I Was Told By The Va Med Center That I Am

[jecsb4]

Hi All Vets, & Family of Vets...

A priority group 2. I asked what that means and was told that I don't have to pay for any co-pays for outpatient treatment for ANYTHING, even if it is not service connected.

IS that true? I was also told that I WOULD HAVE TO PAY for any meds that are not for service connected. Is that true? If it is true then why would the VA say I can get medical treatment for any service or non-service connected problem and not have a co=pay, yet have a co-pay for the meds? That doesn't make sence to me.

I am service connected rated at 30% pending my NOD.

Thanks.

Joe

[Pete53]

The VA does not require copays for Veterans rated 50% or greater or on a VA Pension.If the VA accepts Tri Care or Champ VA I think that they waive the copays also.

Once you obtain a rating of 50% or more you can file for refund back to the effective date.

Good Luck on your claim.

[Guest jangrin]

The VA does not require copays for Veterans rated 50% or greater or on a VA Pension.If the VA accepts Tri Care or Champ VA I think that they waive the copays also.

Once you obtain a rating of 50% or more you can file for refund back to the effective date.

Good Luck on your claim.

Pete, this brings up a question. If a dependent has ChampVA and goes to the VAMC for care and prescriptions, does the VA waive the 25% patient partion since ChampaVA with private medical practices coverage is 75/25 percent.

Also, does anyone know of a good insurance company to get supplemental insurance for Champ VA that doesn't cost a fortune?

Thanks,

Jangrin

[Pete53]

Jan:

Yes most of the VAMC's will accept your ChampVA. Mrs Pete uses Medicare as her Insurance and ChampVA as the sopayor.

http://pdfdownload.bofd.net/pdf2html.php?u...tSheet01-22.pdf

[jecsb4]

Hi Again,

My basic question which was not answered is this - if I am Priority Group 2 and don't have to pay for any outpatient care to include even non-service disabilities - then why do I have to pay co-pay for meds that are non-service connected? This is what i was told.

It seems to me that getting med care is more expensive than getting drugs? Why does the VA have this rule?

Thanks,

Joe

[Stretch]

Pete, already answered this but I will go into a little more detail.

Priority Groups:

http://www.va.gov/healtheligibility/eligib...Group.asp?epg=2

Priority group 2 is 30% to 40% SC. Priority group 1 is 50% or more.

You can get free meds if your income threshold is low. You must apply at the VARO.

Standard Benefits.

http://www.va.gov/healtheligibility/covere...ardBenefits.asp

Better look at priorities:

http://www.va.gov/healtheligibility/eligib...tyGroupsAll.asp

This is the National Means Test and Geographical Income Threshold Table

http://www.va.gov/healtheligibility/costs/

Co-Pay Rates

http://www.va.gov/healtheligibility/Library/pubs/CopayRates/