conditions. Veterans are requested to provide health insurance information.
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