Copayment collections and statements for medical care and pharmacy services might seem overwhelming, especially this time of year, but we want to remind Veterans that debt relief programs are available and accessible.
Collection of copayments resumed on Oct. 1, 2021, after an 18-month halt, due to the American Rescue Plan (ARP). ARP included a provision that canceled copayments for medical care and pharmacy services received April 6, 2020, through Sept. 30, 2021, and directed refunds to be issued.
Some statements may reflect cancellation of copayments and refunds as some transactions continue to be processed. It’s important to focus on the “Balance” section of statements when viewing them. For information on how to better understand your patient statement, click here: Understanding your VA Patient Statement VA 10-0246.
Team standing by to assist
“Our goal is to make sure Veterans understand that expansive debt relief options are just a click of the mouse or a phone call away,” said Susan Reed, executive director of VHA Office of Revenue Operations. “Our team is standing by to assist if statements appear confusing or clarification is needed.”
Collection actions resumed Oct. 1, 2021. Due to Public Law 104-113, Debt Collection Improvement Act, copayments for medical care and pharmacy services delinquent 90 days or more are subject to a reduction of VA benefits to satisfy the balance. Copayments delinquent 120 days or more are subject to referral to the U.S. Department of the Treasury for collection action. VA recommends considering applying for debt relief as soon as possible if this is a concern.
Veterans can click the link below to learn about financial hardship options: https://www.va.gov/COMMUNITYCARE/revenue_ops/Financial_Hardship.asp or call 866-400-1238, Monday – Friday, 8 a.m. – 8 p.m. ET to learn more.
- Copayments for medical care and pharmacy services resumed Oct. 1, 2021.
- Copayments for medical care and pharmacy services incurred April 6, 2020, through Sept. 30, 2021, were canceled and refunds sent by VA.
- Monthly statements show charges incurred for medical care and pharmacy services provided prior to April 6, 2020, and on or after Oct. 1, 2021.
- Canceled copayments may appear on your patient statement in the description field and the amount canceled will show in the Payments and Credits block. The Payments and Credits block will also show amounts you paid toward your balance.
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