Jump to content
VA Disability Claims Community Forums - HadIt.com Veterans
  • 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

  • 0

Financial Hardship


desperatelyseekingsusan

Question

I am writing on behalf of my uncle. In the past year he lost everything. He is now on a very tiny SS income. He is in the process of claim for SC disability. Is form 5655 Financial Status Report the correct form for getting his prescription co-pays waived? Also, will this help for getting transportation costs reimbursed? To whom should he file this form? He is living day by day on the grace of friends.

Thank you.

Link to comment
Share on other sites

  • Answers 11
  • Created
  • Last Reply

Top Posters For This Question

11 answers to this question

Recommended Posts

  • Moderator

To get your co pays waived, you the Veteran will need to go to the VAMC where he needs to fill out the documents for a "means test". Ask at your VA where he fills out that form, at my VA they will help you with it. If he qualifies, they may be able to waive the copayments, depending upon income and disability rating.

The means test lasts a year and you have to do it again each year or they will put you back on the copays.

Link to comment
Share on other sites

I am writing on behalf of my uncle. In the past year he lost everything. He is now on a very tiny SS income. He is in the process of claim for SC disability. Is form 5655 Financial Status Report the correct form for getting his prescription co-pays waived? Also, will this help for getting transportation costs reimbursed? To whom should he file this form? He is living day by day on the grace of friends.

Thank you.

dss,

Your profile entered shows service connected (SC)at the 50 percent level.

Veterans with service connected disabilities of 50 percent or higher

have NO Co-Payments for any medical services or RX meds -

whether it's for a SC'd or non SC'd condition.

In other words - if he is really SC'd at 50 %, there should be no co-pays

to be waived through finance.

Also, for transportation - has anyone contacted a service organization,

perhaps DAV, regarding his need for transportation to the VAMC for medical services ?

Link to comment
Share on other sites

I am writing on behalf of my uncle. In the past year he lost everything. He is now on a very tiny SS income. He is in the process of claim for SC disability. Is form 5655 Financial Status Report the correct form for getting his prescription co-pays waived? Also, will this help for getting transportation costs reimbursed? To whom should he file this form? He is living day by day on the grace of friends.

Thank you.

This is my job at the VA, all answers given you are partially correct

Broncovet, hardships apply only to medical visits, you are correct about a mt. If the SS is less than $12256 and he is single, then a copay test is appropriate. $16xxx I forget the exact for spouse and each dependent, is the copay limit for married. If a sc vet, that income must be declared. Over 50% does not pay copays as it was said earlier. If you miss a year you become required to pay all medical and prescriptions as missing shows you decline to give income data. You can ask for a back date to last exemption if you have extenuating circumstances to miss mt date for 6 months only

If sc, everyone should call the HRC at the 866 # listed under your name on the statement and ask for a sc audit back to your combined or rating date

The 5655 has to be completely filled out and each expense must be clearly broken out. Lumping together expenses will earn a denial for reporting inconsistencies. A detailed 4138 listing and explaining your hardship should accompany the 5655 or it will be return denied as incomplete, we in the Ohio or VIsn 10 admin team will except a letter on a piece of paper

All income, including retirement, 401k, annuity, cash in bank and al assets except your home and contents must be listed. A new car will show ability to pay copayment. Paying credit cards and store cards also show ability to pay. If there are outside medical bills, they also should be add to copay or MT, and the out of pocket will reduce income but the VA has a right to be paid as well.

Waivers are not a right, so don't expect an automatic approval. More than one waiver, changes the the copay threshold for each vet.

IMPORTANT......waivers only cover 180 days from signature date. All other debt must be cleared on a RPP. Anything less than $50 or more than one year requires special terms and they can only be extended to 36 months

You are the recipient of my last post on this board because my post for help got over 120 views and one answer, you post and have several responses the same day

Edited by wisconsinwalter (see edit history)
Link to comment
Share on other sites

I worked in the business office doing means test for almost four years. Our supervisor and admin were int the business office. This was in Indiana. Didn't know the name changed sorry about the confusion.
Eligibility has has nothing to do with the Patient Account Center. That stopped almost 3 years ago. Indy and Marion are some of the more stations The facility revenue staff is part of the Patient Acct Center. Elig is a hospital function. The CPAC works admin for 19 VA's in the Midwest
Link to comment
Share on other sites

That would explain it. I worked from 03 to 0late 06. The link with the brochure that i put up still looks correct. If it is from the va site that isn't too spotty.

Just out of curiosity, Is HEC still involved in any of this?

Link to comment
Share on other sites

This is my job at the VA, all answers given you are partially correct

Broncovet, hardships apply only to medical visits, you are correct about a mt. If the SS is less than $12256 and he is single, then a copay test is appropriate. $16xxx I forget the exact for spouse and each dependent, is the copay limit for married. If a sc vet, that income must be declared. Over 50% does not pay copays as it was said earlier. If you miss a year you become required to pay all medical and prescriptions as missing shows you decline to give income data. You can ask for a back date to last exemption if you have extenuating circumstances to miss mt date for 6 months only

If sc, everyone should call the HRC at the 866 # listed under your name on the statement and ask for a sc audit back to your combined or rating date

The 5655 has to be completely filled out and each expense must be clearly broken out. Lumping together expenses will earn a denial for reporting inconsistencies. A detailed 4138 listing and explaining your hardship should accompany the 5655 or it will be return denied as incomplete, we in the Ohio or VIsn 10 admin team will except a letter on a piece of paper

All income, including retirement, 401k, annuity, cash in bank and al assets except your home and contents must be listed. A new car will show ability to pay copayment. Paying credit cards and store cards also show ability to pay. If there are outside medical bills, they also should be add to copay or MT, and the out of pocket will reduce income but the VA has a right to be paid as well.

Waivers are not a right, so don't expect an automatic approval. More than one waiver, changes the the copay threshold for each vet.

IMPORTANT......waivers only cover 180 days from signature date. All other debt must be cleared on a RPP. Anything less than $50 or more than one year requires special terms and they can only be extended to 36 months

You are the recipient of my last post on this board because my post for help got over 120 views and one answer, you post and have several responses the same day

someone's ego get popped? this is exactly correct when veterans talk about the employees at VA. Thank you for making it moonshine clear!!!

Link to comment
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

×
×
  • Create New...

Important Information

{terms] and Guidelines