Jump to content
Ads Keep HadIt.com Online. Consider Turning Off Ad Blockers to Keep HadIt.com Online! ×

Va Prescription Co-pay Increase:


Recommended Posts

  • HadIt.com Elder

Co-payments for outpatient medicines prescribed through Department of Veterans Affairs (VA) medical facilities will rise by $1 effective 1 JAN 06. This is the first change in VA prescription drug co-payments in four years. Co-payments paid by veterans will still be lower than similar expenses in the private sector. The increase to $8 from $7 for a 30-day supply of prescription drugs is required by federal law, which bases VA's co-payments for outpatient prescriptions on increases in the Medical Consumer Price Index. The $1 increase will not affect Priority Group 1 veterans. These are those who have an injury or illness connected with their military service resulting in a 50% or greater disability.

Other veterans with less pronounced service-connected ailments – those classified Priority Groups 2 through 6 – will see their prescription drug co-pays rise by $1, but their annual out-of-pocket expenses for VA medicine will remain capped. The new cap will rise to $960 per year, up $120 from the previous level. This means veterans in Priority Groups 2 through 6 will pay no more than $960 annually for VA outpatient medicine. Veterans who have no injury or illness related in any way to their prior military service – referred to as Priority Groups 7 and 8 – will also see their co-payments increase, but there is no cap on annual payments for outpatient medicine. Priority 7-8 copayments are based on income. Additional information on VA income thresholds and copayments can be found at www.va.gov/healtheligibility/costs/costs.asp.

Not all prescription drugs will be subject to the increase. Outpatient medications not subject to co-payments include:

* Medication for treatment of a service-connected disability;

* Medication for a veteran who has a service-connected disability of 50% or more;

* Medication for a veteran disabled by 50% or more for unemployability;

* Medication for a veteran whose annual income does not exceed the amount of VA pensions;

* Medications for health problems that may be linked to Agent Orange for Vietnam veterans, to radiation exposure, to undiagnosed illnesses of Persian War veterans, or for new veterans within two years of discharge after serving in a combat theater.

[source: New Mexico e-Veterans News 21 Nov 05]

Link to comment
Share on other sites

  • Replies 0
  • Created
  • Last Reply

Top Posters In This Topic

Popular Days

Top Posters In This Topic

Popular Days

Guest
This topic is now closed to further replies.


  • veterans-crisis-line.jpg
    The Veterans Crisis Line can help even if you’re not enrolled in VA benefits or health care.

    CHAT NOW

  • question-001.jpeg

    Have Questions? Get Answers.

    Tips on posting on the forums.

    1. Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery instead of ‘I have a question.
       
    2. Knowledgeable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title.
      I don’t read all posts every login and will gravitate towards those I have more info on.
       
    3. Use paragraphs instead of one massive, rambling introduction or story.
       
      Again – You want to make it easy for others to help. If your question is buried in a monster paragraph, there are fewer who will investigate to dig it out.
     
    Leading too:

    exclamation-point.pngPost straightforward questions and then post background information.
     
    Examples:
     
    • Question A. I was previously denied for apnea – Should I refile a claim?
      • Adding Background information in your post will help members understand what information you are looking for so they can assist you in finding it.
    Rephrase the question: I was diagnosed with apnea in service and received a CPAP machine, but the claim was denied in 2008. Should I refile?
     
    • Question B. I may have PTSD- how can I be sure?
      • See how the details below give us a better understanding of what you’re claiming.
    Rephrase the question: I was involved in a traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?
     
    This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial of your claim?”
     
    Note:
     
    • Your first posts on the board may be delayed before they appear as they are reviewed. This process does not take long.
    • Your first posts on the board may be delayed before they appear as they are reviewed. The review requirement will usually be removed by the 6th post. However, we reserve the right to keep anyone on moderator preview.
    • This process allows us to remove spam and other junk posts before hitting the board. We want to keep the focus on VA Claims, and this helps us do that.
  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • VA Watchdog

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

×
×
  • Create New...

Important Information

{terms] and Guidelines