![]() ![]() ![]() Learn more about priority groups If you’re in priority groups 2 through 8 Note: You may be in priority group 1 if we've rated your service-connected disability at 50% or more disabling, if we've determined that you can't work because of your service-connected disability (called unemployable), or if you've received the Medal of Honor. You won’t pay a copay for any medications. Medication copay rates If you’re in priority group 1 Note: You may be in priority group 8 and qualify for these rates if you don't meet eligibility requirements for priority groups 1 through 6, and you have a gross household income above our income limits for where you live, agree to pay copays, and meet other specific enrollment and service-connected eligibility criteria. 2021 reduced inpatient care copay rates for priority group 7 Length of stayįirst 90 days of care during a 365-day periodĮach additional 90 days of care during a 365-day period We're here Monday through Friday, 8:00 a.m. To find out if you qualify for a reduced inpatient copay rate, call us toll-free at 87. If you live in a high-cost area, you may qualify for a reduced inpatient copay rate no matter what priority group you're in. You'll pay either our full copay rate or reduced copay rate. You won't need to pay a copay for inpatient care. (Care that requires you to stay one or more days in a hospital) If you have a service-connected disability rating of 10% or higher Note: You won’t need to pay any copays for X-rays, lab tests, or preventive tests and services like health screenings or immunizations. (like a visit to a hearing specialist, eye doctor, surgeon, or cardiologist) (like a visit to your primary care doctor) 2021 outpatient care copay rates Type of outpatient care You may need to pay a copay for outpatient care for conditions not related to your military service, at the rates listed below. If you don't have a service-connected disability rating of 10% or higher You won't need to pay a copay for outpatient care. (Primary or specialty care that doesn't require an overnight stay) If you have a service-connected disability rating of 10% or higher * Special authorities include conditions related to combat service and exposures (like Agent Orange, active duty at Camp Lejeune, ionizing radiation, Project Shipboard Hazard and Defense (SHAD/Project 112), Southwest Asia Conditions) as well as military sexual trauma, and presumptions applicable to certain Veterans with psychosis and other mental illness. If not related to a condition covered by a special authority*: $30 each visit If related to a condition that's covered by a special authority*: $0 (no copay) Learn more about urgent care benefits 2021 urgent care copay rates Priority groupĬopay amount for first 3 visits in each calendar yearĬopay amount for each additional visit in the same year You won’t have to pay any copay for a visit where you’re only getting a flu shot, no matter your priority group. Have received care from us within the past 24 months (2 years).Be enrolled in the VA health care system, and.To be eligible for urgent care benefits, including through our network of approved community providers, you must: There's no limit to how many times you can use urgent care. ![]()
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